Individual provider Active NPI

Steven Walter Geise, DO

  • Family Medicine Physician
  • Green Valley, AZ
National Provider Identifier
1972571602
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6852 Issued in AZ
Practice address
670 S Park Centre Ave
Green Valley, AZ 85614-2132
Phone
(520) 648-8900
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6852 AZ Primary

Addresses

Primary practice location

670 S Park Centre Ave
Green Valley, AZ 85614-2132

Mailing address

1260 S Campbell Ave
Green Valley, AZ 85614-0504

Other practice location 1

4475 S I 19 Frontage Rd Ste 139
Green Valley, AZ 85614-5884
Phone (520) 407-5910

Other identifiers 6

IdentifierTypeStateIssuer
1009151950001MedicaidPA
812751OtherPAUNITEDHEALTHCARE
B31682OtherPAHEALTHAMERICA
010914OtherPAHIGHMARK BLUE SHIELD
001857OtherPAFIRST PRIORITY HEALTH
4242767OtherPAAETNA

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
6852AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providers Direct, PLLC PastSince Feb 1, 2016 Accepting new patients
Susquehanna Physician Services Family Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10556/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1972571602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 S CAMPBELL AVE",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856140504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 S PARK CENTRE AVE",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856142132",
            "telephone_number": "520-648-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4475 S I 19 Frontage Rd Ste 139",
            "address_purpose": "LOCATION",
            "city": "Green Valley",
            "state": "AZ",
            "postal_code": "856145884",
            "country_code": "US",
            "telephone_number": "520-407-5910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEISE",
        "first_name": "STEVEN",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "6852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009151950001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "812751",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHAMERICA",
            "identifier": "B31682",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "010914",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "001857",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4242767",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.