Active NPI
Geisinger-HM Joint Venture, LLC
- Gastroenterology Physician
- Montoursville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IL
Enrollment records 33
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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).
-
- Family Medicine Physician
- Williamsport, PA
- NPI 1073075909
1355676370
-
dba Geisinger Medical Clinic Lock Haven
- Family Medicine Physician
- Lock Haven, PA
- NPI 1144876137
1355676370
-
- Ambulatory Surgical Clinic/Center
- Montoursville, PA
- NPI 1437706140
1355676370
Other NPIs on the same Medicare enrollment 7
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Internal Medicine Physician
- Muncy, PA
- NPI 1952076119
O20190826000803, O20200203001346, O20200211001278, O20200211001738, O20200212002229, O20200220001257, O20200221001561, O20200225000276, O20200225000367, O20200225002332, O20200226001693, O20200226002127, O20200303000524, O20200303001139, O20
-
- Family Medicine Physician
- Williamsport, PA
- NPI 1073075909
O20190826000803, O20200203001346, O20200211001278, O20200211001738, O20200212002229, O20200220001257, O20200221001561, O20200225000276, O20200225000367, O20200225002332, O20200226001693, O20200226002127, O20200303000524, O20200303001139, O20
-
dba Geisinger Medical Clinic Lock Haven
- Family Medicine Physician
- Lock Haven, PA
- NPI 1144876137
O20190826000803, O20200203001346, O20200211001278, O20200211001738, O20200212002229, O20200220001257, O20200221001561, O20200225000276, O20200225000367, O20200225002332, O20200226001693, O20200226002127, O20200303000524, O20200303001139, O20
-
dba Geisinger Jersey Shore Associates
- Family Medicine Physician
- Lock Haven, PA
- NPI 1427604222
O20190826000803, O20200203001346, O20200211001278, O20200211001738, O20200212002229, O20200220001257, O20200221001561, O20200225000276, O20200225000367, O20200225002332, O20200226001693, O20200226002127, O20200303000524, O20200303001139, O20
-
dba GMG Lycoming Family Practice
- Family Medicine Physician
- Montoursville, PA
- NPI 1740836808
O20190826000803, O20200203001346, O20200211001278, O20200211001738, O20200212002229, O20200220001257, O20200221001561, O20200225000276, O20200225000367, O20200225002332, O20200226001693, O20200226002127, O20200303000524, O20200303001139, O20
National Provider Directory
National Provider DirectoryPractitioners & 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.
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- NPI 1053639484
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- Diagnostic Radiology Physician
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- NPI 1679506117
-
- Diagnostic Radiology Physician
- Denver, CO
- NPI 1083698385
-
- Diagnostic Radiology Physician
- Ann Arbor, MI
- NPI 1841750262
-
- Diagnostic Radiology Physician
- Palm Harbor, FL
- NPI 1174513253
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.