Active NPI
Vincent Degeorge
- Anesthesiology Physician
- Chardon, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 35.123138
- Practice address
- 13207 Ravenna Rd
University Hospitals Geauga Medical Center
Chardon, OH 44024-7032 - Phone
- (440) 285-6000
- NPI assigned
- Apr 29, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician | 207L00000X | 35.123138 | OH | Primary |
Addresses
Primary practice location
13207 Ravenna Rd
University Hospitals Geauga Medical Center
Chardon, OH 44024-7032
Mailing address
PO Box 526
Geauga Anesthesia Inc.
Novelty, OH 44072-0526
Phone (440) 287-6025
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140618002034 | OH | Practitioner - Anesthesiology | 9638393358 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Wright State University Boonshoft School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13207 Ravenna Rd
Chardon, OH 44024-7032
Phone (216) 383-0100
13207 Ravenna Rd H
Chardon, OH 44024-7032
Phone (216) 383-0100
158 W Main Rd
Conneaut, OH 44030-2039
Hospital & facility affiliations
- Uh Regional Hospitals
- University Hospitals Conneaut Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.15 of 100
- Quality
- 82.31
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.123138 | OH | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Primary Care Practices Inc | Current | Accepting new patients | |
| University Primary Care Practices Inc | Current | Accepting new patients | |
| University Primary Care Practices Inc | Current | Accepting new patients |
Locations
13207 Ravenna Rd
Chardon, OH 44024
Phone (440) 285-5004
158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960
Interoperability endpoints
- vdegeorge32939@ehrdirect.uhhospitals.org
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Shaker Heights, OH
- NPI 1720220098
-
- Orthopaedic Surgery Physician
- Oberlin, OH
- NPI 1982727087
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Conneaut, OH
- NPI 1902996119
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400198400000",
"number": "1982921045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 526",
"address_2": "GEAUGA ANESTHESIA INC.",
"city": "NOVELTY",
"state": "OH",
"postal_code": "440720526",
"telephone_number": "440-287-6025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13207 RAVENNA RD",
"address_2": "UNIVERSITY HOSPITALS GEAUGA MEDICAL CENTER",
"city": "CHARDON",
"state": "OH",
"postal_code": "440247032",
"telephone_number": "440-285-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGEORGE",
"first_name": "VINCENT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-29",
"last_updated": "2014-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "35.123138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chardon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.