JOHANNA GEOGHEGAN (NPI# 1538520713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538520713 |
| Entity Type | Individual |
| Full Name | JOHANNA GEOGHEGAN |
| Practice Address |
2000 Washington St Blue 201 Newton MA 02462-1650 |
| Practice Telephone | 6179654263 |
| Mailing Telephone | 6179654263 |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2016-03-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA5630 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | PHYSICIAN ASSISTANT LICENSE | PA5630 | 01 |
| Street Address |
2000 WASHINGTON ST BLUE 201 |
| City | NEWTON |
| State | MA |
| Zip Code | 02462-1650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417952284 | Mitchell Abramson | Internal Medicine | 2000 Washington St, Suite 104, Blue Building, Newton, MA 02462-1650 | 2005-06-16 |
| 1023668209 | Christopher David Caissie | Physician Assistant | 2000 Washington St, Newton, MA 02462-1650 | 2019-09-18 |
| 1760905699 | Jacquelyn Kate Harrow | Internal Medicine | 2000 Washington St, Newton, MA 02462-1650 | 2017-07-23 |
| 1922531615 | Elizabeth Brooks | Physician Assistant | 2000 Washington St, Suite Wh/441, Newton, MA 02462-1650 | 2017-04-10 |
| 1801327648 | Kevin Patrick Mcdonnell | Physician Assistant | 2000 Washington St, Suite Wh/441, Newton, MA 02462-1650 | 2017-03-23 |
| 1750733382 | Jeffrey Mark Lingenfelter | Physician Assistant | 2000 Washington St, Suite 341 White Building, Newton, MA 02462-1650 | 2016-07-07 |
| 1689047193 | Saltzman Urological Associates | Pathology | 2000 Washington St, 660 Green, Newton, MA 02462-1650 | 2015-11-05 |
| 1225424591 | Cassandra Tang | Physician Assistant | 2000 Washington St, Suite 341, Newton, MA 02462-1650 | 2015-04-13 |
| 1346647815 | Berenice Vallette | Physician Assistant | 2000 Washington St, White Building Suite 341, Newton, MA 02462-1650 | 2014-11-29 |
| 1558768242 | Edith Kabuga | Nurse Practitioner | 2000 Washington St, Suite 546, Newton, MA 02462-1650 | 2014-11-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972151892 | Samuel Warren | Student in an Organized Health Care Education/Training Program | 2000 Washington St, Blue Building Suite 201, Newton, MA 02462 | 2019-09-04 |
| 1629486477 | Johanna Forman Lam | Nurse Practitioner | 2000 Washington St Ste 544, Newton, MA 02462 | 2014-07-24 |
| 1083909774 | Kristen A. Lindgren | Psychiatry & Neurology | Nwh Pediatric Ambulatory Care Center, 2014 Washington St, 6 South, Newton, MA 02462 | 2011-06-10 |
| 1346430436 | David Peselman | Pathology | Harvard Rehabilitation Clinic, Brockton, MA 02462 | 2007-07-26 |
| 1487776001 | Aaron Gardiner | Orthopaedic Surgery | 2000 Washington St #341, Newton Wellesley Orthopedic Associates, Inc., Newton, MA 02462 | 2007-04-04 |
| 1023194263 | Mark S Golden | Social Worker | 671 Grove St, Newton, MA 02462 | 2006-10-31 |
| 1477669331 | Elizabeth A Konig | Obstetrics & Gynecology | Newton Wellesley Ob/gyn, 2000 Washington Street, Newton, MA 02462 | 2006-08-22 |
| 1558477315 | Barry J Tils | Emergency Medicine | Newton Wellesly Hospital, 2014 Washington Street, Newton, MA 02462 | 2006-08-22 |
| 1134130040 | Aryeh Shestopal | Psychologist | 39 Clearwater Roard, Newton, MA 02462 | 2006-08-10 |
| 1861403347 | Nancy B Hurwitz | Physician Assistant | Newton Wellesley Hospital, 2014 Washington St, Newton, MA 02462 | 2006-08-10 |
| Find all providers in zip 02462 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306476783 | Haley Gosnell | Physician Assistant | 1018 N Gaither Ave, Newton, NC 28658-1823 | 2020-01-24 |
| 1902447584 | Kristin Hehir | Physician Assistant | 10 Cumberland Rd, Newton, MA 02465-1802 | 2019-10-04 |
| 1497310239 | Melanie Ann Dibartolomeo Danner | Physician Assistant | 1 Beardall Pl, Newton, NJ 07860-4899 | 2019-05-07 |
| 1144790288 | Travis S Chui | Physician Assistant | 131 Country Club Rd, Newton, MA 02459-3020 | 2018-12-02 |
| 1104287770 | Kathleen Mclean | Physician Assistant | 155 Berkeley St, Newton, MA 02465-2637 | 2016-03-10 |
| 1295135697 | Erica Leigh Whitehead | Physician Assistant | 327 Sunset Ave Sw # 3, Newton, GA 39870 | 2014-09-04 |
| 1265859508 | James Welch Bell | Physician Assistant | 235 Adams Ave, Newton, MA 02465-1502 | 2014-03-25 |
| 1962758649 | Victoria Kresse | Physician Assistant | Cardiology Associates of Sussex County, 222 High Street Suite 205, Newton, NJ 07860-9605 | 2012-07-31 |
| 1932389541 | Kristen Lynn Imbrescia | Physician Assistant | 2000 Washington St Ste 341, Newton, MA 02462-1625 | 2007-11-12 |
| 1003918376 | James Womack | Physician Assistant | 327-3 Sunset Avenue Sw, Newton, GA 39870 | 2006-09-05 |
| Find all providers in NEWTON | ||||
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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.