Geisinger Clinic
Organization Active NPI Family Medicine Physician · Berwick, PA
NPI 1194776526 · NPPES record last updated Nov 11, 2021
Key facts
- NPI
- 1194776526
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- GEISINGER CLINIC
- Practice address
- W 2200 Front St
Berwick, PA 18603 - Phone
- (570) 759-1228
- NPI assigned
- May 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Cindy Mull
- Title
- Director
- Phone
- (570) 271-6144
Corporate family (same tax ID) 24
Practitioners 2
-
Erin Elizabeth Rossi, NCC
-
Dennis M. Sheehe, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- Geisinger Clinic Sunbury
Locations
42 N Scott St
Carbondale, PA 18407
Phone (570) 282-6660
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Clinical Pathology/Laboratory Medicine Physician |
207ZP0105X | |||
| Diagnostic Radiology Physician |
2085R0202X | |||
| Clinical Medical Laboratory | 291U00000X | PA | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
W 2200 Front St
Berwick, PA 18603
Mailing address
100 N Academy Ave
Danville, PA 17822-3034
Other practice location 1
6850 Lows Road
Bloomsburg, PA 17815-8708
Phone (570) 316-5700
Other providers in Berwick, PA
- Toni Frey
- FRG Central PA PC
- Rhonda Gaizick
- Gaudenzia Inc
- Frank Gegwich
- Geisinger Clinic
- Geisinger Clinic
- Anton Lyubomirov Georgiev
- Frank J Giugliano
- Glen Brook Rehabilitation and Healthcare Center LLC
All providers in Berwick, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.