MICHAEL J GEOGHEGAN (NPI# 1336249663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336249663 |
| Entity Type | Individual |
| Full Name | MICHAEL J GEOGHEGAN |
| Credential | M.D. |
| Practice Address |
23550 Park St Ste. 100 Dearborn MI 48124-2592 |
| Practice Telephone | 3137300500 |
| Practice Fax Number | 3137300606 |
| Mailing Telephone | 3137300500 |
| Mailing Fax Number | 3137300606 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 4301025240 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730383225 | Michael Edward Geoghegan | Surgery | 22202 Beech St, Dearborn, MI 48124-2704 | 2007-06-11 |
| 1699290924 | Michael Geoghegan | Registered Nurse | 200 May St, South Attleboro, MA 02703 | 2017-08-08 |
| Street Address |
23550 PARK ST STE. 100 |
| City | DEARBORN |
| State | MI |
| Zip Code | 48124-2592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336111517 | Juan A Estigarribia | Internal Medicine | 23550 Park St, Dearborn, MI 48124-2592 | 2006-02-02 |
| 1750643235 | Ryan Matthew Ouillette | Orthopaedic Surgery | 23550 Park St, Ste 100, Dearborn, MI 48124-2592 | 2012-06-12 |
| 1225338445 | Allison Housner | Physical Therapist | 23550 Park St, Ste. 100, Dearborn, MI 48124 | 2010-10-22 |
| 1346441904 | Quality Eye Care PC | Specialist | 23550 Park St, Suite 200, Dearborn, MI 48124-2592 | 2007-05-30 |
| 1336249689 | Douglas G Plagens | Orthopaedic Surgery | 23550 Park St, Ste. 100, Dearborn, MI 48124-2592 | 2006-09-25 |
| 1396845616 | Jeffrey Thomas Waldrop | Orthopaedic Surgery | 23550 Park St, Ste. 100, Dearborn, MI 48124-2592 | 2006-09-25 |
| 1275633596 | Matthew P Steffes | Orthopaedic Surgery | 23550 Park St, Ste 100, Dearborn, MI 48124-2592 | 2006-09-25 |
| 1346340684 | Gregory W Housner | Orthopaedic Surgery | 23550 Park St, Ste. 100, Dearborn, MI 48124-2592 | 2006-09-25 |
| 1629006465 | Vincent C Yu | Ophthalmology | 23550 Park St, Suite 200, Dearborn, MI 48124 | 2006-06-29 |
| 1093770588 | James Paul Simeone | Physical Therapy Assistant | 23550 Park St, Ste 101, Dearborn, MI 48124 | 2006-04-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
| 1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
| 1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
| 1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
| 1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
| 1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
| 1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
| 1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
| Find all providers in zip 48124 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609430321 | Mohamed Saad-waterworks, PC | Orthopaedic Surgery | 21031 Michigan Ave Fl 2, Dearborn, MI 48124-2339 | 2019-04-29 |
| 1598176471 | Manuel Schubert | Orthopaedic Surgery | 23823 Ford Rd, Dearborn, MI 48128-1206 | 2014-05-14 |
| 1659492031 | Ramsey Hammoud | Orthopaedic Surgery | 24530 Michigan Ave, Dearborn, MI 48124-1700 | 2007-04-03 |
| 1083722052 | Hassan Ali Hammoud | Orthopaedic Surgery | 4945 Schaefer Rd, Dearborn, MI 48126-3251 | 2006-08-29 |
| 1174591028 | Jiab Suleiman | Orthopaedic Surgery | 17000 Executive Plaza Dr Ste 101, Dearborn, MI 48126-2793 | 2006-03-08 |
| 1578535142 | Lawrence G Morawa | Orthopaedic Surgery | 18100 Oakwood Blvd, 300, Dearborn, MI 48124-4085 | 2006-02-07 |
| 1427020098 | Marc J Milia | Orthopaedic Surgery | 21031 Michigan Ave, Dearborn, MI 48124-2339 | 2006-02-07 |
| 1326026196 | Alfred M Faulkner | Orthopaedic Surgery | 21031 Michigan Avenue, Dearborn, MI 48124 | 2006-01-03 |
| 1114542776 | David Sosnoski Jr. | Orthopaedic Surgery | 21031 Michigan Ave, Dearborn, MI 48124-2339 | 2020-06-10 |
| 1295350718 | Jacob Shermetaro | Orthopaedic Surgery | 21031 Michigan Ave, Dearborn, MI 48124-2339 | 2020-06-10 |
| Find all providers in DEARBORN | ||||
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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.