Thomas Russell Geisenheimer Jr., D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2014021962 Issued in MO

Practice address

315 S Osteopathy Ave
Kirksville, MO 63501-6401

Phone

(660) 785-1400

NPI assigned

Jul 18, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL, MS2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Emergency Medicine

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Newgen Alabama Billing LLCGroup PAC ID 9133657208, 99 clinicians

Alabama Physicians Group LLCGroup PAC ID 2668835604, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Andalusia Health Hospital, Andalusia, AL, CCN 010036
• Northeast Alabama Regional Medical Center Hospital, Anniston, AL, CCN 010078

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Alabama Physicians Group LLC

  • Emergency Medicine Physician
  • Anniston, AL
  • NPI 1750062527
  Medicare reassignment Care Compare group NPD
• Newgen Alabama Billing LLC

  • Emergency Medicine Physician
  • Ozark, AL
  • NPI 1013744424
  Medicare reassignment Care Compare group
• App of Alabama Ed PLLC

  • Emergency Medicine Physician
  • Russellville, AL
  • NPI 1659646040
  Medicare reassignment NPD
• App of Mississippi Ed, LLC

  • Emergency Medicine Physician
  • Jackson, MS
  • NPI 1730687740
  Medicare reassignment NPD
• Harrison Emergency Group LLC

  • Emergency Medicine Physician
  • Biloxi, MS
  • NPI 1467410936
  Medicare reassignment NPD
• Ies Alabama PLLC

  • Emergency Medicine Physician
  • Foley, AL
  • NPI 1053027276
  Medicare reassignment NPD
• Northwest Alabama Emergency Medicine LLC

  • Emergency Medicine Physician
  • Florence, AL
  • NPI 1639692767
  Medicare reassignment NPD
• Andalusia Physician Practices LLC

  • Neurology Physician
  • Andalusia, AL
  • NPI 1437202009
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Hospital of Andalusia LLC

  • General Acute Care Hospital
  • Andalusia, AL
  • NPI 1821078494
  Care Compare affiliation
• The Health Care Authority of the City of Anniston

  • General Acute Care Hospital
  • Anniston, AL
  • NPI 1003996000
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405641600000",
    "number": "1104233378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 KINGS RD APT 2",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635012571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S OSTEOPATHY AVE",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635016401",
            "telephone_number": "660-785-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEISENHEIMER",
        "first_name": "THOMAS",
        "middle_name": "RUSSELL",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-18",
        "last_updated": "2014-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2014021962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skyler Galvin
• Nirali Kirit Gandhi
• Nirupa Gariga, D.D.S
• Ashley Marie Garlock
• Brandon Gasaway
• Genoa Healthcare LLC
• Maura Beth Gerdes, D.O.
• Madison Geren, BCBA
• Deborah Diane Gering
• Raelene M Gilbert, LPC

• Family Medicine Physician in Kirksville, MO
• Providers in Kirksville, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.