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GEOFFREY LAKE RISLEY M.D., NPI 1578565735

Surgery in PENSACOLA, FL

Last Updated on : May 22,2019

About GEOFFREY LAKE RISLEY (NPI 1578565735)


GEOFFREY LAKE RISLEY is a Surgery provider in PENSACOLA, United States. His medical specialization is Surgery with a focus in Vascular Surgery.

1578565735 is NPI number of GEOFFREY LAKE RISLEY.

GEOFFREY LAKE RISLEY's primary taxonomy code based on NPI Lookup is 2086S0129X with license number ME83348. This taxonomy code refers to Surgery.

GEOFFREY LAKE RISLEY has more than 16 years of experience.

GEOFFREY LAKE RISLEY current practice location address is 5149 N 9TH AVE STE 120, PENSACOLA, FL. GEOFFREY LAKE RISLEY can be reached out via phone at 850-479-1805 and via fax at 850-479-1829 .

You can also correspond with GEOFFREY LAKE RISLEY through mail at mailing address PO BOX 11982, PENSACOLA, FL, United States. Mailing address contact number is 850-479-1805.

The enumeration date of GEOFFREY LAKE RISLEY is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 3 years ago.

1578565735 NPI Information

Name GEOFFREY LAKE RISLEY
National Provider Id (NPI) 1578565735
Entity Type Individual
Gender M
Credential M.D.
Practice Address 5149 N 9TH AVE STE 120,
PENSACOLA, FL, United States
Practice Telephone 850-479-1805
Practice Fax Number 850-479-1829
Mailing Address PO BOX 11982 ,
PENSACOLA, FL, United States
Mailing Telephone 850-479-1805
Mailing Fax Number 850-479-9182
Enumeration Date 01-Jun-2005
Last Updated Date 22-May-2019

GEOFFREY LAKE RISLEY (NPI 1578565735) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 2086S0129X Surgery, Vascular Surgery ME83348 FL

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
06026Y MEDICARE PIN (08) FL
263422800 MEDICAID (05) FL
G04474 MEDICARE UPIN (02) FL
P00023613 Other (non-Medicare) (01) MEDICARE RAILROAD

GEOFFREY LAKE RISLEY (NPI 1578565735) Office Location

Providers in same location

NPI Name Taxonomy Address Enumeration date
1427114552 FRANCIS X ALBERT Optometrist 7171 N DAVIS HWY, SEARS OPTICAL
PENSACOLA, FL, United States
01-Jan-2007
1366509457 RICKY C PECK Emergency Medicine 815 S PALAFOX ST, 3RD FLOOR
PENSACOLA, FL, United States
02-Jan-2007
1174680029 VICKY HAYNES PRATTON Counselor, Mental Health PO BOX 10099,
PENSACOLA, FL, United States
02-Jan-2007
1972660751 DOMINICK CHIROPRACTIC CLINIC Health Maintenance Organization 7850 PINE FOREST RD,
PENSACOLA, FL, United States
02-Jan-2007
1447317110 BAPTIST HOSPITAL INC Home Health 1000 W MORENO ST, CORPORATE COMPLIANCE
PENSACOLA, FL, United States
02-Jan-2007
1790106177 LAUREN HOLLOWAY LEE Dentist, General Practice 1295 W FAIRFIELD DR,
PENSACOLA, FL, United States
02-Jan-2014
1629466495 JAMAICA MOSS Health Educator 14 W JORDAN ST STE 1J,
PENSACOLA, FL, United States
02-Jan-2015
1093222820 JANNA RANDOLPH Occupational Therapist, Hand 4551 N DAVIS HWY STE C,
PENSACOLA, FL, United States
02-Jan-2018
1851930242 ANTHONY DIRUSSO Physical Therapist 1423 E BRAINERD ST,
PENSACOLA, FL, United States
02-Jan-2020
1073670436 DEBORAH M MILES Social Worker, Clinical 1576 AIRPORT BLVD,
PENSACOLA, FL, United States
03-Jan-2007
1457621021 DAVID DAUGHERTY Pharmacist 2149 PINEVIEW CIR,
PENSACOLA, FL, United States
12-Jan-2012
1174944458 JENNIFER C. WARD Nurse Practitioner, Family PO BOX 2699,
PENSACOLA, FL, United States
03-Jan-2014
1518355213 STANFORD SPENCER Skilled Nursing Facility 10040 HILLVIEW DR,
PENSACOLA, FL, United States
03-Jan-2015
1518402387 VANESSA PHELPS Nurse Practitioner, Acute Care 730 N NEW WARRINGTON RD,
PENSACOLA, FL, United States
03-Jan-2017
1255848958 THRIF-T DRUGS AT ECHC, LLC Pharmacy, Community/Retail Pharmacy 14 W JORDAN ST,
PENSACOLA, FL, United States
03-Jan-2018
1801369822 AARON LEE HIXON Chiropractor 1602 N 9TH AVE,
PENSACOLA, FL, United States
03-Jan-2019
1902379803 ROSEANN SINGH Behavior Analyst 1508 W GARDEN ST,
PENSACOLA, FL, United States
03-Jan-2019
1093793614 RONALD F JOHNSON Anesthesiology 8201 UNIVERSITY PKWY, FT WALTON BEACH ANESTHESIA LLC
PENSACOLA, FL, United States
04-Jan-2006
1801874581 ROBERT C MORELL Anesthesiology 8201 UNIVERSITY PARKWAY, FT WALTON BEACH ANESTHESIA LLC
PENSACOLA, FL, United States
04-Jan-2006
1073591756 ALEXANDER J KNURR Anesthesiology 8201 UNIVERSITY PKWY, FT WALTON BEACH ANESTHESIA LLC
PENSACOLA, FL, United States
04-Jan-2006

FAQs

Whose NPI Number is 1578565735?

1578565735 is the NPI number of GEOFFREY LAKE RISLEY.

What is the specialty for GEOFFREY LAKE RISLEY?

The Specialty of GEOFFREY LAKE RISLEY is Surgery.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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