MS. SHEENA ELIZABETH GEOGHEGAN (NPI# 1326592635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326592635 |
| Entity Type | Individual |
| Full Name | MS. SHEENA ELIZABETH GEOGHEGAN |
| Credential | M.D |
| Practice Address |
725 Univerisity Blvd. Wright State Physicians Fairborn OH 45324 |
| Mailing Address |
128 E, Apple St. Suite 1820 Wsu Dept. of Geriatrics Dayton OH 45409 |
| Practice Telephone | 9372457200 |
| Practice Fax Number | 9372457937 |
| Mailing Telephone | 9372086359 |
| Mailing Fax Number | 9372083096 |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2016-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
725 UNIVERISITY BLVD. WRIGHT STATE PHYSICIANS |
| City | FAIRBORN |
| State | OH |
| Zip Code | 45324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023647591 | Michael Hubbell | Student in an Organized Health Care Education/Training Program | 2555 University Blvd., Fairborn, OH 45324 | 2020-04-06 |
| 1982243382 | Wickshire Fairborn Opco LLC | Assisted Living Facility | 2270 Park Hills Drive, Fairborn, OH 45324 | 2020-01-02 |
| 1104301654 | Sophia Alridge | Counselor | 594 East Dayton Yellow Springs Road, Fairborn, OH 45324 | 2018-10-01 |
| 1750863189 | Sydney Bowser | Behavior Technician | 1750 Commerce Center Blvd., Fairborn, OH 45324 | 2018-09-01 |
| 1710406798 | Chester Cashmir Torkornoo | Dentist | 3989 Colonel Glenn Hwy A, Fairborn, OH 45324 | 2017-09-11 |
| 1245772375 | Ranada LLC | Health Maintenance Organization | 17 Vanderbilt Drive Apt G, Fairborn, OH 45324 | 2016-11-07 |
| 1194277582 | Derrick Bark | Specialist/Technologist | 85 Old Yellow Springs Rd, Fairborn, OH 45324 | 2016-11-01 |
| 1912360199 | Tarah Heath | Occupational Therapist | 2498 Dayton, Beavercreek, OH 45324 | 2016-04-04 |
| 1255706339 | Cierra Jackson | Counselor | 1560 Calder Ct, Fairborn, OH 45324 | 2015-12-01 |
| 1952702227 | Patricia Osborne | Occupational Therapist | 1884 Bordeaux Dr, Fairborn, OH 45324 | 2014-09-05 |
| Find all providers in zip 45324 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023647591 | Michael Hubbell | Student in an Organized Health Care Education/Training Program | 2555 University Blvd., Fairborn, OH 45324 | 2020-04-06 |
| 1689231813 | Brenda Martin | Student in an Organized Health Care Education/Training Program | 322 Woodlawn Dr, Fairborn, OH 45324-4137 | 2019-05-22 |
| 1821531591 | Donovan Marshall | Student in an Organized Health Care Education/Training Program | 165 W Funderburg Rd Apt O2, Fairborn, OH 45324-2846 | 2016-11-29 |
| 1568818037 | Timothy Tillman | Student in an Organized Health Care Education/Training Program | 1995 Campus Dr, Fairborn, OH 45324-3950 | 2016-05-13 |
| 1063814044 | Kayla Harris | Student in an Organized Health Care Education/Training Program | 2265 Longvista Ln Unit 103, Fairborn, OH 45324-1157 | 2014-09-22 |
| 1922413210 | Jennifer Diane Humston | Student in an Organized Health Care Education/Training Program | 311 Wallace Dr, Fairborn, OH 45324-5352 | 2014-06-25 |
| 1689085292 | Christine Elizabeth Ciaramitaro | Student in an Organized Health Care Education/Training Program | 2555 University Dr, Fairborn, OH 45324-6255 | 2014-05-16 |
| 1306475736 | Courtney M Caroti | Student in an Organized Health Care Education/Training Program | 2555 University Dr, Fairborn, OH 45324-6255 | 2020-04-07 |
| 1306475967 | Syed Basir Hussaini | Student in an Organized Health Care Education/Training Program | 2555 University Dr, Fairborn, OH 45324-6255 | 2020-04-06 |
| 1568091536 | Jason Patterson | Student in an Organized Health Care Education/Training Program | 2555 University Dr, Fairborn, OH 45324-6255 | 2020-04-02 |
| Find all providers in FAIRBORN | ||||
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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.