Geisinger Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GEISINGER CLINIC

Practice address

12 Kirby Ave
Mountain Top, PA 18707-1215

Phone

(570) 474-5980

NPI assigned

Sep 25, 2006

Organization subpart

No

Name

Kenneth Holdren

Title

Cao

Phone

(570) 271-5490

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Hugh Tomczyk, D.O.

  • Family Medicine Physician
  • Ridgeland, SC
  • NPI 1902097512

  Family Medicine

  NPD (past)

Tax ID family

Geisinger Clinic Sunbury275 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.

• Geisinger Cancer Center of Lewisburg

  • Medical Oncology Physician
  • Lewisburg, PA
  • NPI 1295137388
  NPD tax ID
• Geisinger Clinc

  • Pediatrics Physician
  • Coal Township, PA
  • NPI 1255955399
  NPD tax ID
• Geisinger Clinic

  • Family Medicine Physician
  • Scranton, PA
  • NPI 1184248668
  NPD tax ID
• Geisinger Clinic

  • Orthopaedic Surgery Physician
  • Danville, PA
  • NPI 1184675613
  NPD tax ID
• Geisinger Clinic

  • Family Medicine Physician
  • Reedsville, PA
  • NPI 1194466755
  NPD tax ID
• Geisinger Clinic

  • Family Medicine Physician
  • Berwick, PA
  • NPI 1194776526
  NPD tax ID
• Geisinger Clinic

  • Community/Retail Pharmacy
  • Mifflintown, PA
  • NPI 1215087234
  NPD tax ID
• Geisinger Clinic

  • Cardiovascular Disease Physician
  • Burnham, PA
  • NPI 1215217377
  NPD tax ID
• Geisinger Clinic

  • Family Medicine Physician
  • Wilkes Barre, PA
  • NPI 1215280334
  NPD tax ID
• Geisinger Clinic

  • Community/Retail Pharmacy
  • State College, PA
  • NPI 1225068596
  NPD tax ID
• Geisinger Clinic

  • Family Medicine Physician
  • Kulpmont, PA
  • NPI 1225080138
  NPD tax ID
• Geisinger Clinic

  • Family Medicine Physician
  • Scranton, PA
  • NPI 1225445612
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 30, 2008.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1245330489",
    "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": "178223034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 KIRBY AVE",
            "city": "MOUNTAIN TOP",
            "state": "PA",
            "postal_code": "187071215",
            "telephone_number": "570-474-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEISINGER CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "HOLDREN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "570-271-5490"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS",
            "identifier": "710347",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael J Evan, CRNA
• Rajneel Farley
• Christina L Feldmann, PA-C
• Wendy S Fenwick, OTR/L
• Anita W Frank, OTR/L
• Geisinger Clinic
• Geisinger Clinic
• Geisinger Wyoming Valley Medical Center
• Sergey Georgiyevsky
• Betty A. Gibbons, NCMMT

• All providers in Mountain Top, PA
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.