Organization Active NPI

Geisinger-HM Joint Venture, LLC

  • Gastroenterology Physician
  • Montoursville, PA
National Provider Identifier
1396207015
Registry record updated Dec 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GEISINGER-HM JOINT VENTURE, LLC
Practice address
10 Choate Cir
Montoursville, PA 17754-9791
Phone
(570) 368-5566
Fax
(570) 368-5564
NPI assigned
Apr 2, 2019
Last updated
Dec 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2019

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

Authorized official

Name
Cindy Mull
Title
Direcotr
Phone
(570) 271-6144

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X NU Primary
Pediatrics Physician 208000000X NU
Surgery Physician 208600000X NU
Certified Registered Nurse Anesthetist 367500000X NU

Addresses

Primary practice location

10 Choate Cir
Montoursville, PA 17754-9791

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD, CT, NJ, CO, TX, TN, SC, VA, GA, AZ, CA, NH, WA, NV, NC, HI, NY, MI, KS, OH, MN, FL, OR, UT, MA, DE, ID, LA, DC, WV, IA, IL33 enrollments

Enrollment records 33

Enrollment IDStateProvider typePAC IDDetails
O20190826000803 PA Part B Supplier - Clinic/Group Practice 1355676370 Receives reassigned benefits from 1,577 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sewickley, PA; Williamsport, PA; Waverly, PA; Philadelphia, PA; Penn Valley, PA; Newtown Square, PA; Montoursville, PA; Maple Glen, PA…
O20200203001346 MD Part B Supplier - Clinic/Group Practice 1355676370 Receives reassigned benefits from 4 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Baltimore, MD; Cambridge, MD; Reisterstown, MD; Towson, MD
O20200211001278 CT Part B Supplier - Clinic/Group Practice 1355676370 Receives reassigned benefits from 3 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Canton, CT; Milford, CT; Stamford, CT
O20200211001738 NJ Part B Supplier - Clinic/Group Practice 1355676370 Receives reassigned benefits from 4 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Basking Ridge, NJ; Linwood, NJ; Denville, NJ; Elizabeth, NJ
O20200212002229 CO Part B Supplier - Clinic/Group Practice 1355676370 Receives reassigned benefits from 8 practitioners
5 other NPIs on this enrollment
Practice locations: Crested Butte, CO; Monument, CO; Longmont, CO; Lakewood, CO; Golden, CO; Fort Collins, CO; Denver, CO; Castle Rock, CO…
O20200220001257 TX Part B Supplier - Clinic/Group Practice 1355676370 Receives reassigned benefits from 18 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Austin, TX; San Antonio, TX; Plano, TX; McAllen, TX; Lubbock, TX; La Vernia, TX; Houston, TX; Garland, TX…
O20200221001561 TN Part B Supplier - Clinic/Group Practice 1355676370 Receives reassigned benefits from 8 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Memphis, TN; Pulaski, TN; Nashville, TN; Knoxville, TN; Kingsport, TN; Franklin, TN
O20200225000276 SC Part B Supplier - Clinic/Group Practice 1355676370 Receives reassigned benefits from 1 practitioner
5 other NPIs on this enrollment
Practice locations: Bluffton, SC
O20200225000367 VA Part B Supplier - Clinic/Group Practice 1355676370 Receives reassigned benefits from 18 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Virginia Beach, VA; Richmond, VA; Penn Laird, VA; Norfolk, VA; Midlothian, VA; McLean, VA; Henrico, VA; Glen Allen, VA…
O20200225002332 GA Part B Supplier - Clinic/Group Practice 1355676370 Receives reassigned benefits from 4 practitioners
5 other NPIs on this enrollment
Practice locations: Peachtree City, GA; Marietta, GA; Atlanta, GA; Brookhaven, GA
O20200226001693 AZ Part B Supplier - Clinic/Group Practice 1355676370 Receives reassigned benefits from 11 practitioners
5 other NPIs on this enrollment
Practice locations: Cave Creek, AZ; Chandler, AZ; Flagstaff, AZ; Paradise Valley, AZ; Prescott, AZ; Scottsdale, AZ; Tempe, AZ; Tucson, AZ
O20200226002127 CA Part B Supplier - Clinic/Group Practice 1355676370 Receives reassigned benefits from 23 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Rancho Mirage, CA; Riverside, CA; San Francisco, CA; San Jose, CA; Santa Rosa Valley, CA; Saratoga, CA; South Pasadena, CA; Sunnyvale, CA…
O20200303000524 NH Part B Supplier - Clinic/Group Practice 1355676370 Receives reassigned benefits from 4 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Portsmouth, NH; Salem, NH; Raymond, NH; Madbury, NH
O20200303001139 WA Part B Supplier - Clinic/Group Practice 1355676370 Receives reassigned benefits from 12 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Yakima, WA; Tacoma, WA; Seattle, WA; Olympia, WA; Mercer Island, WA; Mukilteo, WA; Bellevue, WA; Bellingham, WA…
O20200303001221 NV Part B Supplier - Clinic/Group Practice 1355676370 Receives reassigned benefits from 7 practitioners
5 other NPIs on this enrollment
Practice locations: Henderson, NV; Incline Village, NV; Las Vegas, NV; North Las Vegas, NV; Reno, NV
O20200305001584 NC Part B Supplier - Clinic/Group Practice 1355676370 Receives reassigned benefits from 12 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pfafftown, NC; Mooresville, NC; Lenoir, NC; Hope Mills, NC; Hillsborough, NC; Gastonia, NC; Charlotte, NC; Chapel Hill, NC…
O20200309000272 HI Part B Supplier - Clinic/Group Practice 1355676370 Receives reassigned benefits from 4 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kailua, HI; Honolulu, HI
O20200309000610 NY Part B Supplier - Clinic/Group Practice 1355676370 Receives reassigned benefits from 17 practitioners
5 other NPIs on this enrollment
Practice locations: White Plains, NY; Sag Harbor, NY; Rye, NY; Poughkeepsie, NY; Pittsford, NY; New York, NY; Clarence Center, NY; New Hyde Park, NY…
O20200318001583 MI Part B Supplier - Clinic/Group Practice 1355676370 Receives reassigned benefits from 5 practitioners
5 other NPIs on this enrollment
Practice locations: Traverse City, MI; Midland, MI; Marquette, MI; Bloomfield Hills, MI; Birmingham, MI; Ann Arbor, MI; Holland, MI
O20200408000902 KS Part B Supplier - Clinic/Group Practice 1355676370 Receives reassigned benefits from 4 practitioners
5 other NPIs on this enrollment
Practice locations: Hutchinson, KS; Augusta, KS; Concordia, KS
O20200410000288 OH Part B Supplier - Clinic/Group Practice 1355676370 Receives reassigned benefits from 5 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Strongsville, OH; Hudson, OH; Celina, OH; Avon, OH
O20200413000198 MN Part B Supplier - Clinic/Group Practice 1355676370 Receives reassigned benefits from 1 practitioner
5 other NPIs on this enrollment
Practice locations: Eden Prairie, MN; Minnetonka, MN; Sartell, MN
O20200415000457 FL Part B Supplier - Clinic/Group Practice 1355676370 Receives reassigned benefits from 31 practitioners
5 other NPIs on this enrollment
Practice locations: Naples, FL; Orlando, FL; Palm Beach Gardens, FL; Palm City, FL; Palm Harbor, FL; Pensacola, FL; Ponte Vedra Beach, FL; Sarasota, FL…
O20200528001095 OR Part B Supplier - Clinic/Group Practice 1355676370 Receives reassigned benefits from 6 practitioners
6 other NPIs on this enrollment
Practice locations: Eugene, OR; Portland, OR; Lake Oswego, OR; Hood River, OR; Beaverton, OR
O20230505000844 UT Part B Supplier - Clinic/Group Practice 1355676370 Receives reassigned benefits from 3 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cedar Hills, UT; Park City, UT; Salt Lake City, UT; Syracuse, UT
O20230608001567 MA Part B Supplier - Clinic/Group Practice 1355676370 Receives reassigned benefits from 8 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Arlington, MA; East Falmouth, MA; Jamaica Plain, MA; Newton, MA; Orleans, MA; Quincy, MA; West Stockbridge, MA; Worcester, MA
O20230824004374 DE Part B Supplier - Clinic/Group Practice 1355676370 Receives reassigned benefits from 1 practitioner
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Rehoboth Beach, DE
O20230830000892 ID Part B Supplier - Clinic/Group Practice 1355676370 Receives reassigned benefits from 3 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Boise, ID; Meridian, ID; Sandpoint, ID
O20231016002577 LA Part B Supplier - Clinic/Group Practice 1355676370 Receives reassigned benefits from 2 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Baton Rouge, LA; Belle Chasse, LA; Lafayette, LA
O20231107002864 DC Part B Supplier - Clinic/Group Practice 1355676370 Receives reassigned benefits from 7 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Washington, DC; Vienna, VA; Potomac, MD; Falls Church, VA; Derwood, MD; Bethesda, MD; Kensington, MD
O20231219001725 WV Part B Supplier - Clinic/Group Practice 1355676370 Receives reassigned benefits from 1 practitioner
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lewisburg, WV
O20240627004092 IA Part B Supplier - Clinic/Group Practice 1355676370 Receives reassigned benefits from 6 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Burlington, IA; Waukee, IA; North Liberty, IA; Le Mars, IA; Iowa City, IA
O20240730002963 IL Part B Supplier - Clinic/Group Practice 1355676370 Receives reassigned benefits from 2 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Edwardsville, IL; Dunlap, IL

Other NPIs with the same Medicare PAC ID 4

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

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 347

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 347

NPI Registry JSON

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577145600000",
    "number": "1396207015",
    "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": "178224903",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CHOATE CIR",
            "city": "MONTOURSVILLE",
            "state": "PA",
            "postal_code": "177549791",
            "telephone_number": "570-368-5566",
            "fax_number": "570-368-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEISINGER-HM JOINT VENTURE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-12-24",
        "certification_date": "2019-12-24",
        "status": "A",
        "authorized_official_last_name": "MULL",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "DIRECOTR",
        "authorized_official_telephone_number": "570-271-6144"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montoursville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.