Active NPI
Erik D Geissal, MD
- Internal Medicine Physician
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD60599738
- Practice address
- 7809 NE Vancouver Plaza Dr Ste 110
Vancouver, WA 98662 - Phone
- (360) 882-2778
- Fax
- (360) 604-1728
- NPI assigned
- Aug 6, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Informatics Physician | 2083C0008X | MD60599738 | WA | |
| Internal Medicine Physician | 207R00000X | MD28373 | OR | |
| Internal Medicine Physician | 207R00000X | MD60599738 | WA | Primary |
Addresses
Primary practice location
7809 NE Vancouver Plaza Dr Ste 110
Vancouver, WA 98662
Mailing address
PO Box 4825
Portland, OR 97208-4825
Phone (360) 882-2778
Other practice location 1
9800 SE Sunnyside Rd
Clackamas, OR 97015-9750
Phone (503) 652-2880
Other practice location 2
9800 SE Sunnyside Rd
Clackamas, OR 97015-9750
Phone (503) 652-2880
Other practice location 3
9245 Rainier Ave S
Seattle, WA 98118-5569
Phone (206) 722-8444
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500606888 | Medicaid | OR | |
| 2005426 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Tufts University School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
340 NW Burnside Rd
Gresham, OR 97030-3852
Phone (360) 882-2778
700 NE 87TH Ave
Vancouver, WA 98664-1913
Phone (360) 882-2778
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60599738 | WA | MD | Clinical Informatics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Clackamas Office of County Auditor | Current | Accepting new patients | |
| The Vancouver Clinic Inc PS | Current | Accepting new patients | |
| Neighborcare Health | Current | Accepting new patients | |
| Neighborcare Health | Current | Accepting new patients | |
| Neighborcare Health | Current | Accepting new patients | |
| Clackamas County | Current | Accepting new patients | |
| The Vancouver Clinic Inc PS | Family Medicine | Current | Accepting new patients |
| Neighborcare Health | Current | Accepting new patients | |
| The Vancouver Clinic Pharmacy | Past | Accepting new patients | |
| Mid-Columbia Medical Center | Family Medicine | Past | Accepting new patients |
Locations
340 NW Burnside Rd
Gresham, OR 97030
Phone (971) 432-7500
2051 Kaen Rd
Ste 367
Oregon City, OR 97045
Phone (503) 742-5300
110 Beavercreek Rd
Oregon City, OR 97045
Phone (503) 655-8470
9245 Rainier Ave S
Seattle, WA 98118
Phone (206) 461-6981
12721 30th Ave NE
Ste 101
Seattle, WA 98125
Phone (206) 417-0326
6020 35th Ave SW
Seattle, WA 98126
Phone (206) 461-6950
4400 37th Ave S
Seattle, WA 98118
Phone (206) 296-4650
1629 N 45th St
Seattle, WA 98103
Phone (206) 633-3350
700 NE 87th Ave
Vancouver, WA 98664
Phone (360) 397-1500
2525 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1500
2525 NE 139th St
Ste 140
Vancouver, WA 98686
Phone (360) 822-2778
7809 NE Vancouver Plaza Dr
Ste 110
Vancouver, WA 98662
Interoperability endpoints
- egeissal13327@tvc-direct.org
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- Vancouver, WA
- NPI 1992759427
Family Medicine, OR
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1578593562
-
- Federally Qualified Health Center (FQHC)
- Oregon City, OR
- NPI 1841443587
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1275187429
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1275567539
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1285664227
-
- Ambulatory Surgical Clinic/Center
- Vancouver, WA
- NPI 1306556907
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukie, OR
- NPI 1245269315
-
- Pharmacist
- Vancouver, WA
- NPI 1336365857
-
- Rural Health Clinic/Center
- The Dalles, OR
- NPI 1154351336
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548028800000",
"number": "1982895819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4825",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972084825",
"telephone_number": "360-882-2778",
"fax_number": "360-604-1771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7809 NE VANCOUVER PLAZA DR STE 110",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98662",
"telephone_number": "360-882-2778",
"fax_number": "360-604-1728"
}
],
"practiceLocations": [
{
"address_1": "9800 SE Sunnyside Rd",
"address_purpose": "LOCATION",
"city": "Clackamas",
"state": "OR",
"postal_code": "970159750",
"country_code": "US",
"telephone_number": "503-652-2880",
"fax_number": "503-652-2880",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9800 SE Sunnyside Rd",
"address_purpose": "LOCATION",
"city": "Clackamas",
"state": "OR",
"postal_code": "970159750",
"country_code": "US",
"telephone_number": "503-652-2880",
"fax_number": "503-652-2880",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9245 Rainier Ave S",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981185569",
"country_code": "US",
"telephone_number": "206-722-8444",
"fax_number": "206-721-6310",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEISSAL",
"first_name": "ERIK",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-06",
"last_updated": "2019-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "2083C0008X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Clinical Informatics",
"state": "WA",
"license": "MD60599738",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD28373",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD60599738",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500606888",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2005426",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.