Individual provider Active NPI

William T. Geissinger, M.D.

  • Surgery Physician
  • Charlotte, NC
National Provider Identifier
1063498772
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
18450 Issued in NC
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

Updated by the provider on Mar 3, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
89-35055MedicaidNC
8935055MedicaidNC

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

LicenseStateTypeSpecialty
18450NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.