Active NPI
Marianne Geiger, MD
- Psychiatry Physician
- Newport, OR
National Provider Identifier
1639215015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036076824
- Practice address
- 730 NE Jeffries PL
Newport, OR 97365-2516 - Phone
- (815) 262-4294
- Fax
- (541) 635-5771
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | 036076824 | IL | |
| Psychiatry Physician | 2084P0800X | 036076824 | IL | Primary |
Addresses
Primary practice location
730 NE Jeffries PL
Newport, OR 97365-2516
Mailing address
730 NE Jeffries PL
Newport, OR 97365-2516
Phone (815) 262-4294
Other practice location 1
1752 Windsor Rd
Suite 203
Loves Park, IL 61111-4280
Phone (815) 986-1113
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K14296 | Medicaid | IL |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036076824 | IL | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Chiropractic Wellness & Rehab Centre, P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Point of Service
- Loves Park, IL
- NPI 1023206265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655683200000",
"number": "1639215015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 NE JEFFRIES PL",
"city": "NEWPORT",
"state": "OR",
"postal_code": "973652516",
"telephone_number": "815-262-4294",
"fax_number": "541-635-5771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 NE JEFFRIES PL",
"city": "NEWPORT",
"state": "OR",
"postal_code": "973652516",
"telephone_number": "815-262-4294",
"fax_number": "541-635-5771"
}
],
"practiceLocations": [
{
"address_1": "1752 Windsor Rd",
"address_2": "Suite 203",
"address_purpose": "LOCATION",
"city": "Loves Park",
"state": "IL",
"postal_code": "611114280",
"country_code": "US",
"telephone_number": "815-986-1113",
"fax_number": "815-986-1119",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEIGER",
"first_name": "MARIANNE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2022-06-20",
"certification_date": "2022-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "IL",
"license": "036076824",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036076824",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "K14296",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.