Active NPI
Charles J. Geilfuss III, MD
- Anatomic Pathology & Clinical Pathology Physician
- N Charleston, SC
National Provider Identifier
1811956378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 17642
- Practice address
- 9330 Medical Plaza Dr
N Charleston, SC 29406-9104 - Phone
- (843) 847-4179
- Fax
- (843) 847-4296
- NPI assigned
- Mar 22, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 17642 | SC | Primary |
Addresses
Primary practice location
9330 Medical Plaza Dr
N Charleston, SC 29406-9104
Mailing address
PO Box 49009
Greenwood, SC 29649-0001
Phone (864) 223-3070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T16328 | Medicaid | SC |
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 |
|---|---|---|---|
| 17642 | SC | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200528000000",
"number": "1811956378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 49009",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296490001",
"telephone_number": "864-223-3070",
"fax_number": "864-223-1396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9330 MEDICAL PLAZA DR",
"city": "N CHARLESTON",
"state": "SC",
"postal_code": "294069104",
"telephone_number": "843-847-4179",
"fax_number": "843-847-4296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEILFUSS",
"first_name": "CHARLES",
"middle_name": "J.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-22",
"last_updated": "2008-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "SC",
"license": "17642",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "T16328",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in N Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.