Healthcare Provider Details

I. General information

NPI: 1184601460
Provider Name (Legal Business Name): JOSEPH E GEYER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2005
Last Update Date: 09/18/2020
Certification Date: 09/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 WESTFIELD RD STE 100
NOBLESVILLE IN
46060-1442
US

IV. Provider business mailing address

PO BOX 775985
CHICAGO IL
60677-5985
US

V. Phone/Fax

Practice location:
  • Phone: 317-773-5876
  • Fax: 317-776-0363
Mailing address:
  • Phone: 317-770-6900
  • Fax: 317-770-6911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number01026239
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: