Individual provider Active NPI

David Francis Geiss, D.O.

  • Dermatology Physician
  • Granville, OH
National Provider Identifier
1619970639
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
34005696G Issued in OH
Practice address
2000 Newark Granville Rd Ste 202
Granville, OH 43023-9135
Phone
(740) 587-3376
Fax
(740) 587-1424
NPI assigned
May 23, 2005
Last updated
Mar 12, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 34005696G OH Primary

Addresses

Primary practice location

2000 Newark Granville Rd Ste 202
Granville, OH 43023-9135

Mailing address

112 N Ewing St
Lancaster, OH 43130-3307
Phone (740) 687-1177

Other identifiers 2

IdentifierTypeStateIssuer
0190289MedicaidOH
070005985OtherOHMEDICARE RAILROAD

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
34005696GOHMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CSD ASC LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1619970639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N EWING ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303307",
            "telephone_number": "740-687-1177",
            "fax_number": "740-344-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 NEWARK GRANVILLE RD STE 202",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430239135",
            "telephone_number": "740-587-3376",
            "fax_number": "740-587-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEISS",
        "first_name": "DAVID",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "34005696G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0190289",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "070005985",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Granville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.