Giovanni Geneveo Geronilla, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

0101264599 Issued in VA

Practice address

2000 Meade Pkwy Ste 100
Suffolk, VA 23434-4259

Phone

(757) 934-9395

Fax

(757) 934-9488

NPI assigned

Aug 14, 2008

Last updated

Feb 20, 2019By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1972759439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7068",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237070068",
            "telephone_number": "757-686-3508",
            "fax_number": "757-686-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MEADE PKWY STE 100",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344259",
            "telephone_number": "757-934-9395",
            "fax_number": "757-934-9488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5622 Bennetts Pasture Rd",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234351602",
            "country_code": "US",
            "telephone_number": "757-484-3472",
            "fax_number": "757-484-3408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3235 Bridge Rd Ste 15",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234351780",
            "country_code": "US",
            "telephone_number": "757-606-1656",
            "fax_number": "757-606-1657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4868 Bridge Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234352048",
            "country_code": "US",
            "telephone_number": "757-483-7100",
            "fax_number": "757-483-7150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3060 Godwin Blvd",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234348274",
            "country_code": "US",
            "telephone_number": "757-923-9660",
            "fax_number": "757-923-9665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERONILLA",
        "first_name": "GIOVANNI",
        "middle_name": "GENEVEO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-14",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MT192755",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME125435",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101264599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Suffolk, VA
• Providers in Suffolk, VA by specialty
• General Practice Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.