Geisinger Clinic

Organization Active NPI Pediatrics Physician · Montaintop, PA

NPI 1245355478 · NPPES record last updated Jun 30, 2008

Key facts

NPI
1245355478
Entity type
Organization (NPI type 2)
Primary specialty
Pediatrics Physician 208000000X
Legal business name
GEISINGER CLINIC
Practice address
12 Kirby Ave
Montaintop, PA 18707
Phone
(570) 474-5978
NPI assigned
Mar 20, 2007
Organization subpart
No

Authorized official

Name
Kenneth Holdren
Title
Cao
Phone
(570) 271-5490

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

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

National Provider Directory

Tax ID family
Geisinger Clinic Sunbury (275 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208000000X Yes
Physician Assistant
Group: 193200000X MULTI-SPECIALTY GROUP
363A00000X
Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363L00000X

Addresses

Primary practice location

12 Kirby Ave
Montaintop, PA 18707

Mailing address

100 N Academy Ave
Danville, PA 17822-3034
Phone (570) 271-5555

Sources for this page

Verify at the official NPI Registry.