KEITH E GEORGESON (MD) – Pediatric Surgery Physician, NPI 1407890510

KEITH E GEORGESON (MD) is a healthcare provider. based in Liberty lake, Washington. specializing in Pediatric Surgery Physician. They hold the professional credentials MD. They hold a License No. 11841 (AL). The NPI Number for KEITH E GEORGESON (MD) is 1407890510

Main info

Male
Name
KEITH E GEORGESON (MD)
NPI
1407890510
Phone
(866) 747-2455
Address
PO BOX 421
Enumeration Date
16 June 2006
Last Update Date
28 March 2017
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for KEITH E GEORGESON (MD)

  • 421, Liberty Lane, Evesham Township, Burlington County, New Jersey, 08053-5344, United States

    LIBERTY LAKE, WA 990190421

    Phone: (866) 747-2455

    Fax: (509) 227-7070

    Type: Mailing

  • Providence Sacred Heart Medical Center and Children's Hospital, 101, West 8th Avenue, Spokane, Spokane County, Washington, 99204, United States

    SUITE 100 L-1

    SPOKANE, WA 992042307

    Phone: (509) 474-5445

    Fax: (509) 227-7070

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99019)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for KEITH E GEORGESON (MD)?
KEITH E GEORGESON (MD) — NPI 1407890510 — is the standard way to identify this listing.
Can I rely on KEITH E GEORGESON (MD) being an active provider?
As of the registry snapshot, KEITH E GEORGESON (MD) is marked active.
What taxonomy line describes KEITH E GEORGESON (MD)?
For research purposes, treat KEITH E GEORGESON (MD) as Pediatric Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does KEITH E GEORGESON (MD) serve?
KEITH E GEORGESON (MD)'s listing highlights Liberty Lake, Washington; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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