Active NPI
William T. Geissinger, M.D.
- Surgery Physician
- Charlotte, NC
National Provider Identifier
1063498772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 18450
- Practice address
- 1918 Randolph Rd., Suite 130
Surgical Specialists of Charlotte, P.a.
Charlotte, NC 28207 - Phone
- (704) 364-8100
- Fax
- (704) 365-2073
- NPI assigned
- Dec 15, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 18450 | NC | Primary |
Addresses
Primary practice location
1918 Randolph Rd., Suite 130
Surgical Specialists of Charlotte, P.a.
Charlotte, NC 28207
Mailing address
1918 Randolph Rd., Ste. 130
Surgical Specialists of Charlotte, P.a.
Charlotte, NC 28207-1107
Phone (704) 364-8100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89-35055 | Medicaid | NC | |
| 8935055 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18450 | NC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Charlotte-Mecklenburg Hospital Authority | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Charlotte, NC
- NPI 1477627388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267574400000",
"number": "1063498772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1918 RANDOLPH RD., STE. 130",
"address_2": "SURGICAL SPECIALISTS OF CHARLOTTE, P.A.",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071107",
"telephone_number": "704-364-8100",
"fax_number": "704-365-2073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1918 RANDOLPH RD., SUITE 130",
"address_2": "SURGICAL SPECIALISTS OF CHARLOTTE, P.A.",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28207",
"telephone_number": "704-364-8100",
"fax_number": "704-365-2073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEISSINGER",
"first_name": "WILLIAM",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-15",
"last_updated": "2010-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "18450",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89-35055",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8935055",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.