Active NPI
Geisinger-HM Joint Venture, LLC
Doing business as GMG Lycoming Family Practice
- Family Medicine Physician
- Montoursville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- GEISINGER-HM JOINT VENTURE, LLC
- Doing business as
- GMG Lycoming Family Practice
- Practice address
- 780 Broad St
Montoursville, PA 17754-2419 - Phone
- (570) 368-2870
- Fax
- (570) 368-4463
- NPI assigned
- Aug 14, 2019
- Last updated
- Jan 8, 2021
- Organization subpart
- No
NPPES NPI Registry
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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary | |
| Cardiovascular Disease Physician | 207RC0000X | NU | ||
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | NU | ||
| Physician Assistant | 363A00000X | NU | ||
| Nurse Practitioner | 363L00000X | NU |
Addresses
Primary practice location
780 Broad St
Montoursville, PA 17754-2419
Mailing address
100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144
Other names 1
- GMG Lycoming Family Practice
Medicare participation
Medicare enrollment files- 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, OR
Enrollment records 24
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190826000803 | PA | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 1,577 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Sewickley, PA; Williamsport, PA; Waverly, PA; Philadelphia, PA; Penn Valley, PA; Newtown Square, PA; Montoursville, PA; Maple Glen, PA… |
| O20200203001346 | MD | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 4 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Baltimore, MD; Cambridge, MD; Reisterstown, MD; Towson, MD |
| O20200211001278 | CT | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 3 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Canton, CT; Milford, CT; Stamford, CT |
| O20200211001738 | NJ | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 4 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Basking Ridge, NJ; Linwood, NJ; Denville, NJ; Elizabeth, NJ |
| O20200212002229 | CO | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 8 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Crested Butte, CO; Monument, CO; Longmont, CO; Lakewood, CO; Golden, CO; Fort Collins, CO; Denver, CO; Castle Rock, CO… |
| O20200220001257 | TX | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 18 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Austin, TX; San Antonio, TX; Plano, TX; McAllen, TX; Lubbock, TX; La Vernia, TX; Houston, TX; Garland, TX… |
| O20200221001561 | TN | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 8 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Memphis, TN; Pulaski, TN; Nashville, TN; Knoxville, TN; Kingsport, TN; Franklin, TN |
| O20200225000276 | SC | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 1 practitioner 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bluffton, SC |
| O20200225000367 | VA | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 18 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Virginia Beach, VA; Richmond, VA; Penn Laird, VA; Norfolk, VA; Midlothian, VA; McLean, VA; Henrico, VA; Glen Allen, VA… |
| O20200225002332 | GA | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 4 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Peachtree City, GA; Marietta, GA; Atlanta, GA; Brookhaven, GA |
| O20200226001693 | AZ | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 11 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Cave Creek, AZ; Chandler, AZ; Flagstaff, AZ; Paradise Valley, AZ; Prescott, AZ; Scottsdale, AZ; Tempe, AZ; Tucson, AZ |
| O20200226002127 | CA | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 23 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Rancho Mirage, CA; Riverside, CA; San Francisco, CA; San Jose, CA; Santa Rosa Valley, CA; Saratoga, CA; South Pasadena, CA; Sunnyvale, CA… |
| O20200303000524 | NH | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 4 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Portsmouth, NH; Salem, NH; Raymond, NH; Madbury, NH |
| O20200303001139 | WA | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 12 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Yakima, WA; Tacoma, WA; Seattle, WA; Olympia, WA; Mercer Island, WA; Mukilteo, WA; Bellevue, WA; Bellingham, WA… |
| O20200303001221 | NV | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 7 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Henderson, NV; Incline Village, NV; Las Vegas, NV; North Las Vegas, NV; Reno, NV |
| O20200305001584 | NC | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 12 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Pfafftown, NC; Mooresville, NC; Lenoir, NC; Hope Mills, NC; Hillsborough, NC; Gastonia, NC; Charlotte, NC; Chapel Hill, NC… |
| O20200309000272 | HI | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 4 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Kailua, HI; Honolulu, HI |
| O20200309000610 | NY | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 17 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: White Plains, NY; Sag Harbor, NY; Rye, NY; Poughkeepsie, NY; Pittsford, NY; New York, NY; Clarence Center, NY; New Hyde Park, NY… |
| O20200318001583 | MI | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 5 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Traverse City, MI; Midland, MI; Marquette, MI; Bloomfield Hills, MI; Birmingham, MI; Ann Arbor, MI; Holland, MI |
| O20200408000902 | KS | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 4 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Hutchinson, KS; Augusta, KS; Concordia, KS |
| O20200410000288 | OH | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 5 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Strongsville, OH; Hudson, OH; Celina, OH; Avon, OH |
| O20200413000198 | MN | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 1 practitioner 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Eden Prairie, MN; Minnetonka, MN; Sartell, MN |
| O20200415000457 | FL | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 31 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Naples, FL; Orlando, FL; Palm Beach Gardens, FL; Palm City, FL; Palm Harbor, FL; Pensacola, FL; Ponte Vedra Beach, FL; Sarasota, FL… |
| O20200528001095 | OR | Part B Supplier - Clinic/Group Practice | 1355676370 |
Receives reassigned benefits from 6 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Eugene, OR; Portland, OR; Lake Oswego, OR; Hood River, OR; Beaverton, OR |
Other NPIs on the same Medicare enrollment 7
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Internal Medicine Physician
- Muncy, PA
- NPI 1952076119
O20190826000803, O20200203001346, O20200211001278, O20200211001738, O20200212002229, O20200220001257, O20200221001561, O20200225000276, O20200225000367, O20200225002332, O20200226001693, O20200226002127, O20200303000524, O20200303001139, O20
-
- Family Medicine Physician
- Williamsport, PA
- NPI 1073075909
O20190826000803, O20200203001346, O20200211001278, O20200211001738, O20200212002229, O20200220001257, O20200221001561, O20200225000276, O20200225000367, O20200225002332, O20200226001693, O20200226002127, O20200303000524, O20200303001139, O20
-
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
-
- Gastroenterology Physician
- Montoursville, PA
- NPI 1396207015
O20190826000803, O20200203001346, O20200211001278, O20200211001738, O20200212002229, O20200220001257, O20200221001561, O20200225000276, O20200225000367, O20200225002332, O20200226001693, O20200226002127, O20200303000524, O20200303001139, O20
-
dba Geisinger Jersey Shore Associates
- Family Medicine Physician
- Lock Haven, PA
- NPI 1427604222
O20190826000803, O20200203001346, O20200211001278, O20200211001738, O20200212002229, O20200220001257, O20200221001561, O20200225000276, O20200225000367, O20200225002332, O20200226001693, O20200226002127, O20200303000524, O20200303001139, O20
National Provider Directory
National Provider DirectoryLocations
780 Broad St
Montoursville, PA 17754
Phone (570) 368-2870
Practitioners & affiliated clinicians
Practitioners 273
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.
-
- Hospitalist Physician
- Wilkes Barre, PA
- NPI 1821473406
-
- Hematology & Oncology Physician
- Danville, PA
- NPI 1659936474
-
- Anesthesiology Physician
- Lewistown, PA
- NPI 1699968529
-
- Internal Medicine Physician
- Danville, PA
- NPI 1235758947
-
- Hematology & Oncology Physician
- Butler, PA
- NPI 1649408477
-
- Dermatology Physician
- State College, PA
- NPI 1053828913
-
- Hospitalist Physician
- Danville, PA
- NPI 1710599501
-
- Obstetrics & Gynecology Physician
- Wilkes Barre, PA
- NPI 1518127513
-
- Nurse Practitioner
- Danville, PA
- NPI 1700589496
-
- Anatomic Pathology & Clinical Pathology Physician
- Scranton, PA
- NPI 1700050028
-
- Nurse Practitioner
- Danville, PA
- NPI 1235770702
-
- Clinical Social Worker
- Williamsport, PA
- NPI 1235857582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565740800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1610064000000",
"number": "1740836808",
"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": "780 BROAD ST",
"city": "MONTOURSVILLE",
"state": "PA",
"postal_code": "177542419",
"telephone_number": "570-368-2870",
"fax_number": "570-368-4463"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEISINGER-HM JOINT VENTURE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-14",
"last_updated": "2021-01-08",
"certification_date": "2021-01-08",
"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": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "GMG Lycoming Family Practice",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "GMG Lycoming Family Practice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Montoursville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; 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.