Provider Demographics
NPI:1447324488
Name:GEIGER, ROBERT STEPHEN (MD)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:STEPHEN
Last Name:GEIGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4302 ALLEN RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:STOW
Mailing Address - State:OH
Mailing Address - Zip Code:44224-1032
Mailing Address - Country:US
Mailing Address - Phone:330-945-9551
Mailing Address - Fax:330-945-9920
Practice Address - Street 1:4302 ALLEN RD
Practice Address - Street 2:SUITE 300
Practice Address - City:STOW
Practice Address - State:OH
Practice Address - Zip Code:44224-1032
Practice Address - Country:US
Practice Address - Phone:330-945-9551
Practice Address - Fax:330-945-9920
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2010-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35051474G207L00000X, 207Q00000X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0626148Medicaid
OHGE0647665Medicare ID - Type Unspecified
OH0626148Medicaid