Geisinger Clinic
Organization Active NPI Family Medicine Physician · Danville, PA
NPI 1366493868 · NPPES record last updated Mar 23, 2023
Key facts
- NPI
- 1366493868
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- GEISINGER CLINIC
- Practice address
- 16 Woodbine Lane
Danville, PA 17822-9800 - Phone
- (570) 271-6211
- NPI assigned
- May 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Cindy L Mull
- Title
- System Director
- Phone
- (570) 271-6603
Owned or controlled facilities with NPI records 3
Other NPIs with the same Medicare PAC ID 6
Corporate family (same tax ID) 24
Practitioners 5,716
-
Waheed Abdul, MD
-
Muhammad Abdulbasit, MD, FACP
-
Molham Abdulsamad, M.D.
-
Elena Ackah, M.D.
-
Jovan S. Adams, D.O.
-
Morgan Adams, APRN, CRNA
-
Robin L. Adams, CRNP
-
Dana Marie Addesa, MSN, CRNP, FNP-C
-
Saba Afroz, MD
-
Shikhar Agarwal, MD MPH
-
Ulonna Ahipue, M.D.
-
Thomas R. Ahlum, D.M.D.
-
Fareed Ahmad, M.D.
-
Tariq Ali Ahmad, M.D
-
Katie Ahmadzadeh, DO
-
Shahzad Ahmed, DO
-
Ahmet Ahmetbeg, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Geisinger Home Health |
Home health agency | 5% Or Greater Indirect Ownership Interest (25%) | Apr 1, 2019 |
| Geisinger Home Health |
Home health agency | 5% Or Greater Indirect Ownership Interest (25%) | Apr 1, 2019 |
| Geisinger Hospice |
Hospice | 5% Or Greater Indirect Ownership Interest (25%) | Apr 1, 2019 |
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 |
National Provider Directory
- Tax ID family
- Geisinger Clinic Sunbury
Locations
423 N 21st St
Ste 300
Camp Hill, PA 17011
Phone (717) 763-1174
114 Lt Michael Cleary Dr
Dallas, PA 18612
Phone (570) 255-1178
57 N Main St
Danville, PA 17822
400 Highland Ave
Danville, PA 17822
532 Main St
Ste 1
Moosic, PA 18507
Phone (570) 471-3569
221 River St
Olyphant, PA 18447
Phone (570) 383-3636
320 Keystone Ave
Peckville, PA 18452
Phone (570) 489-0871
1000 E Mtn Blvd
Philadelphia, PA 19182
3 W Olive St
Ste 210B
Scranton, PA 18508
300 Lackawanna Ave
Ste 150
Scranton, PA 18503
Phone (570) 209-7603
640 Madison Ave
Scranton, PA 18510
Phone (570) 961-5550
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
16 Woodbine Lane
Danville, PA 17822-9800
Mailing address
100 N Academy Ave
Danville, PA 17822-3034
Other practice location 1
300 Keystone Ave
Pittston, PA 18640-6153
Phone (833) 552-1852
Other practice location 2
100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 214-9585
Other providers in Danville, PA
- Geisinger Clinic
- Geisinger Clinic
- Geisinger Clinic
- Geisinger Clinic
- Geisinger Clinic
- Geisinger Clinic
- Geisinger Clinic
- Geisinger Clinic
- Geisinger Clinic
- Geisinger Clinic
All providers in Danville, PA · Family Medicine 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 Mar 23, 2023. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.