Geoffrey Jackson McKinzie, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

M-15537 Issued in ID

Practice address

497 S Beck Rd
Post Falls, ID 83854

Phone

(208) 691-7690

NPI assigned

May 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, ID2 enrollments

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 2

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

96.06

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gmckinzie627405@direct.multicare.org
• FHIR API: https://fhir-myrecord.cerner.com/r4/9a0a9763-cc6e-4ca0-bdec-c16291c965b9/

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.

• Bonner General Hospital Inc.

  • Critical Access Hospital
  • Sandpoint, ID
  • NPI 1154563963

  Emergency Medicine

  Medicare reassignment NPD
• Shoshone Medical Center

  • Critical Access Hospital
  • Kellogg, ID
  • NPI 1043215437
  Medicare reassignment NPD
• Chandler Emergency Medical Group, LLC

  • Emergency Medicine Physician
  • Chandler, AZ
  • NPI 1104871961
  Medicare reassignment NPD
• Valley Hyperbarics LLC

  • Personal Emergency Response Attendant
  • Chandler, AZ
  • NPI 1760439244
  Medicare reassignment NPD
• Shoshone Medical Center

  • Rural Health Clinic/Center
  • Smelterville, ID
  • NPI 1487272399
  NPD
• Critical Care Consultants LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Gilbert, AZ
  • NPI 1669511432
  NPD

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1942417670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1862 W GARWOOD RD",
            "city": "RATHDRUM",
            "state": "ID",
            "postal_code": "838587108",
            "telephone_number": "602-999-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 S BECK RD",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "83854",
            "telephone_number": "208-691-7690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 N 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Sandpoint",
            "state": "ID",
            "postal_code": "838641507",
            "country_code": "US",
            "telephone_number": "208-263-1441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKINZIE",
        "first_name": "GEOFFREY",
        "middle_name": "JACKSON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2024-05-07",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "61042565",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "AZ",
            "license": "36650",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ID",
            "license": "M-15537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad D McCormick, MD
• Marsha McCurdy, LCPC-8208
• Marisa Bernadette McFadden, LMT
• Joseph Jerome McGinnis, OD
• Anna Rose McGuire
• Jobeth McKoon, OTR/L
• Danelle McLachlan, MOT/L
• Alfred Meckel, LMSW
• Medicine Man Compounding Center LLC
• Medicine Man West LLC

• Emergency Medicine Physician in Post Falls, ID
• Providers in Post Falls, ID by specialty
• Emergency Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.