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1174543722

NPI Code Detail

MEDICARE: SANDRA GEILE MD

MEDICARE: SANDRA GEILE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	36735	KY
2	207R00000X	Internal Medicine Physician	36735	KY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00037844	OTHER	KY	RR- MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000000259688	OTHER	KY	ANTHEM
3	3000103	OTHER	WV	BWC
5	50005458	OTHER	KY	PASSPORT
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174543722
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA GEILE MD

Provider Business Mailing Address
First Line	:	466 LINDEN AVE
Second Line	:
City	:	HARRODSBURG
State	:	KY
Zip	:	40330-1841
Country	:	US
Telephone Number	:	859-734-5173
Fax Number	:	859-734-9925

Provider Business Practice Location Address
First Line	:	466 LINDEN AVE
Second Line	:
City	:	HARRODSBURG
State	:	KY
Zip	:	40330-1841
Country	:	US
Telephone Number	:	859-734-5173
Fax Number	:	859-734-9925

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	08/27/2015

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466 LINDEN AVE
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1710921242 — DR. WILLIAM FREDERICK LOGGINS MD
Practice Location Address:

466 LINDEN AVE
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1083928196 — LORRIE THOMPSON DNP
Practice Location Address:

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Directions to “ SANDRA GEILE MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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