Geisinger Health System

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT001270A Issued in PA

Legal business name

GEISINGER HEALTH SYSTEM

Practice address

94 Valley View Rd
Stillwater, PA 17878-9245

Phone

(570) 864-0131

NPI assigned

Oct 3, 2005

Last updated

Jun 17, 2008By 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

Mr. James Albert Shea Jr., ATC

Title

Certified Athletic Trainer

Phone

(570) 864-0131

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1699762849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 VALLEY VIEW RD",
            "city": "STILLWATER",
            "state": "PA",
            "postal_code": "178789245",
            "telephone_number": "570-864-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 VALLEY VIEW RD",
            "city": "STILLWATER",
            "state": "PA",
            "postal_code": "178789245",
            "telephone_number": "570-864-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEISINGER HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "CERTIFIED ATHLETIC TRAINER",
        "authorized_official_telephone_number": "570-864-0131",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "ATC"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT001270A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Stillwater, PA
• Providers in Stillwater, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.