Healthcare Provider Details

I. General information

NPI: 1578904181
Provider Name (Legal Business Name): GEIGER PAIN CLINIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2013
Last Update Date: 07/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4302 ALLEN RD SUITE 300
STOW OH
44224-1070
US

IV. Provider business mailing address

4302 ALLEN RD SUITE 300
STOW OH
44224-1070
US

V. Phone/Fax

Practice location:
  • Phone: 330-945-7246
  • Fax: 330-945-9920
Mailing address:
  • Phone: 330-945-7246
  • Fax: 330-945-9920

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number34051474
License Number StateOH

VIII. Authorized Official

Name: DR. ROBERT S. GEIGER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 330-945-7246