Active NPI
Geeta Krishnan, MD
- Otolaryngology Physician
- Bloomsburg, PA
National Provider Identifier
1306801451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD038127L
- Practice address
- 3151 Columbia Blvd
Bloomsburg, PA 17815-8889 - Phone
- (570) 389-7911
- Fax
- (570) 389-7910
- NPI assigned
- Apr 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD038127L | PA | Primary |
Addresses
Primary practice location
3151 Columbia Blvd
Bloomsburg, PA 17815-8889
Mailing address
3151 Columbia Blvd
Bloomsburg, PA 17815-8889
Phone (570) 389-7911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0015862770002 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD038127L | PA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bloomsburg Physicians Services | Past | Accepting new patients |
Interoperability endpoints
- gkrishnan555411@direct.ahn.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Bloomsburg, PA
- NPI 1457543290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445212800000",
"number": "1306801451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3151 COLUMBIA BLVD",
"city": "BLOOMSBURG",
"state": "PA",
"postal_code": "178158889",
"telephone_number": "570-389-7911",
"fax_number": "570-389-7910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3151 COLUMBIA BLVD",
"city": "BLOOMSBURG",
"state": "PA",
"postal_code": "178158889",
"telephone_number": "570-389-7911",
"fax_number": "570-389-7910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRISHNAN",
"first_name": "GEETA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-20",
"last_updated": "2015-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "PA",
"license": "MD038127L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015862770002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bloomsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.