NPIMap

Organization Active NPI

Gslpg Inc

Doing business as Geisinger St. Luke's Orwigsburg Family Practice

  • Family Medicine Physician
  • Orwigsburg, PA
National Provider Identifier
1750848321
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GSLPG INC
Doing business as
Geisinger St. Luke's Orwigsburg Family Practice
Practice address
209 E Market St
Orwigsburg, PA 17961-1905
Phone
(570) 366-3885
NPI assigned
Mar 1, 2019
Last updated
Sep 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Authorized official

Name
Sue Chiavaroli
Title
Cvo Supervisor
Phone
(484) 526-3569

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

209 E Market St
Orwigsburg, PA 17961-1905

Mailing address

801 Ostrum St
Bethlehem, PA 18015-1000
Phone (484) 526-6048

Other names 1

  • Geisinger St. Luke's Orwigsburg Family Practice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040226000062 PA Part B Supplier - Clinic/Group Practice 6709798333 Receives reassigned benefits from 3,523 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory
Tax ID family
Gslpg Inc21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Locations

302 S 65 Hwy
Lincoln, MO 65338
Phone (660) 547-3915

3565 Route 611
Ste 300
Bartonsville, PA 18321
Phone (272) 212-0105

801 Ostrum St
Ste A
Bethlehem, PA 18015

100 Paramount Blvd
#3
Orwigsburg, PA 17961

100 Paramount Blvd
Fl 1
Orwigsburg, PA 17961

100 Paramount Blvd
Ste 1
Orwigsburg, PA 17961

100 Paramount Blvd
Ste A
Orwigsburg, PA 17961

100 Paramount Blvd
Ste B
Orwigsburg, PA 17961

100 Paramount Blvd
Ste C
Orwigsburg, PA 17961

1165 Centre Tpke
#2
Orwigsburg, PA 17961

100 Paramount Blvd
Philadelphia, PA 19178

934 S Garfield Rd
Ste 1
Airway Heights, WA 99001

Practitioners & affiliated clinicians

Practitioners 200

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.

View all 200

NPI Registry JSON

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

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599177600000",
    "number": "1750848321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "484-526-6048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E MARKET ST",
            "city": "ORWIGSBURG",
            "state": "PA",
            "postal_code": "179611905",
            "telephone_number": "570-366-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GSLPG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-01",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A",
        "authorized_official_last_name": "CHIAVAROLI",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "CVO SUPERVISOR",
        "authorized_official_telephone_number": "484-526-3569"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Geisinger St. Luke's Orwigsburg Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orwigsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; 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.

Verify at the official NPI Registry.