Geisinger Clinic
Organization Active NPI Clinic/Center · Scranton, PA
NPI 1508630880 · NPPES record last updated Nov 8, 2023
Key facts
- NPI
- 1508630880
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- GEISINGER CLINIC
- Practice address
- 821 Oak St
Scranton, PA 18508-1260 - Phone
- (570) 703-0539
- Fax
- (570) 800-7883
- NPI assigned
- Nov 8, 2023
- Organization subpart
- No
Authorized official
- Name
- Cindy L Mull
- Title
- System Director Credentialing
- Phone
- (570) 271-6603
Corporate family (same tax ID) 24
Practitioners 3
-
Peter Costarelli, OD
-
Marisa Siekierka, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040130000518 | PA | Part B Supplier - Clinic/Group Practice | 5395657001 |
Receives reassigned benefits from 5,323 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Geisinger Clinic Sunbury
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
821 Oak St
Scranton, PA 18508-1260
Mailing address
100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144
Other providers in Scranton, PA
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- Geisinger Clinic
- Geisinger Clinic
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- Geisinger Clinic
- Geisinger Clinic
- Geisinger Clinic
- Geisinger Clinic
- Geisinger Clinic
- Geisinger Clinic
All providers in Scranton, PA · Clinic/Center in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.