RANDOLPH LEE GEARY MD NPI 1245215300

NPI Information

NPI: 1245215300
Provider Name: RANDOLPH LEE GEARY, MD
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

PECOS Registration: Yes

Address:
MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157
Phone: (336) 716-2255
Get Directions

Randolph Lee Geary, MD is a vascular surgery surgery in Winston Salem, NC with 38 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Randolph Lee Geary, MD NPI is 1245215300. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year:1986

The provider's business location address is:

MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157-001
Phone: (336) 716-2255
Fax: (336) 716-6637

The NPI 1245215300 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/13/2005 and was last updated on 11/12/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208600000X	Surgery		9400504	NORTH CAROLINA	No
2	2086S0102X	Surgery	Surgical Critical Care	9400504	NORTH CAROLINA	No
3	2086S0129X	Surgery	Vascular Surgery	9400504	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	34990	OTHER		BCBS
2	2004904000	MEDICAID	WEST VIRGINIA
3	2201247A	MEDICARE PIN	NORTH CAROLINA
4	12524	OTHER		PARTNERS
5	7302002	MEDICAID	VIRGINIA
6	7934990	MEDICAID	NORTH CAROLINA
7	51716	OTHER		MEDCOST
8	Q0050I	MEDICAID	SOUTH CAROLINA
9	7803811	OTHER		AETNA
10	F84710	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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