Geisinger-HM Joint Venture, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GEISINGER-HM JOINT VENTURE, LLC

Doing business as

Geisinger Jersey Shore Associates

Practice address

529 High St
Lock Haven, PA 17745-3029

Phone

(570) 748-8038

Fax

(570) 748-0323

NPI assigned

Aug 16, 2019

Last updated

Aug 20, 2019By the provider in NPPES

Organization subpart

No

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 2

Addresses

Other names 1

• Geisinger Jersey Shore Associates Doing business as

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, OR24 enrollments

Enrollment records 24

Other NPIs on the same Medicare enrollment 7

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

• Geisinger Clinic

  • Surgery Physician
  • Danville, PA
  • NPI 1255382784

  O20200221001561

  Same enrollment
• Geisinger Clinic

  • Diagnostic Radiology Physician
  • Danville, PA
  • NPI 1558313023

  O20200528001095

  Same enrollment
• Geisinger-HM Joint Venture LLC

  • Internal Medicine Physician
  • Muncy, PA
  • NPI 1952076119

  O20190826000803, O20200203001346, O20200211001278, O20200211001738, O20200212002229, O20200220001257, O20200221001561, O20200225000276, O20200225000367, O20200225002332, O20200226001693, O20200226002127, O20200303000524, O20200303001139, O20

  Same enrollment
• Geisinger-HM Joint Venture, LLC

  • Family Medicine Physician
  • Williamsport, PA
  • NPI 1073075909

  O20190826000803, O20200203001346, O20200211001278, O20200211001738, O20200212002229, O20200220001257, O20200221001561, O20200225000276, O20200225000367, O20200225002332, O20200226001693, O20200226002127, O20200303000524, O20200303001139, O20

  Same enrollment
• Geisinger-HM Joint Venture, LLC

  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

  Same enrollment
• Geisinger-HM Joint Venture, LLC

  • Gastroenterology Physician
  • Montoursville, PA
  • NPI 1396207015

  O20190826000803, O20200203001346, O20200211001278, O20200211001738, O20200212002229, O20200220001257, O20200221001561, O20200225000276, O20200225000367, O20200225002332, O20200226001693, O20200226002127, O20200303000524, O20200303001139, O20

  Same enrollment
• Geisinger-HM Joint Venture, LLC

  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

  Same enrollment

Locations

Practitioners 283

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.

• Selwan Abdullah

  • Diagnostic Radiology Physician
  • Wilkes Barre, PA
  • NPI 1801214325
  NPD
• Rolf Lennart Abel, MD

  • Psychiatry Physician
  • Wilkes Barre, PA
  • NPI 1427048917
  NPD
• Benyam D Addissie, MD

  • Gastroenterology Physician
  • Danville, PA
  • NPI 1619262854
  NPD
• Rebecca Jane Anderson, CNM

  • Advanced Practice Midwife
  • Bloomsburg, PA
  • NPI 1548824105
  NPD
• Charles Austin

  • Diagnostic Radiology Physician
  • Lewisberry, PA
  • NPI 1225024391
  NPD
• Ryan Kyle Azar, CRNP

  • Nurse Practitioner
  • Danville, PA
  • NPI 1770175622
  NPD
• Mirza Shahid Baig, MD

  • Orthopaedic Surgery Physician
  • Scranton, PA
  • NPI 1578230561
  NPD
• Oksana Bailiff, M.D.

  • Dermatology Physician
  • Danville, PA
  • NPI 1396270096
  NPD
• Juan Carlos Baracaldo, MD

  • Hospitalist Physician
  • Danville, PA
  • NPI 1023276680
  NPD
• Tyler W Baran, PA-C

  • Physician Assistant
  • Mount Carmel, PA
  • NPI 1598207433
  NPD
• Patricia Barry-Lane, M,D,, PHD

  • Diagnostic Radiology Physician
  • Lewisberry, PA
  • NPI 1093938367
  NPD
• Can Bas

  • Orthopaedic Surgery Physician
  • Port Matilda, PA
  • NPI 1336911759
  NPD

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566259200000",
    "number": "1427604222",
    "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": "529 HIGH ST",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177453029",
            "telephone_number": "570-748-8038",
            "fax_number": "570-748-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEISINGER-HM JOINT VENTURE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-20",
        "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": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Geisinger Jersey Shore Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Geisinger Jersey Shore Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Geisinger Clinic
• Geisinger Jersey Shore Hospital
• Geisinger Medical Oncology Lock Haven
• Geisinger Pharmacy, LLC (Geisinger Pharmacy)
• Geisinger-HM Joint Venture, LLC (Geisinger Medical Clinic Lock Haven)
• Genesis Rehab Services
• Dawid Gerlach, DO
• Michael Alexander Germano, M.D.
• John R. Getz Jr., PA-C
• Megan Getz

• Family Medicine Physician in Lock Haven, PA
• Providers in Lock Haven, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.