Active NPI
Millicent Odunze Geers, M.D., M.P.H.
- Plastic Surgery Physician
- Monument, CO
National Provider Identifier
1710143581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 36114563
- Practice address
- 77 3Rd St
Monument, CO 80132-8179 - Phone
- (719) 633-5255
- Fax
- (312) 695-5672
- NPI assigned
- Jul 31, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 36114563 | IL | Primary |
Addresses
Primary practice location
77 3Rd St
Monument, CO 80132-8179
Mailing address
77 3Rd St
Monument, CO 80132-8179
Phone (719) 633-5255
Other practice location 1
675 N Saint Clair St
Division of Plastic Surgery, Suite 19-250
Chicago, IL 60611-5975
Phone (312) 695-6022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36114563 | Other | IL | ILLINOIS PHYSICIAN LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | MONUMENT |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36114563 | IL | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fraser Professional Medical Group LLC | Current | Accepting new patients | |
| Central Dupage Physician Group | Past | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Monument, CO
- NPI 1194313346
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629331200000",
"number": "1710143581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 3RD ST",
"city": "MONUMENT",
"state": "CO",
"postal_code": "801328179",
"telephone_number": "719-633-5255",
"fax_number": "312-695-5672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 3RD ST",
"city": "MONUMENT",
"state": "CO",
"postal_code": "801328179",
"telephone_number": "719-633-5255",
"fax_number": "312-695-5672"
}
],
"practiceLocations": [
{
"address_1": "675 N Saint Clair St",
"address_2": "Division of Plastic Surgery, Suite 19-250",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606115975",
"country_code": "US",
"telephone_number": "312-695-6022",
"fax_number": "312-695-5672",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEERS",
"first_name": "MILLICENT",
"middle_name": "ODUNZE",
"name_prefix": "Dr.",
"credential": "M.D., M.P.H.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-31",
"last_updated": "2021-08-19",
"certification_date": "2021-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "IL",
"license": "36114563",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS PHYSICIAN LICENSE",
"identifier": "36114563",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "MONUMENT",
"affiliation": "N",
"address_1": "77 3rd St",
"city": "Monument",
"state": "CO",
"country_code": "US",
"postal_code": "801328179",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Monument, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.