Individual provider Active NPI

Charles Lewis Geiger, D.O.

  • Family Medicine Physician
  • Newark, OH
National Provider Identifier
1235115270
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34007833G Issued in OH
Practice address
1970 Tamarack Rd
Newark, OH 43055-1363
Phone
(220) 564-1770
Fax
(220) 564-1771
NPI assigned
Dec 21, 2005
Last updated
Mar 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1932 WV
Family Medicine Physician 207Q00000X 34007833G OH Primary

Addresses

Primary practice location

1970 Tamarack Rd
Newark, OH 43055-1363

Mailing address

1970 Tamarack Rd
Newark, OH 43055-1363
Phone (220) 564-1770

Other identifiers 1

IdentifierTypeStateIssuer
2324916MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cgeiger14345@lickingmemorial.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100419000404 OH Practitioner - Family Practice 5597892802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rowan University School of Osteopathic Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1272 W Main St
Suite 503
Newark, OH 43055-2058
Phone (220) 564-1778

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.98 of 100Reported as group
Quality
75.66
Promoting interoperability
100
Improvement activities
40
Cost
75.38

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34007833GOHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Licking Memorial Hospital Current Accepting new patients
Licking Memorial Professional Corporation CurrentSince Aug 14, 2017 Accepting new patients
Licking Memorial Health Professionals Family Medicine CurrentSince Aug 14, 2017 Accepting new patients
Licking Memorial Professional Corp. Past Accepting new patients
Licking Memorial Professional Corp. Past Accepting new patients

Locations

1970 Tamarack Rd
Newark, OH 43055
Phone (220) 564-1770

120 McMillen Dr
Newark, OH 43055
Phone (220) 564-4806

1272 W Main St
Ste 503
Newark, OH 43055
Phone (220) 564-1778

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1235115270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1970 TAMARACK RD",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551363",
            "telephone_number": "220-564-1770",
            "fax_number": "220-564-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 TAMARACK RD",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551363",
            "telephone_number": "220-564-1770",
            "fax_number": "220-564-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEIGER",
        "first_name": "CHARLES",
        "middle_name": "LEWIS",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "1932",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34007833G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2324916",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cgeiger14345@lickingmemorial.medicity.net",
            "affiliation": "N",
            "address_1": "1970 Tamarack Rd",
            "city": "Newark",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430551363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

Verify at the official NPI Registry.