Geraldine Y Gatmaitan Dizon, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD60002198 Issued in WA

Practice address

7425 Wrigley Dr Ste 101
Pasco, WA 99301-5292

Phone

(509) 546-8399

Fax

(509) 545-6842

NPI assigned

Mar 7, 2006

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

Other identifiers 2

Other names 1

• Geraldine Dizon Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: geraldine.dizon.1@18485.direct.athenahealth.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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

• Lourdes Hospital LLC

  • Internal Medicine Physician
  • Pasco, WA
  • NPI 1659861060

  Pediatrics

  Medicare reassignment NPD
• Lourdes Hospital LLC

  dba Lourdes Medical Center

  • Critical Access Hospital
  • Pasco, WA
  • NPI 1831284280
  Medicare reassignment NPD
• Nest Children's Clinic PLLC

  • Pediatrics Physician
  • Pasco, WA
  • NPI 1467296160
  NPD (past)
• Our Lady of Lourdes Health Center

  dba Lourdes Riverview Medical Group

  • Family Medicine Physician
  • Pasco, WA
  • NPI 1184708471
  NPD (past)
• Our Lady of Lourdes Health Center

  dba Lourdes Pediatric Care Kennewick

  • Pediatrics Physician
  • Kennewick, WA
  • NPI 1326335712
  NPD (past)
• Our Lady of Lourdes Hospital at Pasco

  dba Lourdes Urgent Care Radiology

  • Diagnostic Radiology Physician
  • Pasco, WA
  • NPI 1639503774
  NPD (past)

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1942277157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N 4TH AVE",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993015257",
            "telephone_number": "509-416-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7425 WRIGLEY DR STE 101",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993015292",
            "telephone_number": "509-546-8399",
            "fax_number": "509-545-6842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATMAITAN DIZON",
        "first_name": "GERALDINE",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "053816",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD60002198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207707713A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207707713B",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "geraldine.dizon.1@18485.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "7425 Wrigley Dr Ste 101",
            "city": "Pasco",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993015292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GERALDINE",
            "last_name": "DIZON",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Rigoberto Garcia Jr., CDPT
• Christina M Garner, DPT, PT
• Cody McKinley Garner, SUDPT
• Bertha Garza
• Stephanie Garza
• Zoraida Del Pilar Gaviria, DMD
• Jennifer Marie Gaylord
• Gentle Hands, LLC
• Diane Renee Gerig, LMT
• Leighsa M Gervais, MED, BSN, RN, NCSN

• Pediatrics Physician in Pasco, WA
• Providers in Pasco, WA by specialty
• Pediatrics Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.