Genevieve B Gogerdchi, O.D.

Primary specialty

Pediatric OptometristTaxonomy code 152WP0200X

License

TA2311 Issued in MD

Practice address

2 Hamill Rd
West Quadrangle, Suite 345
Baltimore, MD 21210

Phone

(410) 433-8488

NPI assigned

Oct 9, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Ray M Atcherson PAGroup PAC ID 5395959977, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr Ray M Atcherson PA

  dba Bay Hills Eye Care Center

  • Eyewear Supplier
  • Arnold, MD
  • NPI 1851561211
  Medicare reassignment Care Compare group NPD
• D & G Eye Associates, LLC

  dba Tidewater Family Eye Care

  • Optometrist
  • Edgewater, MD
  • NPI 1982104105
  Medicare reassignment NPD
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

  • Health Maintenance Organization
  • Halethorpe, MD
  • NPI 1043378656
  Medicare reassignment NPD
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

  dba Abingdon Medical Center

  • Health Maintenance Organization
  • Abingdon, MD
  • NPI 1265971873
  NPD
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

  dba Kaiser Permanente Shady Grove Peritoneal Dialysis Facility

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Rockville, MD
  • NPI 1962108753
  NPD

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1861744294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 S REGESTER ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212311827",
            "telephone_number": "352-262-5768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HAMILL RD",
            "address_2": "WEST QUADRANGLE, SUITE 345",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21210",
            "telephone_number": "410-433-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOGERDCHI",
        "first_name": "GENEVIEVE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-09",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2311",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "MD",
            "license": "TA2311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "2 Hamill Rd",
            "address_2": "West Quadrangle, Suite 345",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "21210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mallory Goetz, AGACNP-BC
• Shannon Goetz, AU.D.
• Katherine R Goetzinger, MD
• Kirsten Goff
• Aidin Dean Gogerdchi, O.D.
• Bernadette Anne Marie Goggins, M.D.
• Michael Gilbert Goggins, M.D.
• Arundhati Gogineni, PHD
• Lindsay Blake Goicochea, M.D.
• Michelle Antoinette Goines, LCSW-C

• Pediatric Optometrist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Pediatric Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.