DR. JACK J VAN GEFFEN M.D.
NPI 1487656245
Radiology - Nuclear Radiology in Annapolis, MD

Q: What is Jack Van Geffen's NPI number?

The NPI number for Jack Van Geffen is 1487656245. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Q: What is Jack Van Geffen's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Nuclear Radiology, with taxonomy code 2085N0904X.

Q: When was this NPI record last updated?

The NPPES record for Jack Van Geffen was last updated on November 16, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 11, 2005

2002 MEDICAL PKWY, SUITE 235, ANNAPOLIS, MD 21401(410) 266-2770(410) 841-6251 Get Directions Write a Review

NPPES record last updated: November 16, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Jack J Van Geffen M.d. NPPES

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

DR. JACK J VAN GEFFEN M.D. (NPI 1487656245) is an individual nuclear radiology provider in Annapolis, Maryland, licensed in Maryland (D0019967) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1487656245

Entity TypeIndividualMale

Primary Taxonomy2085N0904X

Provider Legal NameDR. JACK J VAN GEFFENCredential: M.D.

Location Address2002 MEDICAL PKWY, SUITE 235Annapolis, MD 21401-3046

Mailing Address2002 Medical Pkwy, Suite 235Annapolis, MD 21401-3046 · (410) 266-2770 · Fax (410) 841-6251

Phone(410) 266-2770

Fax(410) 841-6251

Sole ProprietorNo

Enumeration DateAugust 11, 2005

Last NPPES UpdateNovember 16, 2010

✔ NPI 1487656245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Nuclear RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085N0904X

License✔ Licensed in MD · D0019967

Definition

A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.

2002 MEDICAL PKWY, Annapolis, MD 21401

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Other Identifiers 15

OtherJG95MD · Aad Aa County

Other2622593MD · Aetna Hmo/pos

Medicare ID-Type UnspecifiedS629E245MD

Other300031317MD · Travelers Rr Medicare

Other1487656245MD · Medicare Shipleys Imaging

Other414894ZED1MD · Ptan Dc Bowie

Medicare PIN300066270MD

Other8317071MD · Aetna Ppo

Other10690008MD · Bcbs

OtherA14MD · Aad Pg County

Other494MMD · Aad Shipleys

Medicaid155951600MD

Medicare PIN300031317MD

Medicare UPINB70645MD

Medicare PIN300135424MD

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. CHRISTOPHER J BURROUGHS PA

Physician Assistant

2002 MEDICAL PKWY, SUITE 430
ANNAPOLIS, MD 21401

Anne Arundel County (410) 266-2720

MR. ROBERT L CROWDER PA

Physician Assistant (Medical)

2002 MEDICAL PKWY, SUITE 430
ANNAPOLIS, MD 21401

Anne Arundel County (410) 266-2720

MS. TANA H YATES CRNP-A

Surgery

2002 MEDICAL PKWY, SUITE 120
ANNAPOLIS, MD 21401

Anne Arundel County (443) 481-5300

DR. DAINA B PACK M.D.

Radiology (Diagnostic Radiology)