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Deactivated NPI 1134480874 Deactivated / Inactive NPI Male Practitioner

Dr. Angelo William Geordan , MD

Urology • Girard, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Angelo Geordan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 30, 2012
NPI Deactivation Date March 13, 2018
Total Practice Duration ~6 Years of Practice (2012 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Angelo Geordan, MD was a registered Urology practicing in Girard, OH. Throughout an active medical career spanning 6 years, Dr. Geordan provided care at the practice location at 2361 TIBBETTS WICK ROAD until profile deactivation on 2018-03-13.

Practice Location & Contact Primary Location

Practice Address

2361 Tibbetts Wick Road

Girard, OH 44420

Telephone 3305687671

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Girard, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Girard, OH (564 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License OH 19084

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 13, 2018

Record deactivated on March 13, 2018

NPI Profile Active May 30, 2012

NPI status registered as active in NPPES database

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Updated Practice Location May 30, 2012

Registered at 2361 TIBBETTS WICK ROAD, GIRARD, OH 44420 (Tel: 3305687671)

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Updated Business Mailing Address May 30, 2012

Registered at 2361 TIBBETTS WICK ROAD, GIRARD, OH 44420 (Tel: 3305687671)

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Provider Name / Credentials Updated May 30, 2012

Recorded as ANGELO GEORDAN, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 30, 2012

Urology (License #19084 in OH)

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Initial NPI Registration & Enumeration May 30, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134480874
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 30, 2012
Last Update: May 30, 2012
Deactivation Date: March 13, 2018

Mailing Address

2361 Tibbetts Wick Road

Girard, OH 44420

Phone: 3305687671

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.