JOHANNA GEOGHEGAN


Address: 2000 Washington St, Blue 201, Newton, MA 02462-1650
Phone: 6179654263

JOHANNA GEOGHEGAN (NPI# 1538520713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA5630 MA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA PHYSICIAN ASSISTANT LICENSE PA5630 01

Office Location

Street Address 2000 WASHINGTON ST
BLUE 201
City NEWTON
State MA
Zip Code 02462-1650

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City NEWTON
Zip Code 02462

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Dataset Information

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.

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