NPIMap

Organization Active NPI

Geisinger Clinic

  • Family Medicine Physician
  • Danville, PA
National Provider Identifier
1366493868
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GEISINGER CLINIC
Practice address
16 Woodbine Lane
Danville, PA 17822-9800
Phone
(570) 271-6211
NPI assigned
May 12, 2006
Last updated
Mar 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Authorized official

Name
Cindy L Mull
Title
System Director
Phone
(570) 271-6603

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Nurse Practitioner 363L00000X
Family Medicine Physician 207Q00000X Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040130000518 PA Part B Supplier - Clinic/Group Practice 5395657001 Receives reassigned benefits from 5,323 practitioners

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Geisinger Cancer Center of Lewisburg275 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

57 N Main St
Danville, PA 17822

1000 E Mtn Blvd
Philadelphia, PA 19182

300 Keystone Ave
Pittston, PA 18640
Phone (833) 552-1852

57 N Main St
Pittston, PA 18640
Phone (570) 602-5620

132 Abigail Ln
Port Matilda, PA 16870
Phone (814) 272-5011

128 W Market St
#130
Scranton, PA 18508

3 W Olive St
Ste 210B
Scranton, PA 18508

218 Chestnut St
Sunbury, PA 17801
Phone (570) 473-8475

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Geisinger Home HealthDanville, PA, CCN 397718 Home health agency 5% Or Greater Indirect Ownership Interest (25%) Apr 1, 2019
Geisinger Home HealthHazle Township, PA, CCN 398030 Home health agency 5% Or Greater Indirect Ownership Interest (25%) Apr 1, 2019
Geisinger HospiceDanville, PA, CCN 391533 Hospice 5% Or Greater Indirect Ownership Interest (25%) Apr 1, 2019

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • LHCG CXL, LLC

    dba Geisinger Hospice

    • Community Based Hospice Care Agency
    • Danville, PA
    • NPI 1972060226

    5% Or Greater Indirect Ownership Interest

    CMS ownership
  • LHCG Cxli, LLC

    dba Geisinger Home Health

    • Home Health Agency
    • Danville, PA
    • NPI 1740747088

    5% Or Greater Indirect Ownership Interest

    CMS ownership
  • LHCG Cxliii, LLC

    dba Geisinger Home Health

    • Home Health Agency
    • Hazle Township, PA
    • NPI 1245797570

    5% Or Greater Indirect Ownership Interest

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 5,486

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 5,486

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1366493868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178223034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 WOODBINE LANE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178229800",
            "telephone_number": "570-271-6211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Keystone Ave",
            "address_purpose": "LOCATION",
            "city": "Pittston",
            "state": "PA",
            "postal_code": "186406153",
            "country_code": "US",
            "telephone_number": "833-552-1852",
            "fax_number": "570-214-1525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 N Academy Ave",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "PA",
            "postal_code": "178229800",
            "country_code": "US",
            "telephone_number": "570-214-9585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GEISINGER CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "MULL",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SYSTEM DIRECTOR",
        "authorized_official_telephone_number": "570-271-6603"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, PA

Sources for this page

Verify at the official NPI Registry.