Jack J Van Geffen (NPI# 1487656245, PAC ID# 9931167574) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NUCLEAR MEDICINE.
| Nation Provider ID (NPI) | 1487656245 |
| PAC ID by PECOS | 9931167574 |
| Professional Enrollment ID | I20041229000183 |
| Full Name | Jack J Van Geffen |
| Organization Legal Name | ANNE ARUNDEL HEALTH CARE SERVICES,INC |
| Address |
4175 N Hanson Ct Bowie MD 20716-3179 |
| Phone Number | 4434813260 |
| Gender | M |
| Credential | MD |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 1969 |
| Primary Specialty | NUCLEAR MEDICINE |
| Group Practice PAC ID | 8729054598 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210023 | ANNE ARUNDEL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2000 Medical Pkwy, Suite 202, Annapolis, MD 21401-3744 | 4434815660 | ANNE ARUNDEL HEALTH CARE SERVICES,INC |
| 2001 Medical Pkwy, Annapolis, MD 21401-3280 | 4102662770 | BROWN, CROFT, FRAZIER, PA |
| 2002 Medical Pkwy, Annapolis, MD 21401-3046 | 4434815330 | ANNE ARUNDEL HEALTH CARE SERVICES,INC |
| 2002 Medical Pkwy, Anne Arundel Diag Sajak, Annapolis, MD 21401-3057 | 4102662770 | BROWN, CROFT, FRAZIER, PA |
| 600 Ridgely Ave, Suite 130, Annapolis, MD 21401-1045 | 4102668049 | ANNE ARUNDEL UROLOGY, PA |
| 4175 N Hanson Ct, Bowie, MD 20716-3179 | 4434813260 | ANNE ARUNDEL HEALTH CARE SERVICES,INC |
| Organization Legal Name | ANNE ARUNDEL HEALTH CARE SERVICES,INC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark S Radowich | Diagnostic Radiology | Anne Arundel Health Care Services,inc | 4175 N Hanson Ct, Bowie, MD 20716-3179 |
| Syed U Ashruf | Diagnostic Radiology | Anne Arundel Health Care Services,inc | 2000 Medical Pkwy, Suite 202, Annapolis, MD 21401-3744 |
| Kerry J Thompson | Diagnostic Radiology | Anne Arundel Health Care Services,inc | 4175 N Hanson Ct, Bowie, MD 20716-3179 |
| James W Reinig | Diagnostic Radiology | Anne Arundel Health Care Services,inc | 4175 N Hanson Ct, Bowie, MD 20716-3179 |
| John S Park | Diagnostic Radiology | Anne Arundel Health Care Services,inc | 2002 Medical Pkwy, Annapolis, MD 21401-3046 |
| Daina B Pack | Diagnostic Radiology | Anne Arundel Health Care Services,inc | 4175 N Hanson Ct, Bowie, MD 20716-3179 |
| Amy Sarina | Diagnostic Radiology | Anne Arundel Health Care Services,inc | 2000 Medical Pkwy, Suite 202, Annapolis, MD 21401-3744 |
| David F Todd | Diagnostic Radiology | Anne Arundel Health Care Services,inc | 2002 Medical Pkwy, Annapolis, MD 21401-3046 |
| George W Adams | Diagnostic Radiology | Anne Arundel Health Care Services,inc | 4175 N Hanson Ct, Bowie, MD 20716-3179 |
| Michael B Clark | Diagnostic Radiology | Anne Arundel Health Care Services,inc | 2000 Medical Pkwy, Suite 202, Annapolis, MD 21401-3744 |
| Street Address |
4175 N HANSON CT |
| City | BOWIE |
| State | MD |
| Zip | 20716-3179 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark S Radowich | Diagnostic Radiology | Anne Arundel Health Care Services,inc | 4175 N Hanson Ct, Bowie, MD 20716-3179 |
| Tia Mccray | Nurse Practitioner | Anne Arundel Physician Group LLC | 4175 N Hanson Ct, 209 Premier Ob/gyn, Bowie, MD 20716-3184 |
| Kerry J Thompson | Diagnostic Radiology | Anne Arundel Health Care Services,inc | 4175 N Hanson Ct, Bowie, MD 20716-3179 |
| James W Reinig | Diagnostic Radiology | Anne Arundel Health Care Services,inc | 4175 N Hanson Ct, Bowie, MD 20716-3179 |
| Chasheryl L Leslie | Obstetrics/gynecology | Anne Arundel Physician Group LLC | 4175 N Hanson Ct, Bowie, MD 20716-3181 |
| Daina B Pack | Diagnostic Radiology | Anne Arundel Health Care Services,inc | 4175 N Hanson Ct, Bowie, MD 20716-3179 |
| George W Adams | Diagnostic Radiology | Anne Arundel Health Care Services,inc | 4175 N Hanson Ct, Bowie, MD 20716-3179 |
| Debora V Whitehurst Brown | Obstetrics/gynecology | Anne Arundel Physician Group LLC | 4175 N Hanson Ct, 209 Premier Ob/gyn, Bowie, MD 20716-3184 |
| Angela P Pierce | Nurse Practitioner | Andrew S. Dobin, Md Pa | 4175 N Hanson Ct, Suite 203, Bowie, MD 20716-3179 |
| Rubie S Jackson | General Surgery | Anne Arundel Physician Group LLC | 4175 N Hanson Ct, 201 The Breast Center, Bowie, MD 20716-3181 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven T Kulsar | Qualified Audiologist | Lifestyle Hearing Professionals, LLC | 4000 Mitcheville Rd, B124, Bowie, MD 20716 |
| Leslie Ann Gilbert | Qualified Audiologist | Lifestyle Hearing Professionals, LLC | 4000 Mitcheville Rd, B124, Bowie, MD 20716 |
| Mark E Schutz | Anesthesiology | 15001 Health Ctr Dr, Bowie, MD 20716-1017 | |
| Paul T Lyons | Emergency Medicine | Maryland Emergency Medicine Network Physicians LLC | 15001 Health Ctr Dr, Bowie, MD 20716-1017 |
| Maryann Coyle | Certified Registered Nurse Anesthetist (crna) | Capital Care Anesthesia LLC | 14999 Health Ctr Dr, Suite 103, Bowie, MD 20716-1075 |
| Robert C Jones | Anesthesiology | Capital Care Anesthesia LLC | 14999 Health Ctr Dr, Suite 103, Bowie, MD 20716-1075 |
| Tiffany S Owens | Anesthesiology | Capital Care Anesthesia LLC | 14999 Health Ctr Dr, Suite 103, Bowie, MD 20716-1075 |
| Beth A Schwartz | Ophthalmology | Solomon Eye Physicians and Surgeons, LLC | 14999 Health Ctr Dr, Suite 101, Bowie, MD 20716-1075 |
| Jerome E Mcqueen | Anesthesiology | 14999 Health Ctr Dr, Suite 103, Bowie, MD 20716-1075 | |
| Mukul K Das | Diagnostic Radiology | Community Radiology Associates Inc | 14999 Health Ctr Dr, Suite 102, Bowie, MD 20716-1075 |
| Find all physicians in zip 20716 | |||
| City | BOWIE |
| Zip Code | 20716 |
| Specialty | NUCLEAR MEDICINE |
| City + Specialty | BOWIE + NUCLEAR MEDICINE |
Please comment or provide details below to improve the information on Jack J Van Geffen.
| 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.