# DR. GWENDOLYN LEE GEFFERT

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1215089099
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | VA | Yes |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 111514 | CIGNA | VA |
| 01 | — | 154898 | SOUTHERN HEALTH | VA |
| 01 | — | 286055 | ANTHEM BLUE CROSS BLUE SH | VA |
| 01 | — | 3489701 | AETNA | VA |
| 05 | — | 5621097 | — | VA |
| 01 | — | 7609261 | AETNA PPO | VA |
| 01 | — | 8122303 | MAMSI | VA |