Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407890510 Individual Practitioner Male Practitioner

Dr. Keith E Georgeson , MD

Surgery - Pediatric Surgery • Spokane, WA

Professional Overview & Biography Verified Profile Summary

Dr. Keith Georgeson, MD is a registered healthcare professional specializing in Surgery - Pediatric Surgery in Spokane, WA. Practice services are available at 101 W 8TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

101 W 8th Ave
Suite 100 L-1

Spokane, WA 992042307

Telephone 5094745445
Fax 5092277070
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Pediatric Surgery in Spokane, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 37.5 Yrs
Regional Practice Density
7 Specialists

Practicing in Spokane, WA (32 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

Surgery - Pediatric Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0120X

State License WA MD60183442

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Surgery

NUCC Taxonomy Code: 208600000X

State License AL 11841

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
009961775 (AL)
Medicaid State Provider ID
009946695 (AL)
Medicaid State Provider ID
000014166 (AL)
Commercial Insurance / Payer ID Blue Cross
051520177 (AL)
Commercial Insurance / Payer ID Georgia Medicaid
37862742A (GA)
Commercial Insurance / Payer ID Healthspring Of Alabama
A40463 (AL)
Commercial Insurance / Payer ID Viva
A40463 (AL)
Commercial Insurance / Payer ID Mississippi Medicaid
00122960 (MS)
Commercial Insurance / Payer ID Blue Cross
051523114 (AL)
Commercial Insurance / Payer ID Blue Cross
000014166 (AL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003374265
NPI 1003811712

Doctor of Philosophy (Ph.D.)

Dr. Robert Wales , MD, FACC

Internal Medicine - Cardiovascular Disease

NPI 1003820275

Doctor of Medicine (M.D.), FACC

Dr. Paul Thorne , MD

Surgery - Pediatric Surgery

NPI 1003840398

Doctor of Medicine (M.D.)

Kevin Kellogg , PA-C

Physician Assistant - Surgical

NPI 1003899493

Physician Assistant (Certified)

Breanna Bergeron , RD

Dietitian, Registered

NPI 1013040849

Registered Dietitian

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active March 28, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 28, 2017

Registered at 101 W 8TH AVE, SUITE 100 L-1, SPOKANE, WA 992042307 (Tel: 5094745445)

📍
Updated Business Mailing Address March 28, 2017

Registered at PO BOX 421, LIBERTY LAKE, WA 990190421 (Tel: 8667472455)

👤
Provider Name / Credentials Updated March 28, 2017

Recorded as KEITH GEORGESON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2017

Surgery (License #11841 in AL)

NPI Profile Active September 17, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location September 17, 2015

Registered at 619 19TH STREET SOUTH, BIRMINGHAM, AL 35233 (Tel: 2059346600)

📍
Updated Business Mailing Address September 17, 2015

Registered at PO BOX 421, LIBERTY LAKE, WA 990190421 (Tel: 5094742072)

👤
Provider Name / Credentials Updated September 17, 2015

Recorded as KEITH GEORGESON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2015

Surgery (License #11841 in AL)

🟢
Initial NPI Registration & Enumeration June 16, 2006

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: 1407890510
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2006
Last Update: March 28, 2017
Sole Proprietor: No

Mailing Address

Po Box 421

Liberty Lake, WA 990190421

Phone: 8667472455

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.