NPIMap

Organization Active NPI

Geisinger Clinic

  • Family Medicine Physician
  • Danville, PA
National Provider Identifier
1164716643
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GEISINGER CLINIC
Practice address
175 Northumberland Street
Danville, PA 17821-1508
Phone
(570) 284-4575
Fax
(570) 284-4577
NPI assigned
Jun 2, 2011
Last updated
Jul 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Cindy Mull
Title
Director
Phone
(570) 271-6144

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

175 Northumberland Street
Danville, PA 17821-1508

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6211

Other practice location 1

410 Glen Ave
Bloomsburg, PA 17815-1200
Phone (570) 416-1890

Other practice location 2

631 Northern Blvd
South Abington Township, PA 18410
Phone (570) 587-2290

Other practice location 3

2631 US 11
Nicholson, PA 18446-0591
Phone (570) 942-6124

Other practice location 4

5 Lakeview Dr
Moosic, PA 18507-2108
Phone (570) 558-2186

Other practice location 5

10990 Rt 61
Mt Carmel, PA 17851-2575
Phone (570) 554-9270

Other practice location 6

1151 N. 4th Street
Sunbury, PA 17801-1221
Phone (570) 556-4900

Other practice location 7

114 Lt Michael Cleary Dr
Dallas, PA 18612-3828
Phone (570) 255-1178

Other practice location 8

809 Hunter Highway
Tunkhannock, PA 18657-8071
Phone (570) 996-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040130000518 PA Part B Supplier - Clinic/Group Practice 5395657001 Receives reassigned benefits from 5,323 practitioners
This NPI is an additional NPI on the enrollment
O20181220001991 VA Part B Supplier - Clinic/Group Practice 5395657001 Receives reassigned benefits from 24 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Norfolk, VA; Penn Laird, VA; Reston, VA; Richmond, VA; Roanoke, VA; Salem, VA; Virginia Beach, VA; Sterling, VA…

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Geisinger Medical Oncology Lock Haven275 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 76

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.

View all 76

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751328000000",
    "number": "1164716643",
    "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": "570-271-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 NORTHUMBERLAND STREET",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178211508",
            "telephone_number": "570-284-4575",
            "fax_number": "570-284-4577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 Glen Ave",
            "address_purpose": "LOCATION",
            "city": "Bloomsburg",
            "state": "PA",
            "postal_code": "178151200",
            "country_code": "US",
            "telephone_number": "570-416-1890",
            "fax_number": "570-387-2240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "631 Northern Blvd",
            "address_purpose": "LOCATION",
            "city": "South Abington Township",
            "state": "PA",
            "postal_code": "18410",
            "country_code": "US",
            "telephone_number": "570-587-2290",
            "fax_number": "570-587-1874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2631 US 11",
            "address_purpose": "LOCATION",
            "city": "Nicholson",
            "state": "PA",
            "postal_code": "184460591",
            "country_code": "US",
            "telephone_number": "570-942-6124",
            "fax_number": "570-942-6193",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Lakeview Dr",
            "address_purpose": "LOCATION",
            "city": "Moosic",
            "state": "PA",
            "postal_code": "185072108",
            "country_code": "US",
            "telephone_number": "570-558-2186",
            "fax_number": "570-558-2187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10990 Rt 61",
            "address_purpose": "LOCATION",
            "city": "Mt Carmel",
            "state": "PA",
            "postal_code": "178512575",
            "country_code": "US",
            "telephone_number": "570-554-9270",
            "fax_number": "570-554-9271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1151 N. 4th Street",
            "address_purpose": "LOCATION",
            "city": "Sunbury",
            "state": "PA",
            "postal_code": "178011221",
            "country_code": "US",
            "telephone_number": "570-556-4900",
            "fax_number": "570-556-4901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "114 Lt Michael Cleary Dr",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "PA",
            "postal_code": "186123828",
            "country_code": "US",
            "telephone_number": "570-255-1178",
            "fax_number": "570-255-1174",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "809 Hunter Highway",
            "address_purpose": "LOCATION",
            "city": "Tunkhannock",
            "state": "PA",
            "postal_code": "186578071",
            "country_code": "US",
            "telephone_number": "570-996-2700",
            "fax_number": "570-966-2711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GEISINGER CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-02",
        "last_updated": "2025-07-01",
        "certification_date": "2025-06-11",
        "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",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; 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.

Verify at the official NPI Registry.