Individual provider Active NPI

Heather K Geis, MD

  • Child & Adolescent Psychiatry Physician
  • Oklahoma City, OK
National Provider Identifier
1619961885
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
15710 Issued in OK
Practice address
1625 Greenbriar PL
#300
Oklahoma City, OK 73159-7645
Phone
(405) 692-4000
Fax
(405) 692-4001
NPI assigned
Sep 2, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 15710 OK Primary

Addresses

Primary practice location

1625 Greenbriar PL
#300
Oklahoma City, OK 73159-7645

Mailing address

2816 NW 57TH St
104
Oklahoma City, OK 73112-7045
Phone (405) 848-7882

Other identifiers 1

IdentifierTypeStateIssuer
100107830AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051010000449 OK Practitioner - Psychiatry 5193740124 Reassigns benefits to 1 organization
I20200212001607 VA Practitioner - Psychiatry 5193740124 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
City Psychiatric PC CurrentSince May 2, 2005 Accepting new patients
Harrisonburg-Rockingham Community Services Board CurrentSince Feb 1, 2020 Accepting new patients
Leslie Bell, LCSW, P.C. Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

2816 NW 57th St
Ste 104
Oklahoma City, OK 73112
Phone (405) 848-7882

1241 N Main St
Harrisonburg, VA 22802
Phone (540) 434-1941

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1619961885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 NW 57TH ST",
            "address_2": "104",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731127045",
            "telephone_number": "405-848-7882",
            "fax_number": "405-848-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 GREENBRIAR PL",
            "address_2": "#300",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597645",
            "telephone_number": "405-692-4000",
            "fax_number": "405-692-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEIS",
        "first_name": "HEATHER",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-02",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OK",
            "license": "15710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100107830A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.