Active NPI
Samuel Geise
- Hearing Instrument Specialist
- Quincy, IL
National Provider Identifier
1871372615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 3514
- Practice address
- 1517 S 12TH St
Quincy, IL 62301-6759 - Phone
- (217) 228-1974
- NPI assigned
- Sep 21, 2023
- Last updated
- Sep 21, 2023
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 3514 | IL | Primary |
Addresses
Primary practice location
1517 S 12TH St
Quincy, IL 62301-6759
Mailing address
1517 S 12TH St
Quincy, IL 62301-6759
Phone (217) 228-1974
Other practice location 1
941 W Washington St
Pittsfield, IL 62363-1355
Phone (217) 228-1974
Other practice location 2
90 S Madison St
Carthage, IL 62321-1331
Phone (217) 228-1974
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3514 | IL | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicago Hearing LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695254400000",
"number": "1871372615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1517 S 12TH ST",
"city": "QUINCY",
"state": "IL",
"postal_code": "623016759",
"telephone_number": "217-228-1974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1517 S 12TH ST",
"city": "QUINCY",
"state": "IL",
"postal_code": "623016759",
"telephone_number": "217-228-1974"
}
],
"practiceLocations": [
{
"address_1": "941 W Washington St",
"address_purpose": "LOCATION",
"city": "Pittsfield",
"state": "IL",
"postal_code": "623631355",
"country_code": "US",
"telephone_number": "217-228-1974",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "90 S Madison St",
"address_purpose": "LOCATION",
"city": "Carthage",
"state": "IL",
"postal_code": "623211331",
"country_code": "US",
"telephone_number": "217-228-1974",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEISE",
"first_name": "SAMUEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-21",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "IL",
"license": "3514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Quincy, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.