Organization Active NPI

Geisinger Clinic

  • Durable Medical Equipment & Medical Supplies
  • Scranton, PA
National Provider Identifier
1730693235
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GEISINGER CLINIC
Practice address
300 Lackawanna Ave
Scranton, PA 18503-2001
Phone
(570) 961-3823
NPI assigned
Nov 21, 2017
Last updated
Jun 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cindy L Mull
Title
Director
Phone
(570) 271-6603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

300 Lackawanna Ave
Scranton, PA 18503-2001

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 214-9907

Other practice location 1

3 W Olive St Ste 118
Scranton, PA 18508
Phone (570) 961-3823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180407000075 PA DME Supplier - Orthotic PersonnelDME Supplier - Physician - Unknown Physician SpecialtyDME Supplier - Physician AssistantDME Supplier - Physician - PodiatryDME Supplier - Nurse PractitionerDME Supplier - Sports MedicineDME Supplier - Physician - Orthopedic/Orthopedic Surgery 5395657001 Practice locations: Scranton, PA

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Geisinger Clinic300 Lackawanna Ave, Scranton, PA 18503-2001(570) 961-3823 Orthoses: Custom Fabricated|Orthoses: Off-The-Shelf|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Accepts assignmentParticipating since Jan 1, 1984

National Provider Directory

National Provider Directory
Tax ID family
Geisinger Medical Oncology Lock Haven275 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3 W Olive St
Ste 118
Scranton, PA 18508
Phone (570) 961-3823

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Geisinger Home HealthDanville, PA, CCN 397718 Home health agency 5% Or Greater Indirect Ownership Interest (25%) Apr 1, 2019
Geisinger Home HealthHazle Township, PA, CCN 398030 Home health agency 5% Or Greater Indirect Ownership Interest (25%) Apr 1, 2019
Geisinger HospiceDanville, PA, CCN 391533 Hospice 5% Or Greater Indirect Ownership Interest (25%) Apr 1, 2019

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1730693235",
    "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": "570-214-9907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LACKAWANNA AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185032001",
            "telephone_number": "570-961-3823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 W Olive St Ste 118",
            "address_purpose": "LOCATION",
            "city": "Scranton",
            "state": "PA",
            "postal_code": "18508",
            "country_code": "US",
            "telephone_number": "570-961-3823",
            "fax_number": "570-207-5988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GEISINGER CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-21",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "MULL",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "570-271-6603"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.