Geisinger Clinic
Organization Active NPI Pediatric Cardiology Physician · Danville, PA
NPI 1497765192 · NPPES record last updated Jun 30, 2008
Key facts
- NPI
- 1497765192
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Cardiology Physician 2080P0202X
- Legal business name
- GEISINGER CLINIC
- Practice address
- 100 N Academy Ave
Danville, PA 17822 - Phone
- (570) 271-6211
- NPI assigned
- Aug 8, 2006
- Organization subpart
- No
Authorized official
- Name
- Kenneth Holdren
- Title
- Cao
- Phone
- (570) 271-5490
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Geisinger Clinic Sunbury
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pathology/Laboratory Medicine Physician |
207ZP0105X | |||
| Pediatric Cardiology Physician |
2080P0202X | Yes | ||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
100 N Academy Ave
Danville, PA 17822
Mailing address
100 N Academy Ave
Danville, PA 17822-3034
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 788690 | Other | PA | HIGHMARK BS# |
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 · Pediatric Cardiology 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 Jun 30, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.