Provider Demographics
NPI:1992796270
Name:GEARY, RICHARD C JR (DO)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:C
Last Name:GEARY
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1038 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-2912
Mailing Address - Country:US
Mailing Address - Phone:304-232-4266
Mailing Address - Fax:
Practice Address - Street 1:1038 MARKET ST
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-2912
Practice Address - Country:US
Practice Address - Phone:304-232-4266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-04
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1033207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0586951Medicare PIN
WV0586952Medicare PIN
OH0586953Medicare PIN