Organization Active NPI

Radha Geismann MD PC

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1528044591
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
105667 Issued in MO
Legal business name
RADHA GEISMANN MD PC
Practice address
777 S New Ballas Rd
Suite 321E
Saint Louis, MO 63141-8705
Phone
(314) 872-9310
NPI assigned
Dec 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Authorized official

Name
Dr. Radha D Geismann, M.D.
Title
President / Physician
Phone
(314) 872-9310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 105667 MO Primary

Addresses

Primary practice location

777 S New Ballas Rd
Suite 321E
Saint Louis, MO 63141-8705

Mailing address

777 S New Ballas Rd
Suite 321E
Saint Louis, MO 63141-8705
Phone (314) 872-9310

National Provider Directory

National Provider Directory

Locations

777 S New Ballas Rd
Ste 321
Saint Louis, MO 63141
Phone (314) 872-9310

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1528044591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 S NEW BALLAS RD",
            "address_2": "SUITE 321E",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418705",
            "telephone_number": "314-872-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 S NEW BALLAS RD",
            "address_2": "SUITE 321E",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418705",
            "telephone_number": "314-872-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADHA GEISMANN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-21",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "GEISMANN",
        "authorized_official_first_name": "RADHA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT / PHYSICIAN",
        "authorized_official_telephone_number": "314-872-9310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "105667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.

Verify at the official NPI Registry.