| Geraghty Family Medicine PC | |
|
6746 S Revere Pkwy Ste 180 Centennial CO 80112-6763 | |
| (303) 632-3640 | |
| (303) 632-3642 |
| Full Name | Geraghty Family Medicine PC |
|---|---|
| Speciality | Family Medicine |
| Location | 6746 S Revere Pkwy Ste 180, Centennial, Colorado |
| Authorized Official Name and Position | John Steven Geraghty (PRESIDENT) |
| Authorized Official Contact | 3036323640 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geraghty Family Medicine PC 6746 S Revere Pkwy Ste 180 Centennial CO 80112-6763 Ph: (303) 632-3640 | Geraghty Family Medicine PC 6746 S Revere Pkwy Ste 180 Centennial CO 80112-6763 Ph: (303) 632-3640 |
| NPI Number | 1285823963 |
|---|---|
| Provider Enumeration Date | 10/18/2007 |
| Last Update Date | 12/01/2025 |
| Certification Date | 12/01/2025 |
| Medicare PECOS PAC ID | 4688665912 |
|---|---|
| Medicare Enrollment ID | O20040524001023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285823963 | NPI | - | NPPES |
| 91909830 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 33711 (Colorado) | Primary |
| Provider Name | John S Geraghty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508800566 PECOS PAC ID: 1557352895 Enrollment ID: I20040525000830 |
| Provider Name | Shannon Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295012508 PECOS PAC ID: 2466698451 Enrollment ID: I20230817003286 |
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