Basic Information
Provider Information
NPI: 1497837868
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GEIGER
FirstName: WILLIAM
MiddleName: F.
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 18667
Address2:  
City: ERLANGER
State: KY
PostalCode: 410180667
CountryCode: US
TelephoneNumber: 8595723617
FaxNumber: 8595722326
Practice Location
Address1: 1 MEDICAL VILLAGE DR
Address2:  
City: EDGEWOOD
State: KY
PostalCode: 410173403
CountryCode: US
TelephoneNumber: 8593012250
FaxNumber: 8595722326
Other Information
ProviderEnumerationDate: 10/19/2006
LastUpdateDate: 06/02/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/02/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X01084337AINN Allopathic & Osteopathic PhysiciansEmergency Medicine 
207P00000X40583KYY Allopathic & Osteopathic PhysiciansEmergency Medicine 

ID Information
IDTypeStateIssuerDescription
6410087805KY MEDICAID
271119505OH MEDICAID
20091673005IN MEDICAID


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