Geriatric Physicians, Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

GERIATRIC PHYSICIANS, INC

Practice address

1490 Polaris St
Merritt Island, FL 32953-3127

Phone

(213) 433-0776

Fax

(954) 944-0308

NPI assigned

Oct 9, 2018

Organization subpart

No

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

Authorized official

Name

John Davenport, MD

Title

President

Phone

(321) 433-0776

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539043200000",
    "number": "1972078699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 POLARIS ST",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533127",
            "telephone_number": "321-433-0776",
            "fax_number": "954-944-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 POLARIS ST",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533127",
            "telephone_number": "213-433-0776",
            "fax_number": "954-944-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC PHYSICIANS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-09",
        "last_updated": "2018-10-09",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-433-0776",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jo Lynn Gaubert-Smith, LPN
• Sharon Gearin
• David Louis Genest Jr., PTA
• Gentle Care Dentistry
• Janie Furer Geraci, MD
• David Jess Gilbert
• Sara Grace Gilbert, NP
• Jere Scott Gillan Jr., DMD
• Stacy Matson Gioia, L.M.T.
• Christopher Hany Girgis

• Podiatrist in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.