Active NPI
Wilfred Arthur Geschke, M.D.
- Hematology (Internal Medicine) Physician
- Portland, OR
National Provider Identifier
1114920055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology (Internal Medicine) Physician
- License
- MD09390
- Practice address
- 10101 SE Main St
Suite 1012
Portland, OR 97216-2455 - Phone
- (503) 256-3627
- Fax
- (503) 252-8983
- NPI assigned
- May 24, 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 |
|---|---|---|---|---|
| Hematology (Internal Medicine) Physician | 207RH0000X | MD09390 | OR | Primary |
Addresses
Primary practice location
10101 SE Main St
Suite 1012
Portland, OR 97216-2455
Mailing address
10101 SE Main St
Suite 1012
Portland, OR 97216-2455
Phone (503) 256-3627
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1002793 | Medicaid | WA | |
| 072744 | Medicaid | OR |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Cancer Specialists PC | Past | Accepting new patients | |
| Northwest Cancer Specialists PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Hematology & Oncology Physician
- Vancouver, WA
- NPI 1407828114
-
- Specialty Pharmacy
- Vancouver, WA
- NPI 1770939019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361232000000",
"number": "1114920055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10101 SE MAIN ST",
"address_2": "SUITE 1012",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972162455",
"telephone_number": "503-256-3627",
"fax_number": "503-252-8983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10101 SE MAIN ST",
"address_2": "SUITE 1012",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972162455",
"telephone_number": "503-256-3627",
"fax_number": "503-252-8983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GESCHKE",
"first_name": "WILFRED",
"middle_name": "ARTHUR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2013-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology",
"state": "OR",
"license": "MD09390",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1002793",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "072744",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.