JEAN-PIERRE M. GEAGEA (NPI# 1104884022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104884022 |
Entity Type | Individual |
Full Name | JEAN-PIERRE M. GEAGEA |
Credential | M.D. |
Practice Address |
680 Centre St Brockton MA 02302-3308 |
Practice Telephone | 5089417700 |
Practice Fax Number | 5089416334 |
Mailing Telephone | 5089417700 |
Mailing Fax Number | 5089416334 |
Enumeration Date | 2006-05-02 |
Last Update Date | 2011-06-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
227183 | MA | Allopathic & Osteopathic Physicians |
Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
227183 | MA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 2119501 | 05 |
Street Address |
680 CENTRE ST |
City | BROCKTON |
State | MA |
Zip Code | 02302-3308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639176910 | Marcia Waitzman | Obstetrics & Gynecology | 680 Centre St, Brockton, MA 02302-3308 | 2005-07-01 |
1770196396 | Samantha Lipsky | Physician Assistant | 680 Centre St, Brockton, MA 02302-3308 | 2020-08-24 |
1760009328 | Mandi Ella Clegg | Social Worker | 680 Centre St, Brockton, MA 02302-3308 | 2020-06-30 |
1972128643 | Matthew Hall Wilson | Student in an Organized Health Care Education/Training Program | 680 Centre St, Brockton, MA 02302-3308 | 2020-06-09 |
1679198493 | Alyssa Dicosmo | Student in an Organized Health Care Education/Training Program | 680 Centre St, Brockton, MA 02302-3308 | 2020-06-09 |
1720603566 | Tessie Allan | Student in an Organized Health Care Education/Training Program | 680 Centre St, Brockton, MA 02302-3308 | 2020-06-08 |
1588289375 | Collin Rozanski | Student in an Organized Health Care Education/Training Program | 680 Centre St, Brockton, MA 02302-3308 | 2020-06-08 |
1619592417 | Balaji Arun Jothishankar | Student in an Organized Health Care Education/Training Program | 680 Centre St, Brockton, MA 02302-3308 | 2020-06-08 |
1013532845 | Angell Shi | Student in an Organized Health Care Education/Training Program | 680 Centre St, Brockton, MA 02302-3308 | 2020-06-08 |
1386269124 | Rebecca Yanovsky | Student in an Organized Health Care Education/Training Program | 680 Centre St, Brockton, MA 02302-3308 | 2020-06-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427513373 | Miriam Monteiro | Social Worker | 688 Plain Street, Brockton, MA 02302 | 2019-02-05 |
1619432523 | Shirley Elefson | Social Worker | 330 Crescent Street, Brockton, MA 02302 | 2019-02-05 |
1578055505 | Steigmward Desir | Specialist | 472 E Ashland St, Brockton, MA 02302 | 2018-06-05 |
1114417797 | Katherine Douglas Van Schaik | Student in an Organized Health Care Education/Training Program | Brockton Signature Healthcare-bidmc, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
1700376365 | Emmanuel Carrodeguas | Student in an Organized Health Care Education/Training Program | Brockton Hospital, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
1700303856 | My Care, LLC | Home Health | 307 Field Street, Brockton, MA 02302 | 2017-08-29 |
1982124988 | Shavon Franks | Psychologist | 30 Downey Rd, Brockton, MA 02302 | 2017-06-21 |
1831629286 | Kings & Queens Empowered | Religious Nonmedical Health Care Institution | 312 Carl Ave, Brockton, MA 02302 | 2017-06-18 |
1487193389 | Roseline Eliezer | Licensed Practical Nurse | 17 Simeon Avenue, Brockton, MA 02302 | 2017-02-13 |
1184008989 | Danielle Parker | Student in an Organized Health Care Education/Training Program | 23 Grinnell Rd, Brockton, MA 02302 | 2015-07-13 |
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Taxonomy Code | 207RI0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Interventional Cardiology |
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699965723 | Alicia S Romero | Internal Medicine | 14 Everett St, Apt. #1, Allston, MA 02134-1996 | 2007-07-25 |
1295845600 | Raghavan Amarasingham | Internal Medicine | Veterans Admin Medical Center, 200 Springs Road, Bedford, MA 01730 | 2006-08-30 |
1124053277 | Charles M Gibson | Internal Medicine | 350 Longwood Ave, 1st Floor, Boston, MA 02115-5726 | 2006-07-11 |
1275569972 | Christopher T. Pyne | Internal Medicine | Lahey Clinic 41 Mall Rd, Burlington, MA 01805-0001 | 2006-06-24 |
1215975578 | Timothy James Larkin | Internal Medicine | 75 Herrick St. Suite 206, Lahey Cardiology, Beverly, Beverly, MA 01915-5900 | 2006-06-02 |
1659318335 | Samuel J Shubrooks Jr. | Internal Medicine | 1 Deaconess Rd,baker 4, Beth Israel Deaconess Medical Ctr, Boston, MA 02215 | 2006-06-01 |
1255339917 | David M Desimone | Internal Medicine | 305 Massachusetts Ave, Arlington, MA 02474-8310 | 2005-07-07 |
1033112610 | Edward J Loughery | Internal Medicine | 480 Maple Street, Northeast Cardiology, Danvers, MA 01923 | 2005-05-27 |
1437152246 | Mohan Govindan | Internal Medicine | 33 Bartlett St, Suite 206, Lowell, MA 01852-1334 | 2005-05-24 |
1639784408 | Pankaj Jain | Internal Medicine | 800 Washington St, Boston, MA 02111-1552 | 2020-09-09 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.