Active NPI
Linda Geis, M.D.
- Pediatrics Physician
- Fort Collins, CO
National Provider Identifier
1902066434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25780
- Practice address
- 3401 Shore Rd
Fort Collins, CO 80524-1689 - Phone
- (970) 282-0058
- NPI assigned
- Jun 9, 2008
- Last updated
- Jun 8, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25780 | CO | Primary |
Addresses
Primary practice location
3401 Shore Rd
Fort Collins, CO 80524-1689
Mailing address
3401 Shore Rd
Fort Collins, CO 80524-1689
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01257807 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151231000067 | CO | Order and Referring Only - Pediatric Medicine | 8224330618 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25780 | CO | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496880000000",
"number": "1902066434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 SHORE RD",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805241689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 SHORE RD",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805241689",
"telephone_number": "970-282-0058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEIS",
"first_name": "LINDA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-09",
"last_updated": "2017-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "25780",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01257807",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
- Amy Marie Gebers, CST, CFA
- Terry Lee Gebhardt, PT, MPT, DPT
- Jack Geddes
- Jessica Gefre, CNM
- John Raymond Geis, MD
- Lisa Ann Geisterfer, LPC
- Samuel Hayes Gelber, MFTC
- Maya Elizabeth Gelormino
- Generalcare Health Services (GeneralCare Medical Clinic)
- Genesis Eldercare Rehabilitation Services LLC (Genesis Rehabilitation Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.