Provider Demographics
NPI:1194715631
Name:GEER, DEBORAH ANN (MD)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:ANN
Last Name:GEER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 NORTH STREET
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:NY
Mailing Address - Zip Code:13021
Mailing Address - Country:US
Mailing Address - Phone:315-253-4536
Mailing Address - Fax:315-253-8130
Practice Address - Street 1:143 NORTH STREET
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:NY
Practice Address - Zip Code:13021
Practice Address - Country:US
Practice Address - Phone:315-253-4536
Practice Address - Fax:315-253-8130
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD058943L208600000X
NY2386251208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00308168OtherRAILROAD MEDICARE
798804OtherMVP
PA159669401Medicaid
MD544381-02OtherMD BLUE SHIELD
PA673178OtherAETNA SELECT CHOICE
PA020048625OtherRAILROAD RETIREMENT
PA4264598OtherAETNA PPOS
NY02732621Medicaid
MD350329OtherMAMSI UNITED HEALTH CARE
PA01983601OtherCAPITAL BLUE CROSS
PAGE627014OtherPA BLUE SHIELD
P00308168OtherRAILROAD MEDICARE
PA4264598OtherAETNA PPOS
NY02732621Medicaid