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MR. GEOFFREY GEORGE GEPHART FNP-BC
NPI 1477800829
Nurse Practitioner - Family in Fort Wayne, IN

Active since August 03, 2012
10012 AUBURN PARK DR, FORT WAYNE, IN 46825(317) 644-8457 Get Directions Write a Review

NPPES record last updated: August 3, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Geoffrey George Gephart Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GEOFFREY GEORGE GEPHART FNP-BC (NPI 1477800829) is an individual family provider in Fort Wayne, Indiana, licensed in Indiana (28185645A) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1477800829
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. GEOFFREY GEORGE GEPHARTCredential: FNP-BC
Location Address10012 AUBURN PARK DRFort Wayne, IN 46825-2389
Mailing Address1731 Sycamore Hills DrFort Wayne, IN 46814-9390 · (260) 625-3693
Phone(317) 644-8457
Sole ProprietorNo
Enumeration DateAugust 3, 2012
✔ NPI 1477800829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 28185645A
10012 AUBURN PARK DR, Fort Wayne, IN 46825
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Geoffrey Gephart's NPI number?

The NPI number for Geoffrey Gephart is 1477800829. It was assigned to this individual provider in the NPPES registry on August 3, 2012.

Where is Geoffrey Gephart located?

Geoffrey Gephart practices at 10012 Auburn Park Dr, Fort Wayne, IN 46825. The listed phone number is (317) 644-8457.

What is Geoffrey Gephart's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Geoffrey Gephart was last updated on August 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.