KEITH E GEORGESON MD
NPI 1407890510
Surgery - Pediatric Surgery in Spokane, WA
- Individual
- Male
- Surgery
- Pediatric Surgery
- Accepts Insurance
About KEITH GEORGESON
This page provides the complete NPI Profile along with additional information for Keith Georgeson, a provider established in Spokane, Washington with a medical specialization in Surgery, focusing in pediatric surgery . The healthcare provider is registered in the NPI registry with number 1407890510 assigned on June 2006. The practitioner's primary taxonomy code is 2086S0120X with license number MD60183442 (WA). The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1407890510 Verify this NPI
- Provider Name
- KEITH E GEORGESON MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 101 W 8TH AVE SUITE 100 L-1 SPOKANE, WA 99204
- Location Phone
- (509) 474-5445
- Location Fax
- (509) 227-7070
- Mailing Address
- PO BOX 421 LIBERTY LAKE, WA 99019
- Mailing Phone
- (866) 747-2455
- Mailing Fax
- (509) 227-7070
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-16-2006
- Last Update Date
- 03-28-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery Pediatric Surgery
- Taxonomy Code
- 2086S0120X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD60183442
- License State
- WA
- Taxonomy Description
- A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | 11841 (AL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- HSA Qualified 7500 Bronze - Choice Network - EPO
- HSA-E Qualified 7500 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000014166 | MEDICAID (05) | AL | |
| 37862742A | OTHER (01) | GA | GEORGIA MEDICAID |
| 00122960 | OTHER (01) | MS | MISSISSIPPI MEDICAID |
| 051520177 | OTHER (01) | AL | BLUE CROSS |
| 009946695 | MEDICAID (05) | AL | |
| A40463 | OTHER (01) | AL | HEALTHSPRING OF ALABAMA |
| 009961775 | MEDICAID (05) | AL | |
| 051523114 | OTHER (01) | AL | BLUE CROSS |
| 000014166 | OTHER (01) | AL | BLUE CROSS |
| A40463 | OTHER (01) | AL | VIVA |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SPOKANE, WA 99204
SPOKANE, WA 99204
SPOKANE, WA 99204
SPOKANE, WA 99204
SPOKANE, WA 99204
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407890510, enumerated as an "individual" on June 16, 2006.
The provider is located at 101 W 8TH AVE SUITE 100 L-1 SPOKANE, WA 99204 and the phone number is (509) 474-5445.
Surgery with taxonomy code 2086S0120X and a focus in Pediatric Surgery.
The provider might be accepting Accepts: Providence Health Plan, Medicare, Medicaid and. Please consult your insurance carrier or call the provider to verify.