NPI Code Details Logo

NPI 1689028904

NPI 1689028904 : MICHAEL GEARY MD : CONCORD, NC

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1689028904
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    MICHAEL GEARY MD
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/22/2016
-----------------------------------------------------
    Last Update Date     |    11/25/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    354 COPPERFIELD BLVD NE 
-----------------------------------------------------
    City                 |    CONCORD
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    28025
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    704-786-5122
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    4601 PARK RD STE 300 
-----------------------------------------------------
    City                 |    CHARLOTTE
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    28209-2290
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207X00000X
-----------------------------------------------------
    Taxonomy Name        |    Orthopaedic Surgery Physician
-----------------------------------------------------
    License Number       |    2019-01970
-----------------------------------------------------
    License Number State |    NC
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207XS0106X
-----------------------------------------------------
    Taxonomy Name        |    Orthopaedic Hand Surgery Physician
-----------------------------------------------------
    License Number       |    2019-01970
-----------------------------------------------------
    License Number State |    NC
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.