Individual provider Active NPI

Gene W Reisinger, DO

  • Family Medicine Physician
  • Richfield, PA
National Provider Identifier
1356380109
Registry record updated Jan 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS005081L Issued in PA
Practice address
14229 Route 35
Richfield, PA 17086-8711
Phone
(570) 898-4052
NPI assigned
Jun 6, 2006
Last updated
Jan 12, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS005081L PA Primary

Addresses

Primary practice location

14229 Route 35
Richfield, PA 17086-8711

Mailing address

620 Stonebridge Dr
Selinsgrove, PA 17870-7509
Phone (570) 743-1809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130531000132 PA Practitioner - Family Practice 8527052182 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS005081LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Family Medicine Current Accepting new patients
Geisinger Clinic CurrentSince Sep 17, 2018 Accepting new patients
Medical Service Providers LLC Family Medicine CurrentSince Mar 11, 2013 Accepting new patients
Geisinger Clinic Family Medicine CurrentSince Sep 17, 2018 Accepting new patients
White Deer Run, LLC Past Accepting new patients
Geisinger Clinic Selinsgrove Family Medicine Past Accepting new patients
White Deer Run, LLC Past Accepting new patients

Locations

5065 Wooster Rd
Cincinnati, OH 45226

100 N Academy Ave
Danville, PA 17822

201 Roosevelt Ave
Selinsgrove, PA 17870
Phone (570) 372-8803

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357948800000",
    "number": "1356380109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 STONEBRIDGE DR",
            "city": "SELINSGROVE",
            "state": "PA",
            "postal_code": "178707509",
            "telephone_number": "570-743-1809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14229 ROUTE 35",
            "city": "RICHFIELD",
            "state": "PA",
            "postal_code": "170868711",
            "telephone_number": "570-898-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISINGER",
        "first_name": "GENE",
        "middle_name": "W",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2013-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS005081L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richfield, PA

Sources for this page

Verify at the official NPI Registry.