Active NPI
Timothy C Geil, LMP
- Other Specialist/Technologist
- Shoreline, WA
National Provider Identifier
1154421907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Specialist/Technologist
- License
- MA7485
- Practice address
- 18021 15TH Ave NE
Shoreline, WA 98155 - Phone
- (206) 365-0110
- Fax
- (206) 365-1920
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Other Specialist/Technologist | 246Z00000X | MA7485 | WA | Primary |
Addresses
Primary practice location
18021 15TH Ave NE
Shoreline, WA 98155
Mailing address
PO Box 55267
Shoreline, WA 98155-0267
Phone (206) 365-0110
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA7485 | WA | MD | Other Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154421907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 55267",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981550267",
"telephone_number": "206-365-0110",
"fax_number": "206-365-1920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18021 15TH AVE NE",
"city": "SHORELINE",
"state": "WA",
"postal_code": "98155",
"telephone_number": "206-365-0110",
"fax_number": "206-365-1920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEIL",
"first_name": "TIMOTHY",
"middle_name": "C",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": "WA",
"license": "MA7485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shoreline, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.