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NPI Code Detail

MEDICARE: GERAGHTY FAMILY MEDICINE PC

MEDICARE: GERAGHTY FAMILY MEDICINE PC
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
1207Q00000XFamily Medicine Physician33711CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285823963
Entity Type Code : Organization
Provider Name (Legal Business Name) : GERAGHTY FAMILY MEDICINE PC
Provider Business Mailing Address
First Line : 6746 S REVERE PKWY STE 180
Second Line :
City : CENTENNIAL
State : CO
Zip : 80112-6763
Country : US
Telephone Number : 303-632-3640
Fax Number : 303-632-3642
Provider Business Practice Location Address
First Line : 6746 S REVERE PKWY STE 180
Second Line :
City : CENTENNIAL
State : CO
Zip : 80112-6763
Country : US
Telephone Number : 303-632-3640
Fax Number : 303-632-3642
Authorized Official
Title or Position : PRESIDENT
Name : DR. JOHN STEVEN GERAGHTY
Credential : M.D.
Telephone Number : 303-632-3640
Provider Enumeration Date : 10/18/2007
Last Update Date : 12/01/2025

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Directions to “GERAGHTY FAMILY MEDICINE PC ” Practice Location

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