NPIMap

Organization Active NPI

Geisinger Medical Center

  • Clinic/Center
  • Elysburg, PA
National Provider Identifier
1245632231
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GEISINGER MEDICAL CENTER
Practice address
436 W Valley Ave
Elysburg, PA 17824-7247
Phone
(570) 672-1101
Fax
(570) 672-1103
NPI assigned
Sep 22, 2014
Last updated
Apr 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Cindy L Mull
Title
Director Credentialing & Enrollment
Phone
(570) 271-6603

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Wound Care Registered Nurse 163WW0000X
Medical Oncology Physician 207RX0202X 071801 PA
Diagnostic Radiology Physician 2085R0202X
Podiatric Assistant 211D00000X
Podiatrist 213E00000X
Primary Podiatric Medicine Podiatrist 213EP1101X
Radiology Podiatrist 213ER0200X
Sports Medicine Podiatrist 213ES0000X
Foot & Ankle Surgery Podiatrist 213ES0103X
Foot Surgery Podiatrist 213ES0131X

Addresses

Primary practice location

436 W Valley Ave
Elysburg, PA 17824-7247

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030915000012 PA Part A Provider - Hospital 5991616187 25 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lewisburg, PA; Sunbury, PA; Selinsgrove, PA; Selingsgrove, PA; Pottsville, PA; Muncy, PA; Hazelton, PA; Elysburg, PA…

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245632231. Details of each certification follow.

Hospital certification: CCN 390006

Legal name
GEISINGER MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 16, 2023
Beds
553 (393 certified)
Ownership / control type
Private (not for profit)
Most recent change of ownership
Feb 1, 2025 (4 total)
Organization structure
CorporationNon-profit
Incorporated
Dec 19, 1932 in PA
Enrollment address
100 N Academy Ave
GMC Op Surgery
Danville, PA 17822-0150
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Other NPIs on the same Medicare enrollment 25

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

View all 25

Care Compare: Hospital

Medicare Care Compare
Listed as
Geisinger Medical CenterCCN 390006 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Geisinger Med Ctr27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

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

View all 26

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Terry Gilliland Individual Corporate DirectorChief Executive Officer May 1, 2025
Cindy Mull Individual W-2 Managing EmployeeSystem Director Credentialing & Enr Sep 13, 1984
Jeffrey a Jacobson Individual Corporate Director Apr 1, 2019
Chris Holcombe Individual Corporate Director Jan 1, 2018
Benjamin K Chu Individual Corporate Director Mar 1, 2020
Geisinger Health System Organization, Danville, PA 5% Or Greater Direct Ownership Interest Apr 28, 2008
Gerald V Maloney Individual Corporate Director Apr 1, 2019
Virginia McGregor Individual Corporate Director Jan 1, 2018
Megan Brosious Individual Corporate DirectorEvp, Chief Operating Officer May 1, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 1,995

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,995

NPI Registry JSON

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1245632231",
    "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": "570-271-6621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 W VALLEY AVE",
            "city": "ELYSBURG",
            "state": "PA",
            "postal_code": "178247247",
            "telephone_number": "570-672-1101",
            "fax_number": "570-672-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEISINGER MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-22",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "MULL",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR CREDENTIALING & ENROLLMENT",
        "authorized_official_telephone_number": "570-271-6603"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "PA",
            "license": "071801",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "211D00000X",
            "taxonomy_group": "",
            "desc": "Assistant, Podiatric",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elysburg, PA

Sources for this page

Verify at the official NPI Registry.