TIMOTHY LOUIS GIESEKE M.D. NPI 1992703706

NPI Information

  • NPI: 1992703706
  • Provider Name: TIMOTHY LOUIS GIESEKE, M.D.
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3536 MENDOCINO AVE
    300
    SANTA ROSA, CA
    ZIP 95403
  • Phone: (707) 546-2180

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NPI Details

Timothy Louis Gieseke, M.D. is an internal medicine in Santa Rosa, CA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Timothy Louis Gieseke, M.D. NPI is 1992703706. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3536 MENDOCINO AVE
300
SANTA ROSA, CA
ZIP 95403-634
Phone: (707) 546-2180
Fax: (707) 546-2188

The NPI 1992703706 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/14/2005 and was last updated on 2/7/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineG34398CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A89573MEDICARE UPINCALIFORNIA
200G343980MEDICAIDCALIFORNIA
3EZ122ZMEDICARE PINCALIFORNIA
400G343982MEDICARE PINCALIFORNIA
500G343980OTHERCALIFORNIABLUE SHIELD OF CALIFORNIA
6P00602516OTHERCALIFORNIARAILDROAD MEDICARE
700G343981MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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