Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | MD00037650 | WA |
N | 208000000X | Pediatrician | MD00037650 | WA |
N | 208000000X | Pediatrician | MD27098 | OR |
N | 2080P0201X | Pediatric Allergist | MD00037650 | WA |
N | 2080P0201X | Pediatric Allergist | MD27098 | OR |
NPI | 1235119389 |
---|---|
Provider Name | Dr. Casey J Geaney |
First Address | Bethesda, MD 20889-0001 |
Second Address | Bethesda, MD 20889-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2006 |
Last Update Date | 13/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
218154 | (05) | OR |