Individual provider Active NPI

Hildegarde Geisse, MD

  • Neurology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1154469120
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME96190 Issued in FL
Practice address
6400 N Andrews Ave
Suite 530
Fort Lauderdale, FL 33309-2114
Phone
(844) 636-3876
Fax
(561) 429-3630
NPI assigned
Feb 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology Physician 2084N0600X ME96190 FL
Neurology Physician 2084N0400X ME96190 FL Primary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X ME96190 FL
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X ME96190 FL

Addresses

Primary practice location

6400 N Andrews Ave
Suite 530
Fort Lauderdale, FL 33309-2114

Mailing address

6400 N Andrews Ave
Suite 530
Fort Lauderdale, FL 33309-2114
Phone (954) 530-4344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090210000304 FL Practitioner - Neurology 8921101445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5333 N Dixie Hwy
Suite 202
Oakland Park, FL 33334-3454
Phone (954) 530-4344

Hospital & facility affiliations

  • Holy Cross Hospital Hospital, Ft Lauderdale, FL, CCN 100073
  • Broward Health Imperial Point Hospital, Fort Lauderdale, FL, CCN 100200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME96190FLMDNeuromuscular Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Nerve Med LLC Neuromuscular Medicine CurrentSince Mar 23, 2013 Accepting new patients
Florida Nerve Med, LLC CurrentSince Mar 11, 2013 Accepting new patients
Denville Medical Health Center & Sports Rehab P.C. PastSince Jan 1, 2003 Accepting new patients
Stanger Health Care Centers Inc Past Accepting new patients

Locations

6400 N Andrews Ave
Ste 530
Ft Lauderdale, FL 33309
Phone (844) 636-3876

5333 N Dixie Hwy
Ste 202
Oakland Park, FL 33334
Phone (561) 345-1780

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1154469120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 N ANDREWS AVE",
            "address_2": "SUITE 530",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333092114",
            "telephone_number": "954-530-4344",
            "fax_number": "561-429-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 N ANDREWS AVE",
            "address_2": "SUITE 530",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333092114",
            "telephone_number": "844-636-3876",
            "fax_number": "561-429-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEISSE",
        "first_name": "HILDEGARDE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "FL",
            "license": "ME96190",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME96190",
            "primary": true
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "FL",
            "license": "ME96190",
            "primary": false
        },
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "FL",
            "license": "ME96190",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.