Geoffrey L Smith (NPI# 1770507881, PAC ID# 0749171239) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1770507881 |
| PAC ID by PECOS | 0749171239 |
| Professional Enrollment ID | I20040323001615 |
| Full Name | Geoffrey L Smith |
| Organization Legal Name | FORT HEALTHCARE, INC |
| Address |
512 Wilcox St Fort Atkinson WI 53538-1254 |
| Phone Number | 9205637366 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES |
| Graduation Year | 1984 |
| Primary Specialty | FAMILY PRACTICE |
| Secondary Specialties | GERIATRIC MEDICINE, HOSPICE/PALLIATIVE CARE |
| Group Practice PAC ID | 0840189718 |
| Number of Group Practice Members | 129 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520071 | FORT MEMORIAL HOSPITAL |
| 520116 | WATERTOWN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 512 Wilcox St, Fort Atkinson, WI 53538-1254 | 9205637366 | FORT HEALTHCARE, INC |
| 512 Wilcox St Su, Fort Atkinson, WI 53538-1254 | 9205637366 | FORT HEALTHCARE, INC |
| 512 Wilcox St Su, Suite 1, Fort Atkinson, WI 53538-1254 | 9205637366 | FORT HEALTHCARE, INC |
| Organization Legal Name | FORT HEALTHCARE, INC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas R Ruffalo | Physician Assistant | Fort Healthcare, Inc | 512 Wilcox St Su, Fort Atkinson, WI 53538-1254 |
| David A Rutledge | Family Practice | Fort Healthcare, Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| Milan Jelic | Certified Registered Nurse Anesthetist | Fort Healthcare, Inc | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 |
| Katherine A Lemon | Pediatric Medicine | Fort Healthcare, Inc | 512 Wilcox St Su, Suite 1, Fort Atkinson, WI 53538-1254 |
| Debra L Bingham | Certified Registered Nurse Anesthetist | Fort Healthcare, Inc | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 |
| Laurel J Runte | Nurse Practitioner | Fort Healthcare, Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| Stuart L Isaacson | Family Practice | Fort Healthcare, Inc | 200 E Tyranena Park Rd, Lake Mills, WI 53551-9678 |
| Lauren P Gruber | Nurse Practitioner | Fort Healthcare, Inc | 512 Wilcox St Su, Suite 1, Fort Atkinson, WI 53538-1254 |
| Colleen A Mitchell | Clinical Psychologist | Fort Healthcare, Inc | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 |
| Julia R Dewey | Pediatric Medicine | Fort Healthcare, Inc | 512 Wilcox St Su, Suite 1, Fort Atkinson, WI 53538-1254 |
| Street Address |
512 WILCOX ST |
| City | FORT ATKINSON |
| State | WI |
| Zip | 53538-1254 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tyler Marshall Prout | Diagnostic Radiology | Fort Healthcare Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| Carolyn A Haerr | Diagnostic Radiology | Fort Healthcare Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| Billie G Kontny | General Surgery | Fort Healthcare Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| John A Jerisha | Diagnostic Radiology | Fort Healthcare Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| Deborah L Roe | Nurse Practitioner | Fort Healthcare Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| Kathleen M Baus | Diagnostic Radiology | Fort Healthcare Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| Lynn S Broderick | Diagnostic Radiology | Fort Healthcare Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| Sandhya V Shah | Internal Medicine | Fort Healthcare Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| Robert J Glinert | Dermatology | Fort Healthcare Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| Brian K Markhardt | Diagnostic Radiology | Fort Healthcare Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald L Williams | Pediatric Medicine | Fort Healthcare Inc | 500 Mcmillen St, Fort Atkinson, WI 53538-1233 |
| Stanley J Fudala | Psychiatry | Fort Healthcare Inc | 500 Mcmillen St, Fort Atkinson, WI 53538-1233 |
| William J Cannon | Internal Medicine | Fort Healthcare Inc | 500 Mcmillen St, Fort Atkinson, WI 53538-1233 |
| Thomas R Ruffalo | Physician Assistant | Fort Healthcare, Inc | 512 Wilcox St Su, Fort Atkinson, WI 53538-1254 |
| Cheryl A Kinney | Qualified Audiologist | Fort Healthcare Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| Susan K Ipsen | Nurse Practitioner | Fort Healthcare Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| Samuel S Charles | Diagnostic Radiology | Fort Healthcare Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| Christine A Chuppa | Obstetrics/gynecology | Fort Healthcare Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| Emily H Lewis | Diagnostic Radiology | Fort Healthcare Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| Elizabeth L Teigen | Diagnostic Radiology | Fort Healthcare Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| Find all physicians in zip 53538 | |||
| City | FORT ATKINSON |
| Zip Code | 53538 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | FORT ATKINSON + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Geoffrey L Smith.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.