Provider Demographics
NPI:1467488585
Name:GEISLER, DANIEL PHILLIP (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:PHILLIP
Last Name:GEISLER
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 1:161 FORT WASHINGTON AVE FL 8
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3729
Mailing Address - Country:US
Mailing Address - Phone:212-342-1155
Mailing Address - Fax:212-305-0267
Practice Address - Street 1:6550 FANNIN ST STE 1601
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2717
Practice Address - Country:US
Practice Address - Phone:713-441-5141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2018-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY291498-1208C00000X
PAMD073236L208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX360448002Medicaid
OH2598336Medicaid
TX360448001Medicaid
TX8FZ227OtherBCBS
TX8FZ228OtherBCBS
TX506029ZSWDMedicare PIN
OHH091440Medicare PIN
OHH81868Medicare UPIN
OH2598336Medicaid