William L. Geissert, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G62194 Issued in CA

Practice address

4770 W Herndon Ave # 111
Fresno, CA 93722-8401

Phone

(559) 450-2273

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1477631372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5193",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937555193",
            "telephone_number": "559-304-9039",
            "fax_number": "559-229-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 W HERNDON AVE # 111",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937228401",
            "telephone_number": "559-450-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEISSERT",
        "first_name": "WILLIAM",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G62194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G621940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin David Geddert
• Dominick Geddert
• Brandon Gee
• Lisa Gehrer, M.A., ATC, CES
• Michael Robert Geiger, DO
• Emily Geist
• Jean Wadhams Geller, NP
• Generation Changers Title 1 Community Development Center
• Generational Changes, Inc
• Generational Changes, Inc.

• Internal Medicine Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.