DR. ROGER WILLIAM GEISS (NPI# 1821342973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821342973 |
| Entity Type | Individual |
| Full Name | DR. ROGER WILLIAM GEISS |
| Credential | M.D. |
| Practice Address |
1 Illini Dr Department of Pathology Peoria IL 61605-2576 |
| Practice Telephone | 3096718440 |
| Practice Fax Number | 3096718434 |
| Mailing Telephone | 3096718440 |
| Mailing Fax Number | 3096718434 |
| Enumeration Date | 2012-10-27 |
| Last Update Date | 2012-10-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
036.054573 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1 ILLINI DR DEPARTMENT OF PATHOLOGY |
| City | PEORIA |
| State | IL |
| Zip Code | 61605-2576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134198856 | Richard Horndasch | Pediatrics | 1 Illini Dr, Medical Service Plan, Peoria, IL 61605-2576 | 2006-03-15 |
| 1306468822 | Kelly Goldsmith | Student in an Organized Health Care Education/Training Program | 1 Illini Dr, Peoria, IL 61605-2576 | 2020-05-07 |
| 1063047108 | George Elliot Tsourdinis | Student in an Organized Health Care Education/Training Program | 1 Illini Dr, Peoria, IL 61605-2576 | 2020-03-09 |
| 1912532110 | Alexandria Patricia Weston | Student in an Organized Health Care Education/Training Program | 1 Illini Dr, Peoria, IL 61605-2576 | 2020-03-08 |
| 1659928208 | Robert George | Student in an Organized Health Care Education/Training Program | 1 Illini Dr, Peoria, IL 61605-2576 | 2019-08-19 |
| 1649838327 | Megan Michelle Mccollum | Student in an Organized Health Care Education/Training Program | 1 Illini Dr, Peoria, IL 61605-2576 | 2019-05-29 |
| 1033774104 | Valerie Jaroenpuntaruk | Student in an Organized Health Care Education/Training Program | 1 Illini Dr, Peoria, IL 61605-2576 | 2019-05-04 |
| 1588186944 | Jeanna Rich | Dietitian, Registered | 1 Illini Dr, Peoria, IL 61605-2576 | 2017-07-07 |
| 1932638186 | Jonathan George Bardahl | Pediatrics | 1 Illini Dr, Peoria, IL 61605-2576 | 2017-06-09 |
| 1467980011 | Yuliya Belopolsky | Internal Medicine | 1 Illini Dr, Peoria, IL 61605-2576 | 2017-05-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386131878 | Nicholas Anthony Helling | Physical Therapist | 518 W Romero B Garret Ave, Poeria, IL 61605 | 2018-04-19 |
| 1891241022 | Peoria Slf Lp | Assisted Living Facility | 518 West Romeo B. Garrett Avenue, Peoria, IL 61605 | 2016-08-28 |
| 1932479664 | Michelle L Whitelow | Nurse Practitioner | 711 W John Gwynn Jr. Avenue, Peoria, IL 61605 | 2012-01-11 |
| 1982852877 | Jason M Anane-sefah | Orthopaedic Surgery | 303 North Kumpf Boulevard, Peoria, IL 61605 | 2008-09-04 |
| 1902098908 | Calvary Elderly Home Help Program | Home Health | 1709 W Lincoln Ave, Peoria, IL 61605 | 2007-08-14 |
| 1023104437 | Thomas Anderson | Optometrist | 710 W Third Avenue, Peoria, IL 61605 | 2006-10-04 |
| 1841382298 | Devashish Agarwal | Family Medicine | 1701 W. Garden Street, Peoria, IL 61605 | 2006-09-29 |
| 1497763197 | Larry T Rolle | Pharmacist | 411 Martin Luther King Dr., Peoria, IL 61605 | 2006-08-04 |
| 1568404762 | Joseph P Kelly Iv | Physical Therapist | 303 N. Kumpf Blvd, Peoria, IL 61605 | 2006-06-12 |
| 1003861634 | Patrick William Elwood | Neurological Surgery | 719 N William Kumpf Blvd, Suite 100, Peoria, IL 61605 | 2006-05-23 |
| Find all providers in zip 61605 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396783510 | David J Flanders | Pathology | 1320 W Bird Blvd, Peoria, IL 61615-1406 | 2006-06-02 |
| 1154647055 | Michael Dennis Lunt | Pathology | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2010-04-16 |
| 1780819037 | Julia Anne Adams | Pathology | 221 Ne Glen Oak Ave, Peoria, IL 61603-4310 | 2009-05-15 |
| 1285890129 | Katherine Ann Kasper | Pathology | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 | 2008-07-30 |
| 1528222965 | Wei Liu | Pathology | 221 Ne Glen Oak Ave, Peoria, IL 61636-1182 | 2008-07-15 |
| 1033373311 | Andrew Brian Armstrong | Pathology | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 | 2008-07-15 |
| 1154580447 | Pamela Pineda Goodell | Pathology | 221 Ne Glen Oak Ave, Department of Pathology, Peoria, IL 61636-0001 | 2008-06-03 |
| 1245255652 | Ronald Winek | Pathology | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2006-07-13 |
| 1326063728 | Galen Kessler | Pathology | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2006-07-13 |
| 1225053754 | Michael P Hayes | Pathology | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2006-07-13 |
| Find all providers in PEORIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.