NPIMap

Organization Active NPI

Geps Physician Group of Pennsylvania, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Avondale, AZ
National Provider Identifier
1851774897
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 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
Last updated
Aug 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Eric Shapiro
Title
VP/Area Controller
Phone
(410) 832-7790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161110001225 AZ Part B Supplier - Clinic/Group Practice 8426953597 Practice locations: Sun City, AZ; Phoenix, AZ; Mesa, AZ; Avondale, AZ

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

2021 Westgate Dr
Bethlehem, PA 18017
Phone (610) 861-0100

125 S Broad St
Lititz, PA 17543
Phone (717) 626-0211

1770 Barley Rd
York, PA 17408
Phone (717) 755-8811

Practitioners & affiliated clinicians

Practitioners 92

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 92

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564963200000",
    "number": "1851774897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42738",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212842738",
            "telephone_number": "410-494-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E LA CANADA BLVD",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853231643",
            "telephone_number": "623-932-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEPS PHYSICIAN GROUP OF PENNSYLVANIA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-08",
        "last_updated": "2019-08-05",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "VP/AREA CONTROLLER",
        "authorized_official_telephone_number": "410-832-7790",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.