Jesse Robert Geibe, MD, MPH, MBA

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

13333R Issued in LA

Practice address

2410 Sampson St. (Fisher Health Clinic/NHC-503)
Naval Health Clinic Great Lakes
Great Lakes, IL 60088-2942

Phone

(847) 688-6712

Fax

(847) 688-3860

NPI assigned

Dec 21, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration, Doctor of Medicine

State licenses

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198195200000",
    "number": "1669656054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 N. CLARK ST.",
            "address_2": "#3302",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606107895",
            "telephone_number": "619-855-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 SAMPSON ST. (FISHER HEALTH CLINIC/NHC-503)",
            "address_2": "NAVAL HEALTH CLINIC GREAT LAKES",
            "city": "GREAT LAKES",
            "state": "IL",
            "postal_code": "600882942",
            "telephone_number": "847-688-6712",
            "fax_number": "847-688-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEIBE",
        "first_name": "JESSE",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD, MPH, MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "LA",
            "license": "13333R",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "LA",
            "license": "13333R",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "LA",
            "license": "13333R",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "LA",
            "license": "13333R",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "LA",
            "license": "13333R",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Jeanne Galen, M.D.
• Walter Gallagher
• David Aaron Galvan, IDC
• Jason Ted Geary, DDS
• Steven Leon Geary, DPM
• Gerald J. George, R.PH.
• Richard E Gerhardt, D.D.S.
• Saman Reza Gharib, DMD
• Mark David Gilberts, DDS
• Kathy Sue Gluzinski, RPH

• Occupational Medicine Physician in Great Lakes, IL
• Providers in Great Lakes, IL by specialty
• Occupational Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.