Individual provider Active NPI

Thomas Robert Geisler, D.O.

  • Gastroenterology Physician
  • Erie, PA
National Provider Identifier
1740608538
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
012519 Issued in OH
Practice address
145 W 23Rd St Ste 101
Erie, PA 16502-2858
Phone
(814) 452-2767
Fax
(814) 459-2976
NPI assigned
Mar 31, 2014
Last updated
Mar 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 012519 OH
Gastroenterology Physician 207RG0100X OS020445 PA
Gastroenterology Physician 207RG0100X 012519 OH Primary

Addresses

Primary practice location

145 W 23Rd St Ste 101
Erie, PA 16502-2858

Mailing address

667 Eastland Ave SE
Warren, OH 44484-4503
Phone (716) 640-4764

Other practice location 1

3304 Stones Throw Ave
Poland, OH 44514-4204
Phone (330) 707-1115

Other identifiers 1

IdentifierTypeStateIssuer
14569725OtherCAQH

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Poland

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170404001911 OH Practitioner - GastroenterologyPractitioner - Emergency Medicine 9234431107 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triad Health Services LLCGroup PAC ID 9032367917, 252 clinicians

Practice addresses (Care Compare)

918 Trailwood Dr
Suite 1
Youngstown, OH 44512-5037
Phone (330) 726-7598

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.94 of 100Reported as group
Quality
71.12
Promoting interoperability
100
Improvement activities
40
Cost
75.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy89
Upper gastrointestinal (GI) endoscopy for acid reflux314

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
012519OHMDInternal Medicine Physician
OS020445PAMDGastroenterology Physician
8279AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
4M Hospitalist Services, LLC Internal Medicine CurrentSince Mar 1, 2017 Accepting new patients
Triad Health Services, LLC Family Medicine CurrentSince May 1, 2023 Accepting new patients
Sayed M Yossef MD Inc CurrentSince Jun 1, 2022 Accepting new patients
The Surgery Center at Southwoods, LLC Past Accepting new patients

Locations

3557 Embassy Pkwy
Fairlawn, OH 44333
Phone (330) 670-1005

667 Eastland Ave SE
Warren, OH 44484
Phone (330) 841-2378

100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828

250 Debartolo Pl
Ste 3000
Youngstown, OH 44512
Phone (234) 287-6473

3304 Stones Throw Ave
Youngstown, OH 44514
Phone (330) 707-1115

7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480

918 Trailwood Dr
Ste 1
Youngstown, OH 44512
Phone (330) 726-7598

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1740608538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 EASTLAND AVE SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444844503",
            "telephone_number": "716-640-4764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 W 23RD ST STE 101",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022858",
            "telephone_number": "814-452-2767",
            "fax_number": "814-459-2976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3304 Stones Throw Ave",
            "address_purpose": "LOCATION",
            "city": "Poland",
            "state": "OH",
            "postal_code": "445144204",
            "country_code": "US",
            "telephone_number": "330-707-1115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEISLER",
        "first_name": "THOMAS",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-31",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "012519",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "OS020445",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "012519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14569725",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Poland",
            "affiliation": "N",
            "address_1": "3304 Stones Throw Ave",
            "city": "Poland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "445144204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.