Basic Information
| Provider Information | |||||||||
| NPI: | 1871524694 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | DUNN | ||||||||
| FirstName: | GEOFFREY | ||||||||
| MiddleName: | PARKER | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 717 STATE ST STE 16 | ||||||||
| Address2: | REGIONAL HEALTH SERVICES | ||||||||
| City: | ERIE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 165011341 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8148777100 | ||||||||
| FaxNumber: | 8148772939 | ||||||||
| Practice Location | |||||||||
| Address1: | 201 STATE ST | ||||||||
| Address2: | HAMOT FACULTY SPECIALISTS | ||||||||
| City: | ERIE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 165500002 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8148774922 | ||||||||
| FaxNumber: | 8148773622 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/06/2006 | ||||||||
| LastUpdateDate: | 05/21/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2086H0002X | MD30831E | PA | N | Allopathic & Osteopathic Physicians | Surgery | Hospice and Palliative Medicine | 208600000X | MD30831E | PA | Y | Allopathic & Osteopathic Physicians | Surgery |
ID Information
| ID | Type | State | Issuer | Description | 990014795 | 01 | PA | RR MEDICARE | OTHER | 0816862 | 01 | OH | OH MEDICAL ASSISTANCE | OTHER | 0009765810003 | 05 | PA | MEDICAID | 2586652 | 01 | PA | AETNA | OTHER | 00991846 | 01 | NY | NY MEDICAL ASSISTANCE | OTHER | 212530 | 01 | PA | UPMC | OTHER | 00027703101 | 01 | NY | UNIVERA | OTHER | 96523 | 01 | PA | BLUE SHIELD | OTHER | 1542249 | 01 | PA | GATEWAY | OTHER | 97356 | 01 | PA | UNISON | OTHER |