Geisinger Clinic GYN Onc
Organization Active NPI Obstetrics Physician · Wilkes Barre, PA
NPI 1346208709 · NPPES record last updated Feb 28, 2019
Key facts
- NPI
- 1346208709
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics Physician 207VX0000X
- Legal business name
- GEISINGER CLINIC GYN ONC
- Practice address
- 1000 E Mountain Dr
Wilkes Barre, PA 17822-3034 - Phone
- (570) 826-7300
- NPI assigned
- May 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Cindy Mull
- Title
- Director
- Phone
- (570) 271-6144
Corporate family (same tax ID) 24
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
Geisinger Clinic Physical Ter
Danville, PA 17822
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician |
207VX0000X | Yes | ||
| Gynecologic Oncology Physician |
207VX0201X | |||
| General Acute Care Hospital | 282N00000X | |||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X | |||
| Advanced Practice Midwife |
367A00000X |
Addresses
Primary practice location
1000 E Mountain Dr
Wilkes Barre, PA 17822-3034
Mailing address
100 N Academy Ave
Danville, PA 17822-3034
Other providers in Wilkes Barre, PA
- Geisinger Clinic
- Geisinger Clinic
- Geisinger Clinic
- Geisinger Clinic
- Geisinger Clinic
- Geisinger Community Health Services
- Geisinger Community Health Services
- Geisinger Community Health Services
- Geisinger Health System
- Geisinger Pharmacy LLC
All providers in Wilkes Barre, PA · Obstetrics 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 Feb 28, 2019. 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.