MARK W GERACI (NPI# 1528158201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528158201 |
| Entity Type | Individual |
| Full Name | MARK W GERACI |
| Credential | MD |
| Practice Address |
550 University Blvd Indianapolis IN 46202-5149 |
| Mailing Address |
250 N Shadeland Ave Suite 130 - Provider Enrollment Indianapolis IN 46219-4959 |
| Practice Telephone | 3179945000 |
| Practice Fax Number | 3179441289 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2015-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
01075552A | IN | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
01075552A | IN | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
30744 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201308110 | 05 | |
| CO | 01307446 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396824645 | Mark C. Geraci | Pharmacist | 1st Avenue 1 Block North of Cermak, Building 37 Room 139, Hines, IL 60141 | 2006-11-06 |
| Street Address |
550 UNIVERSITY BLVD |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-5149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194720003 | Rebecca R Small | Family Medicine | 550 University Blvd, Uh 1501, Indianapolis, IN 46202-5149 | 2005-06-16 |
| 1952900961 | Laura Katherine Durr | Nurse Practitioner | 550 University Blvd, Indianapolis, IN 46202-5149 | 2020-10-21 |
| 1013516400 | Ramandeep Kaur Chohan | Anesthesiologist Assistant | 550 University Blvd, Indianapolis, IN 46202-5149 | 2020-10-19 |
| 1063027993 | Allison Ruth Rodriguez | Dietitian, Registered | 550 University Blvd, Indianapolis, IN 46202-5149 | 2020-09-08 |
| 1225654189 | Nichole Pullin | Physician Assistant | 550 University Blvd, Indianapolis, IN 46202-5149 | 2020-06-17 |
| 1336764992 | Laura M Lambeth | Pharmacist | 550 University Blvd, Indianapolis, IN 46202-5149 | 2020-06-10 |
| 1518580059 | Hani Shamseddeen | Student in an Organized Health Care Education/Training Program | 550 University Blvd, Indianapolis, IN 46202-5149 | 2020-05-19 |
| 1609497254 | Mariana Hoyos | Student in an Organized Health Care Education/Training Program | 550 University Blvd, Indianapolis, IN 46202-5149 | 2020-05-05 |
| 1760003354 | Maria Danielle Browning | Dietitian, Registered | 550 University Blvd, Indianapolis, IN 46202-5149 | 2020-05-05 |
| 1912527862 | Tejas Nimba Nikumbh | Student in an Organized Health Care Education/Training Program | 550 University Blvd, Indianapolis, IN 46202-5149 | 2020-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730422163 | Richard Evers Brashear | Internal Medicine | 7914 Beaumont Green West Dr, Indianapolis, IN 46250-1651 | 2013-04-04 |
| 1558603829 | Don Coleman Weiser | Internal Medicine | 8803 N. Meridian St Suite 250, Midwest Institute for Clinical Research, Indianapolis, IN 46260 | 2013-03-25 |
| 1093789380 | Abboud Kawak | Internal Medicine | 1550 E County Line Rd Ste 325, Indianapolis, IN 46227-0967 | 2006-02-14 |
| 1487656385 | David B Cook | Internal Medicine | 8330 Allison Pointe Trl, Indianapolis, IN 46250-1682 | 2005-08-11 |
| 1457355968 | Frederick A Tolle | Internal Medicine | 6744 Robin Hood Ct, Indianapolis, IN 46227-7314 | 2005-06-13 |
| 1881698272 | Richard H Rhodes | Internal Medicine | 9025 Admirals Pointe Dr, Indianapolis, IN 46236-9050 | 2005-06-13 |
| 1083184873 | Impact Physician Group, Indiana, Pulmonary | Internal Medicine | 1700 W 10th St, Indianapolis, IN 46222-3802 | 2018-12-05 |
| 1114346822 | Francesca Duncan | Internal Medicine | 1120 W Michigan St, Gatch Hall Cl 285, Indianapolis, IN 46202 | 2014-04-09 |
| 1306263439 | Marcela Augusta Azevedo | Internal Medicine | 1120 W Michigan St # Cl285, Indianapolis, IN 46202 | 2014-03-26 |
| 1346588688 | St. Vincent Health Wellness and Preventive Care Institute, Inc. | Internal Medicine | 8333 Naab Rd, Suite 301, Indianapolis, IN 46260-5924 | 2013-01-22 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
Please comment or provide details below to improve the information on MARK W GERACI.
| 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.