Individual provider Active NPI

Erik D Geissal, MD

  • Internal Medicine Physician
  • Vancouver, WA
National Provider Identifier
1982895819
Registry record updated Jan 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD60599738 Issued in WA
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

Updated by the provider on Jan 21, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
500606888MedicaidOR
2005426MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081124000163 OR Practitioner - Internal Medicine 1254491087 Reassigns benefits to 2 organizations
I20170728003164 WA Practitioner - Internal Medicine 1254491087 Reassigns benefits to 2 organizations

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
The Vancouver Clinic Inc PSGroup PAC ID 3173436490, 580 clinicians

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

LicenseStateTypeSpecialty
MD60599738WAMDClinical Informatics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Clackamas Office of County Auditor CurrentSince Feb 3, 2017 Accepting new patients
The Vancouver Clinic Inc PS CurrentSince Jan 28, 2019 Accepting new patients
Neighborcare Health CurrentSince Jul 10, 2017 Accepting new patients
Neighborcare Health CurrentSince Jul 10, 2017 Accepting new patients
Neighborcare Health Current Accepting new patients
Clackamas County Current Accepting new patients
The Vancouver Clinic Inc PS Family Medicine CurrentSince Jan 28, 2019 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.