MEDICARE: DR. CAROLINE MERRICK GEDDES 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	207Q00000X	Family Medicine Physician	MD449362	PA
2	207Q00000X	Family Medicine Physician	DR.0068874	CO

General Provider Information

NPI Number	:	1821318734
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAROLINE MERRICK GEDDES MD

Provider Business Mailing Address
First Line	:	2970 ARAPAHOE RD
Second Line	:
City	:	ERIE
State	:	CO
Zip	:	80026-8054
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2970 ARAPAHOE RD
Second Line	:
City	:	ERIE
State	:	CO
Zip	:	80026-8054
Country	:	US
Telephone Number	:	303-460-6010
Fax Number	:

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

Provider Enumeration Date	:	06/03/2010
Last Update Date	:	10/14/2025

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