Basic Information
| Provider Information | |||||||||
| NPI: | 1447324488 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GEIGER | ||||||||
| FirstName: | ROBERT | ||||||||
| MiddleName: | STEPHEN | ||||||||
| NamePrefix: | MR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4302 ALLEN RD | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | STOW | ||||||||
| State: | OH | ||||||||
| PostalCode: | 442241032 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3309459551 | ||||||||
| FaxNumber: | 3309459920 | ||||||||
| Practice Location | |||||||||
| Address1: | 4302 ALLEN RD | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | STOW | ||||||||
| State: | OH | ||||||||
| PostalCode: | 442241032 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3309459551 | ||||||||
| FaxNumber: | 3309459920 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/20/2006 | ||||||||
| LastUpdateDate: | 04/21/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 35051474G | OH | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207Q00000X | 35051474G | OH | N | Allopathic & Osteopathic Physicians | Family Medicine | 208VP0000X | 35051474G | OH | Y | Allopathic & Osteopathic Physicians | Pain Medicine | Pain Medicine |
ID Information
| ID | Type | State | Issuer | Description | 0626148 | 05 | OH | MEDICAID |