Active NPI
Daniel S Geib, PA-C
- Physician Assistant
- Madison, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2297-23
- Practice address
- 700 S Park St Ste a
Madison, WI 53715-1830 - Phone
- (608) 260-2900
- Fax
- (608) 260-3444
- NPI assigned
- Jul 10, 2008
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2297-23 | WI | Primary |
Addresses
Primary practice location
700 S Park St Ste a
Madison, WI 53715-1830
Mailing address
36500 Aurora Dr
Summit, WI 53066-4899
Phone (262) 434-5000
Other practice location 1
36500 Aurora Dr
Summit, WI 53066-4899
Phone (262) 434-5000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609030584 | Medicaid | WI | |
| 60824 | Other | WI | DEAN HEALTH INSURANCE |
| 43021500 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other | |
| Direct Messaging Address | dgeib494129@direct-ehr-ssmhc.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2297-23 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mile Bluff Medical Center Inc | Physician Assistant | Current | Accepting new patients |
| Dean Health Systems, Inc. | Current | Accepting new patients | |
| Dean Health Systems, Inc | Current | Accepting new patients | |
| Divine Savior Healthcare, Inc. | Current | Accepting new patients | |
| Mile Bluff Medical Center Inc | Current | Accepting new patients | |
| Dean Health Systems, Inc, | Past | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
1700 Tuttle St
Baraboo, WI 53913
Phone (608) 355-3800
825 Western Ave
Columbus, WI 53925
Phone (920) 623-2520
1515 Park Ave
Columbus, WI 53925
Phone (920) 623-1200
1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497
700 S Park St
Ste A
Madison, WI 53715
Phone (608) 260-2900
1040 Division St
Mauston, WI 53948
Phone (608) 847-5000
1050 Division St
Mauston, WI 53948
Phone (608) 847-6161
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598
28 Commerce St
Wisconsin Dells, WI 53965
Phone (608) 254-5888
Interoperability endpoints
- dgeib494129@direct-ehr-ssmhc.com
Organizations & group practices 7
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.
-
- Allergy & Immunology Physician
- Madison, WI
- NPI 1053358846
-
- Emergency Medicine Physician
- Mauston, WI
- NPI 1609912005
Physician Assistant
-
- General Acute Care Hospital
- Portage, WI
- NPI 1124083894
-
- Durable Medical Equipment & Medical Supplies
- Portage, WI
- NPI 1427085679
-
- Rural Health Clinic/Center
- Portage, WI
- NPI 1386154417
-
- Rural Health Clinic/Center
- Mauston, WI
- NPI 1881930527
-
- Durable Medical Equipment & Medical Supplies
- Beaver Dam, WI
- NPI 1336425016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699401600000",
"number": "1609030584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36500 AURORA DR",
"city": "SUMMIT",
"state": "WI",
"postal_code": "530664899",
"telephone_number": "262-434-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 S PARK ST STE A",
"city": "MADISON",
"state": "WI",
"postal_code": "537151830",
"telephone_number": "608-260-2900",
"fax_number": "608-260-3444"
}
],
"practiceLocations": [
{
"address_1": "36500 Aurora Dr",
"address_purpose": "LOCATION",
"city": "Summit",
"state": "WI",
"postal_code": "530664899",
"country_code": "US",
"telephone_number": "262-434-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEIB",
"first_name": "DANIEL",
"middle_name": "S",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-10",
"last_updated": "2023-11-08",
"certification_date": "2023-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "2297-23",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1609030584",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEAN HEALTH INSURANCE",
"identifier": "60824",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43021500",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "700 S Park St Ste A",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537151830",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dgeib494129@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "dgeib494129@direct-ehr-ssmhc.com",
"address_1": "700 S Park St Ste A",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537151830",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.