Active NPI
Jeffrey Giese, MD
- Anesthesiology Physician
- Salt Lake City, UT
National Provider Identifier
1245330992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 167126-1205
- Practice address
- 1200 E 3900 S
Salt Lake City, UT 84124-1300 - Phone
- (801) 993-9530
- Fax
- (801) 733-5618
- NPI assigned
- Sep 23, 2006
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 167126-1205 | UT | Primary |
Addresses
Primary practice location
1200 E 3900 S
Salt Lake City, UT 84124-1300
Mailing address
1954 Fort Union Blvd
Salt Lake City, UT 84121-6800
Phone (801) 993-9530
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2000002 | Other | UT | UNITED HEALTHCARE |
| 870482642GI1 | Other | UT | EDUCATORS MUTUAL |
| 36255 | Other | UT | DESERET MUTUAL |
| 24160 | Other | UT | PEHP |
| QM0000017265 | Other | UT | ALTIUS |
| 525561 | Medicaid | UT | |
| PR07108 | Other | UT | MOLINA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245330992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1954 FORT UNION BLVD",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841216800",
"telephone_number": "801-993-9530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 E 3900 S",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841241300",
"telephone_number": "801-993-9530",
"fax_number": "801-733-5618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIESE",
"first_name": "JEFFREY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "UT",
"license": "167126-1205",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2000002",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EDUCATORS MUTUAL",
"identifier": "870482642GI1",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DESERET MUTUAL",
"identifier": "36255",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEHP",
"identifier": "24160",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALTIUS",
"identifier": "QM0000017265",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "525561",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA",
"identifier": "PR07108",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
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.