KELLY L. GEOGHAN (NPI# 1932100153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932100153 |
| Entity Type | Individual |
| Full Name | KELLY L. GEOGHAN |
| Credential | D.P.M. |
| Practice Address |
1447 York Road Suite 504 Lutherville MD 21093-6097 |
| Practice Telephone | 4107534422 |
| Practice Fax Number | 4107534660 |
| Mailing Telephone | 4107534422 |
| Mailing Fax Number | 4107534660 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2013-05-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 01285 | MD | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CAREFIRST | CDJ4KL 758639-06 | 01 |
| DC | CAREFIRST | Y410-0001 | 01 |
| MD | CAREFIRST | CDJ4KL 758639-07 | 01 |
| MD | MEDICARE DMEPOS | 6614180001 | 01 |
| Street Address |
1447 YORK ROAD SUITE 504 |
| City | LUTHERVILLE |
| State | MD |
| Zip Code | 21093-6097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881119402 | Haritha Pendli Md PC | Internal Medicine | 1447 York Road, Suite 406, Lutherville, MD 21093 | 2017-08-04 |
| 1790015667 | Franklin Weinstein | Obstetrics & Gynecology | 1447 York Road, Suite 504, Lutherville, MD 21093-0000 | 2009-12-28 |
| 1881747277 | Richard Nelson Carey | Internal Medicine | 1447 York Road, Lutherville, MD 21093 | 2007-01-19 |
| 1942365200 | Michael A Dias | Otolaryngology | 1447 York Road, Lutherville, MD 21093-6017 | 2006-12-27 |
| 1235294570 | Rolando Guillermo Vieta | Internal Medicine | 1447 York Road, Lutherville, MD 21093-6017 | 2006-12-27 |
| 1619038809 | Victoria A Dowling | Obstetrics & Gynecology | 1447 York Road, Lutherville, MD 21093-6017 | 2006-12-12 |
| 1043370901 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc | Health Maintenance Organization | 1447 York Road, Suite 100, Lutherville, MD 21093-6014 | 2006-12-11 |
| 1801954375 | Kaiser Foundation Health Plan of The Mid-atlantic States,inc | Pharmacy | 1447 York Road, Suite 100, Lutherville, MD 21093-6014 | 2006-12-05 |
| 1013085422 | Donna J Dearborn | Nurse Practitioner | 1447 York Road, Lutherville, MD 21093-6017 | 2006-12-01 |
| 1184799025 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc | Clinical Medical Laboratory | 1447 York Road, Suite 100, Lutherville, MD 21093-6014 | 2006-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497309959 | Megan Lagergren | Social Worker | 1407 York Rd. Suite 307, Baltimore, MD 21093 | 2019-08-01 |
| 1437629003 | Mary Ann Lopus | Counselor | Villa Maria School 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-11-27 |
| 1275001455 | Hannah Michele Breckenridge | Social Worker | 1212 York Rd Ste A302, Lutherville, MD 21093 | 2018-11-06 |
| 1386111573 | Christina Calabrese | Social Worker | Villa Maria School, 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-10-26 |
| 1790279735 | Synopsis Healthscience | Internal Medicine | 19 Huntress Ct, Timonium, MD 21093 | 2018-06-21 |
| 1134648629 | Centers for Advanced Orthopaedics, LLC | Occupational Therapist | 1312 Bellona Ave Ste 302, Lutherville, MD 21093 | 2017-09-15 |
| 1134647746 | Andrea Stokes Rackowski | Social Worker | 1400 Front Ave. Suite 305, Lutherville, MD 21093 | 2017-09-03 |
| 1790200780 | Judson Franklin Force Jr. | Pediatrics | 309 Overlook Dr, Timonium, MD 21093 | 2017-08-10 |
| 1942722053 | Eundae Suk | Chiropractor | 1407 York Rd Ste 302, Lutherville, MD 21093 | 2017-07-10 |
| 1508301482 | Bh Brightview Mays Chapel Ridge Opco, LLC | Alzheimer Center (Dementia Center) | 12261 Roundwood Road, Timonium, MD 21093 | 2016-12-30 |
| Find all providers in zip 21093 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588295059 | Podiatry Associates, P.a. | Podiatrist | 1205 York Rd Ste 17, Lutherville, MD 21093-6211 | 2020-02-03 |
| 1740307131 | Zachary L. Chattler Dpm Pa | Podiatrist | 10753 Falls Rd Ste 265, Lutherville, MD 21093-4519 | 2007-03-23 |
| 1588608392 | Lynn M Yurkofsky | Podiatrist | 1206 York Rd, L-2, Lutherville, MD 21093-6217 | 2006-06-15 |
| 1578504627 | Lynda Lardner Mcginnis | Podiatrist | 1513 York Rd, Suite 100, Lutherville, MD 21093-5611 | 2006-06-09 |
| 1700827888 | Daniel A Duffy | Podiatrist | 2114 Forest Ridge Rd, Lutherville, MD 21093-2913 | 2006-06-09 |
| 1477688364 | Atlantic Foot and Ankle Group Inc | Podiatrist | 1205 York Rd, Suite 17, Lutherville, MD 21093-6210 | 2007-02-22 |
| 1003825365 | L.l. Mcginnis, D.p.m., P.a. | Podiatrist | 1513 York Rd, Lutherville, MD 21093-5611 | 2006-08-05 |
| 1699799353 | Gentle Touch Podiatry, Inc. | Podiatrist | 2114 Forest Ridge Rd, Lutherville, MD 21093-2913 | 2006-07-27 |
| 1174582860 | Zachary Lee Chattler | Podiatrist | 10753 Falls Rd, Suite 265, Lutherville, MD 21093-4535 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295342236 | Podiatry Associates, P.a. | Podiatrist | 9403 Harford Rd Ste 5, Baltimore, MD 21234-3123 | 2020-09-24 |
| 1063029114 | Podiatry Associates, P.a. | Podiatrist | 404 Eastern Blvd Ste 1, Baltimore, MD 21221-6748 | 2020-09-23 |
| 1285259192 | Podiatry Associates, P.a. | Podiatrist | 110 Old Padonia Rd Ste 300, Cockeysville, MD 21030-4948 | 2020-06-16 |
| 1861023327 | Podiatry Associates, P.a. | Podiatrist | 10 Warren Rd Ste 130, Cockeysville, MD 21030-2518 | 2020-02-03 |
| 1225669781 | Podiatry Associates, P.a. | Podiatrist | 2 E Rolling Xrds Ste 55, Catonsville, MD 21228-6212 | 2020-02-03 |
| 1114558681 | Podiatry Associates, P.a. | Podiatrist | 7131 Liberty Rd Ste 100, Baltimore, MD 21207-4580 | 2020-02-03 |
| 1952932428 | Podiatry Associates, P.a. | Podiatrist | 795 Aquahart Rd Ste 125, Glen Burnie, MD 21061-3905 | 2020-02-03 |
| 1861023335 | Podiatry Associates, P.a. | Podiatrist | 1500 Blenhiem Farm Ln Ste C, Havre De Grace, MD 21078-2042 | 2020-02-03 |
| 1336798719 | Podiatry Care Plus LLC | Podiatrist | 14201 Laurel Park Dr Ste 214, Laurel, MD 20707-5203 | 2019-09-09 |
| 1255895512 | Stevenson Podiatry LLC | Podiatrist | 4000 Annapolis Rd Rear 105, Halethorpe, MD 21227-3611 | 2019-01-30 |
| Find all providers with the same taxonomy | ||||
| City | LUTHERVILLE |
| Zip Code | 21093 |
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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.