Community Medical Center
Organization Active NPI General Acute Care Hospital · Scranton, PA
NPI 1366444507 · NPPES record last updated Aug 10, 2015
Key facts
- NPI
- 1366444507
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 037101 (PA)
- Legal business name
- COMMUNITY MEDICAL CENTER
- Practice address
- 1800 Mulberry St
Scranton, PA 18510-2369 - Phone
- (570) 969-8900
- Fax
- (570) 969-8814
- NPI assigned
- Jun 1, 2005
- Organization subpart
- No
Authorized official
- Name
- Cindy L Mull
- Title
- Director Credentialing/Enrollment
- Phone
- (570) 271-6603
Other NPIs on the same Medicare enrollment 9
Corporate family (same tax ID) 12
Practitioners 91
-
Birendra Amgai, MD
-
Milos Babic, M.D.
-
Naresh Babu, MD
-
Joseph Patrick Bannon, M.D.
-
Geetha Bodapati, MBBS
-
Shannon Ashley Brindle, M.D.
-
Abera B Bulti, MD, DTM&H
-
Timothy Kelly Burke, D.O.
-
Ziqiang Cao, M.D.
-
Rudy A. Carbaugh, M.D.
-
Anthony David Cipriano, M.D.
-
Emily L Cisek, DO
-
Ivan Cvorovic, M.D.
-
David Joshua Deisher, D.O.
-
Karim Djekidel, M.D.
-
Eric Drago, M.D.
-
Alexandra Falvo, MD
-
Timothy Jude Farrell, M.D.
-
Maryam Fatima, M.D.
-
Brian Leigh Frank, M.D.
Affiliated clinicians 1,231
-
Haitham Abughnia, MD
-
Tariq Ali Ahmad, M.D
-
Shahzad Ahmed, DO
-
Monica Ahuja, MD
-
Rayhan Alam, MD
-
Joseph Charles Alario, D.O.
-
Lythe Albakri, MD
-
Mark Albert, MD
-
Abbas Ali, M.D
-
Towhid Ali, M.D.
-
Ammar Alimam, MD
-
Zaid Sameer Aljuboori, M.D.,
-
Essam M Almeky, MD
-
Ibrahim M Almeky, MD
-
Michael Alocci, MD
-
George Anthony Alsina, M.D.
-
Athar Altaf, MD
-
Ajey Shashikant Alurkar, M.D.
Medicare Care Compare: Hospital
- Listed as
- Geisinger-Community Medical Center
- Overall star rating
- ★★☆☆☆ 2 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Hospital certification: CCN 390001
- Legal name
- COMMUNITY MEDICAL CENTER
- Doing business as
- GEISINGER COMMUNITY MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Aug 15, 2025
- Beds
- 294 (275 certified)
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Sep 20, 1962 in PA
- Enrollment address
- 1800 Mulberry St
Scranton, PA 18510-2369 - Hospital subgroups
- General
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Terry Gilliland |
Corporate Officer | May 6, 2024 | |
| Community Medial Center Healthcare System |
5% Or Greater Direct Ownership Interest | Jan 31, 1983 | |
| Daniel J Gaydon |
Corporate Officer |
Jan 1, 2026 | |
| W-2 Managing Employee | Jan 1, 2026 | ||
| William Schultz |
Corporate Officer |
Jan 1, 2026 | |
| W-2 Managing Employee | Jan 1, 2026 | ||
| Allan Vandermark |
W-2 Managing Employee |
Jun 17, 2026 | |
| Jeffrey a Jacobson |
Corporate Director | Apr 1, 2019 | |
| Chris Holcombe |
Corporate Officer | Jan 31, 2017 | |
| Will Xenakis |
W-2 Managing Employee |
Jun 17, 2026 | |
| Benjamin K Chu |
Corporate Director | Aug 1, 2023 | |
| Virginia McGregor |
Corporate Director | Dec 29, 2006 | |
| Megan Brosious |
Corporate Officer | Mar 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080114000318 | PA | Part a Provider - Hospital | 9335104371 |
14 other NPIs on this enrollment Practice locations: Scranton, PA |
National Provider Directory
- Tax ID family
- Pathology Comm Med Ctr
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 037101 | PA | Yes |
Addresses
Primary practice location
1800 Mulberry St
Scranton, PA 18510-2369
Mailing address
1800 Mulberry St
Scranton, PA 18510-2369
Phone (570) 969-8900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 074005 | Other | PA | FIRST PRIORITY HEALTH |
| 1007456760005 | Medicaid | PA | |
| 1007456760024 | Medicaid | PA | |
| 1007456760006 | Medicaid | PA | |
| 107456760020 | Medicaid | PA |
Other names
- Geisinger Community Medical Center
Other providers in Scranton, PA
- Community Medical Center
- Community Medical Center
- Community Medical Center
- Community Medical Center
- Community Medical Center
- Community Medical Center
- Community Medical Center
- Community Medical Center
- Community Medical Center
- Community Medical Center
All providers in Scranton, PA · General Acute Care Hospital in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2015. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.