Active NPI
Geisinger-HM Joint Venture, LLC
- Family Medicine Physician
- Williamsport, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- GEISINGER-HM JOINT VENTURE, LLC
- Practice address
- 1824 E 3Rd St
Williamsport, PA 17701-3914 - Phone
- (570) 601-2200
- Fax
- (570) 601-2202
- NPI assigned
- Apr 1, 2019
- Last updated
- Apr 1, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cindy Mull
- Title
- Director
- Phone
- (570) 271-6144
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary | |
| Physician Assistant | 363A00000X | NU | ||
| Nurse Practitioner | 363L00000X | NU |
Addresses
Primary practice location
1824 E 3Rd St
Williamsport, PA 17701-3914
Mailing address
100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, MD, CT, NJ, CO, TX, TN, SC, VA, GA, AZ, CA, NH, WA, NV, NC, HI, NY, MI, KS, OH, MN, FL, OR, UT, MA, DE, ID, LA, DC, WV, IA, IL
Enrollment records 33
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190826000803 | PA | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 1,577 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Sewickley, PA; Williamsport, PA; Waverly, PA; Philadelphia, PA; Penn Valley, PA; Newtown Square, PA; Montoursville, PA; Maple Glen, PA… |
| O20200203001346 | MD | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 4 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Baltimore, MD; Cambridge, MD; Reisterstown, MD; Towson, MD |
| O20200211001278 | CT | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 3 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Canton, CT; Milford, CT; Stamford, CT |
| O20200211001738 | NJ | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 4 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Basking Ridge, NJ; Linwood, NJ; Denville, NJ; Elizabeth, NJ |
| O20200212002229 | CO | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 8 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Crested Butte, CO; Monument, CO; Longmont, CO; Lakewood, CO; Golden, CO; Fort Collins, CO; Denver, CO; Castle Rock, CO… |
| O20200220001257 | TX | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 18 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Austin, TX; San Antonio, TX; Plano, TX; McAllen, TX; Lubbock, TX; La Vernia, TX; Houston, TX; Garland, TX… |
| O20200221001561 | TN | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 8 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Memphis, TN; Pulaski, TN; Nashville, TN; Knoxville, TN; Kingsport, TN; Franklin, TN |
| O20200225000276 | SC | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 1 practitioner 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bluffton, SC |
| O20200225000367 | VA | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 18 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Virginia Beach, VA; Richmond, VA; Penn Laird, VA; Norfolk, VA; Midlothian, VA; McLean, VA; Henrico, VA; Glen Allen, VA… |
| O20200225002332 | GA | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 4 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Peachtree City, GA; Marietta, GA; Atlanta, GA; Brookhaven, GA |
| O20200226001693 | AZ | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 11 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Cave Creek, AZ; Chandler, AZ; Flagstaff, AZ; Paradise Valley, AZ; Prescott, AZ; Scottsdale, AZ; Tempe, AZ; Tucson, AZ |
| O20200226002127 | CA | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 23 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Rancho Mirage, CA; Riverside, CA; San Francisco, CA; San Jose, CA; Santa Rosa Valley, CA; Saratoga, CA; South Pasadena, CA; Sunnyvale, CA… |
| O20200303000524 | NH | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 4 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Portsmouth, NH; Salem, NH; Raymond, NH; Madbury, NH |
| O20200303001139 | WA | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 12 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Yakima, WA; Tacoma, WA; Seattle, WA; Olympia, WA; Mercer Island, WA; Mukilteo, WA; Bellevue, WA; Bellingham, WA… |
| O20200303001221 | NV | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 7 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Henderson, NV; Incline Village, NV; Las Vegas, NV; North Las Vegas, NV; Reno, NV |
| O20200305001584 | NC | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 12 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Pfafftown, NC; Mooresville, NC; Lenoir, NC; Hope Mills, NC; Hillsborough, NC; Gastonia, NC; Charlotte, NC; Chapel Hill, NC… |
| O20200309000272 | HI | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 4 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Kailua, HI; Honolulu, HI |
| O20200309000610 | NY | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 17 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: White Plains, NY; Sag Harbor, NY; Rye, NY; Poughkeepsie, NY; Pittsford, NY; New York, NY; Clarence Center, NY; New Hyde Park, NY… |
| O20200318001583 | MI | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 5 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Traverse City, MI; Midland, MI; Marquette, MI; Bloomfield Hills, MI; Birmingham, MI; Ann Arbor, MI; Holland, MI |
| O20200408000902 | KS | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 4 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Hutchinson, KS; Augusta, KS; Concordia, KS |
| O20200410000288 | OH | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 5 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Strongsville, OH; Hudson, OH; Celina, OH; Avon, OH |
| O20200413000198 | MN | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 1 practitioner 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Eden Prairie, MN; Minnetonka, MN; Sartell, MN |
| O20200415000457 | FL | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 31 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Naples, FL; Orlando, FL; Palm Beach Gardens, FL; Palm City, FL; Palm Harbor, FL; Pensacola, FL; Ponte Vedra Beach, FL; Sarasota, FL… |
| O20200528001095 | OR | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 6 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Eugene, OR; Portland, OR; Lake Oswego, OR; Hood River, OR; Beaverton, OR |
| O20230505000844 | UT | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 3 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Cedar Hills, UT; Park City, UT; Salt Lake City, UT; Syracuse, UT |
| O20230608001567 | MA | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 8 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Arlington, MA; East Falmouth, MA; Jamaica Plain, MA; Newton, MA; Orleans, MA; Quincy, MA; West Stockbridge, MA; Worcester, MA |
| O20230824004374 | DE | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 1 practitioner 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Rehoboth Beach, DE |
| O20230830000892 | ID | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 3 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Boise, ID; Meridian, ID; Sandpoint, ID |
| O20231016002577 | LA | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 2 practitioners 3 other NPIs on this enrollment Practice locations: Baton Rouge, LA; Belle Chasse, LA; Lafayette, LA |
| O20231107002864 | DC | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 7 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Washington, DC; Vienna, VA; Potomac, MD; Falls Church, VA; Derwood, MD; Bethesda, MD; Kensington, MD |
| O20231219001725 | WV | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 1 practitioner 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lewisburg, WV |
| O20240627004092 | IA | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 6 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Burlington, IA; Waukee, IA; North Liberty, IA; Le Mars, IA; Iowa City, IA |
| O20240730002963 | IL | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 2 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Edwardsville, IL; Dunlap, IL |
Other NPIs with the same Medicare PAC ID 4
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Geisinger Medical Clinic Lock Haven
- Family Medicine Physician
- Lock Haven, PA
- NPI 1144876137
1355676370
-
- Gastroenterology Physician
- Montoursville, PA
- NPI 1396207015
1355676370
-
- Ambulatory Surgical Clinic/Center
- Montoursville, PA
- NPI 1437706140
1355676370
Other NPIs on the same Medicare enrollment 7
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Internal Medicine Physician
- Muncy, PA
- NPI 1952076119
O20190826000803, O20200203001346, O20200211001278, O20200211001738, O20200212002229, O20200220001257, O20200221001561, O20200225000276, O20200225000367, O20200225002332, O20200226001693, O20200226002127, O20200303000524, O20200303001139, O20
-
dba Geisinger Medical Clinic Lock Haven
- Family Medicine Physician
- Lock Haven, PA
- NPI 1144876137
O20190826000803, O20200203001346, O20200211001278, O20200211001738, O20200212002229, O20200220001257, O20200221001561, O20200225000276, O20200225000367, O20200225002332, O20200226001693, O20200226002127, O20200303000524, O20200303001139, O20
-
- Gastroenterology Physician
- Montoursville, PA
- NPI 1396207015
O20190826000803, O20200203001346, O20200211001278, O20200211001738, O20200212002229, O20200220001257, O20200221001561, O20200225000276, O20200225000367, O20200225002332, O20200226001693, O20200226002127, O20200303000524, O20200303001139, O20
-
dba Geisinger Jersey Shore Associates
- Family Medicine Physician
- Lock Haven, PA
- NPI 1427604222
O20190826000803, O20200203001346, O20200211001278, O20200211001738, O20200212002229, O20200220001257, O20200221001561, O20200225000276, O20200225000367, O20200225002332, O20200226001693, O20200226002127, O20200303000524, O20200303001139, O20
-
dba GMG Lycoming Family Practice
- Family Medicine Physician
- Montoursville, PA
- NPI 1740836808
O20190826000803, O20200203001346, O20200211001278, O20200211001738, O20200212002229, O20200220001257, O20200221001561, O20200225000276, O20200225000367, O20200225002332, O20200226001693, O20200226002127, O20200303000524, O20200303001139, O20
National Provider Directory
National Provider DirectoryLocations
2001 Falls Blvd
Quincy, MA 02169
Phone (303) 720-3651
Practitioners & affiliated clinicians
Practitioners 1,842
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Diagnostic Radiology Physician
- Edina, MN
- NPI 1285052217
Family Medicine, LA
-
- Diagnostic Radiology Physician
- Wilkes Barre, PA
- NPI 1801214325
-
- Psychiatry Physician
- Wilkes Barre, PA
- NPI 1427048917
-
- Behavioral Neurology & Neuropsychiatry Physician
- Danville, PA
- NPI 1861074163
-
- Family Medicine Physician
- Lock Haven, PA
- NPI 1922289891
-
- Family Nurse Practitioner
- Lewisburg, PA
- NPI 1972193357
-
- Certified Registered Nurse Anesthetist
- Philadelphia, PA
- NPI 1245846211
-
- Gastroenterology Physician
- Danville, PA
- NPI 1619262854
-
- Emergency Medicine Physician
- Wilkes Barre, PA
- NPI 1144395922
-
- Hematology & Oncology Physician
- Danville, PA
- NPI 1932198629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554076800000",
"number": "1073075909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N ACADEMY AVE",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178224903",
"telephone_number": "570-271-6144",
"fax_number": "570-271-6578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1824 E 3RD ST",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177013914",
"telephone_number": "570-601-2200",
"fax_number": "570-601-2202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEISINGER-HM JOINT VENTURE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-01",
"last_updated": "2019-04-01",
"status": "A",
"authorized_official_last_name": "MULL",
"authorized_official_first_name": "CINDY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "570-271-6144"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.