DR. JACK J VAN GEFFEN M.D. NPI 1487656245

NPI Information

NPI: 1487656245
Provider Name: DR. JACK J VAN GEFFEN, M.D.
Classification: Radiology - 2085N0904X
Entity Type: Individual

Specialization: Nuclear Radiology

Address:
2002 MEDICAL PKWY
SUITE 235
ANNAPOLIS, MD
ZIP 21401
Phone: (410) 266-2770
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DR. Jack J Van Geffen, M.D. is a nuclear radiology radiology in Annapolis, MD. The provider is a radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. DR. Jack J Van Geffen, M.D. NPI is 1487656245. 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:

2002 MEDICAL PKWY
SUITE 235
ANNAPOLIS, MD
ZIP 21401-046
Phone: (410) 266-2770
Fax: (410) 841-6251

The enumeration date for this NPI number is 8/11/2005 and was last updated on 11/16/2010.

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	2085N0904X	Radiology	Nuclear Radiology	D0019967	MARYLAND	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	JG95	OTHER	MARYLAND	AAD AA COUNTY
2	2622593	OTHER	MARYLAND	AETNA HMO/POS
3	S629E245	MEDICARE ID-TYPE UNSPECIFIED	MARYLAND
4	300031317	OTHER	MARYLAND	TRAVELERS RR MEDICARE
5	1487656245	OTHER	MARYLAND	MEDICARE SHIPLEYS IMAGING
6	414894ZED1	OTHER	MARYLAND	PTAN DC BOWIE
7	300066270	MEDICARE PIN	MARYLAND
8	8317071	OTHER	MARYLAND	AETNA PPO
9	10690008	OTHER	MARYLAND	BCBS
10	A14	OTHER	MARYLAND	AAD PG COUNTY
11	494M	OTHER	MARYLAND	AAD SHIPLEYS
12	155951600	MEDICAID	MARYLAND
13	300031317	MEDICARE PIN	MARYLAND
14	B70645	MEDICARE UPIN	MARYLAND
15	300135424	MEDICARE PIN	MARYLAND

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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