KEITH E GEORGESON MD NPI 1407890510

NPI Information

NPI: 1407890510
Provider Name: KEITH E GEORGESON, MD
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

Address:
101 W 8TH AVE
SUITE 100 L-1
SPOKANE, WA
ZIP 99204
Phone: (509) 474-5445
Get Directions

Keith E Georgeson, MD is a pediatric surgery surgery in Spokane, WA. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. Keith E Georgeson, MD NPI is 1407890510. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

101 W 8TH AVE
SUITE 100 L-1
SPOKANE, WA
ZIP 99204-307
Phone: (509) 474-5445
Fax: (509) 227-7070

The enumeration date for this NPI number is 6/16/2006 and was last updated on 3/28/2017.

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		11841	ALABAMA	No
2	2086S0120X	Surgery	Pediatric Surgery	MD60183442	WASHINGTON	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	000014166	MEDICAID	ALABAMA
2	37862742A	OTHER	GEORGIA	GEORGIA MEDICAID
3	00122960	OTHER	MISSISSIPPI	MISSISSIPPI MEDICAID
4	051520177	OTHER	ALABAMA	BLUE CROSS
5	009946695	MEDICAID	ALABAMA
6	A40463	OTHER	ALABAMA	HEALTHSPRING OF ALABAMA
7	009961775	MEDICAID	ALABAMA
8	051523114	OTHER	ALABAMA	BLUE CROSS
9	000014166	OTHER	ALABAMA	BLUE CROSS
10	A40463	OTHER	ALABAMA	VIVA

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: 11/14/2023

NPI Synchronization or Removal

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