Geps Physician Group of Pennsylvania, PC
Organization Active NPI Geriatric Medicine (Internal Medicine) Physician · Avondale, AZ
NPI 1851774897 · NPPES record last updated Aug 5, 2019
Key facts
- NPI
- 1851774897
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician 207RG0300X
- Legal business name
- GEPS PHYSICIAN GROUP OF PENNSYLVANIA, PC
- Practice address
- 350 E la Canada Blvd
Avondale, AZ 85323-1643 - Phone
- (623) 932-2282
- NPI assigned
- Jul 8, 2015
- Organization subpart
- No
Authorized official
- Name
- Mr. Eric Shapiro
- Title
- VP/Area Controller
- Phone
- (410) 832-7790
Other NPIs with the same Medicare PAC ID 1
Practitioners 107
-
Clare R Williams, APN-C
-
William D Anderson, CRNP
-
Christopher Andreola, PA-C
-
Jamie Renee Baughman, CRNP
-
Blake Thomas Beasley, PA-C
-
Basiratu Bello, FNP
-
Moiriah Burdo, CRNP
-
Matthew P Cahill, MD
-
Kathryn Joy Calos, FNP
-
Titi Camara, FNP-BC
-
Timothy A Carlson, CRNP
-
Ethan S Caron, PAC
-
Brittany Joann Cook, CRNP
-
Preethy Cyriac, PA
-
Valerie Dieterick, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161110001225 | AZ | Part B Supplier - Clinic/Group Practice | 8426953597 | Practice locations: Sun City, AZ; Phoenix, AZ; Mesa, AZ; Avondale, AZ |
National Provider Directory
Locations
3590 Washington Pike
Bridgeville, PA 15017
Phone (412) 257-2474
146 Edge Hill Rd
Glenside, PA 19038
Phone (215) 836-2433
1194 Naamans Creek Rd
Marcus Hook, PA 19060
Phone (610) 358-6005
1848 Greentree Rd
Pittsburgh, PA 15220
Phone (412) 344-7744
8100 Washington Ln
Wyncote, PA 19095
Phone (215) 576-8000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician |
207RG0300X | Yes |
Addresses
Primary practice location
350 E la Canada Blvd
Avondale, AZ 85323-1643
Mailing address
PO Box 42738
Towson, MD 21284-2738
Phone (410) 494-7607
Other providers in Avondale, AZ
- Genesis New Beginnings L.L.C.
- Genoa Healthcare LLC
- Brittany M George
- Keshai George
- Whitney Elaine George
- German Dobson CVS LLC
- Kristina Gerth
- Janna Renee Gess
- Afework Getahun
- Noorya Ghulam Habib
All providers in Avondale, AZ · Geriatric Medicine (Internal Medicine) Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.