Jordan Geroski
Family Doctor Family Doctor - Sports Medicine
611 E Douglas Rd Ste 137
Mishawaka
, Indiana 46545-1464
Jordan Geroski
Family Doctor Family Doctor - Sports Medicine
611 E Douglas Rd Ste 137
Mishawaka
, Indiana 46545-1464
(574) 647-2624
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About
Features
Specialties
- Family Doctor
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Jordan Geroski
- 111 W Jefferson Blvd Ste 100
- South Bend, IN
- Zip : 46601-1993
- Phone : (574) 647-2624
Second Address
- Jordan Geroski
- 611 E Douglas Rd Ste 137
- Mishawaka, IN
- Zip : 46545-1464
- Phone : (574) 335-6214
Reviews
FAQs
Where did Jordan Geroski attend graduate school?
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Is Jordan Geroski board certified?
What type of doctor is Jordan Geroski
In what state does Jordan Geroski practice in?
Where is Jordan Geroski ’s practice located?
What is Jordan Geroski ’s gender?
Is Jordan Geroski a sole practitioner?
Is Jordan Geroski accepting new patients?
What languages does Jordan Geroski speak?
Does Jordan Geroski accept insurance?
Does Jordan Geroski offers telemedicine?
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What is Jordan Geroski ’s NPI number?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 02006037A | IN |
| Y | 207QS0010X | Family Doctor - Sports Medicine | 02006037A | IN |
National Provider Identifier
| NPI | 1265962633 |
|---|---|
| Provider Name | Jordan Geroski |
| First Address | South Bend, IN 46601-1993 |
| Second Address | Mishawaka, IN 46545-1464 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/06/2017 |
| Last Update Date | 25/06/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 11019303A | STATE LICENSE (01) | IN |
| 300004615 | (05) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.