Geisinger-HM Joint Venture LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GEISINGER-HM JOINT VENTURE LLC

Practice address

255 Route 220 Highway
Muncy, PA 17756

Phone

(570) 308-2600

Fax

(570) 308-2470

NPI assigned

Aug 10, 2021

Last updated

Mar 20, 2023By 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

Cindy L Mull

Title

Director Credentialing & Enrollment

Phone

(570) 271-6603

Specialties & licenses 15

Addresses

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, AL, UT, MA, DE, ID, LA, DC, WV, IA, IL, RI, NM, AK37 enrollments

Enrollment records 37

Other NPIs with the same Medicare PAC ID 4

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

• Geisinger-HM Joint Venture, LLC

  • Family Medicine Physician
  • Williamsport, PA
  • NPI 1073075909

  1355676370

  Same PAC ID
• Geisinger-HM Joint Venture, LLC

  dba Geisinger Medical Clinic Lock Haven

  • Family Medicine Physician
  • Lock Haven, PA
  • NPI 1144876137

  1355676370

  Same PAC ID
• Geisinger-HM Joint Venture, LLC

  • Gastroenterology Physician
  • Montoursville, PA
  • NPI 1396207015

  1355676370

  Same PAC ID
• Geisinger-HM Joint Venture, LLC

  • Ambulatory Surgical Clinic/Center
  • Montoursville, PA
  • NPI 1437706140

  1355676370

  Same PAC ID

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Geisinger Clinic

  • Surgery Physician
  • Danville, PA
  • NPI 1255382784

  O20200221001561

  Same enrollment
• Geisinger Clinic

  • Diagnostic Radiology Physician
  • Danville, PA
  • NPI 1558313023

  O20200528001095

  Same enrollment
• Geisinger-HM Joint Venture, LLC

  • Family Medicine Physician
  • Williamsport, PA
  • NPI 1073075909

  O20190826000803, O20200203001346, O20200211001278, O20200211001738, O20200212002229, O20200220001257, O20200221001561, O20200225000276, O20200225000367, O20200225002332, O20200226001693, O20200226002127, O20200303000524, O20200303001139, O20

  Same enrollment
• Geisinger-HM Joint Venture, LLC

  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

  Same enrollment
• Geisinger-HM Joint Venture, LLC

  • Gastroenterology Physician
  • Montoursville, PA
  • NPI 1396207015

  O20190826000803, O20200203001346, O20200211001278, O20200211001738, O20200212002229, O20200220001257, O20200221001561, O20200225000276, O20200225000367, O20200225002332, O20200226001693, O20200226002127, O20200303000524, O20200303001139, O20

  Same enrollment
• Geisinger-HM Joint Venture, LLC

  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

  Same enrollment
• Geisinger-HM Joint Venture, LLC

  dba GMG Lycoming Family Practice

  • Family Medicine Physician
  • Montoursville, PA
  • NPI 1740836808

  O20190826000803, O20200203001346, O20200211001278, O20200211001738, O20200212002229, O20200220001257, O20200221001561, O20200225000276, O20200225000367, O20200225002332, O20200226001693, O20200226002127, O20200303000524, O20200303001139, O20

  Same enrollment

Tax ID family

Geisinger Cancer Center of Lewisburg275 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.

• Geisinger Clinic

  • Advanced Practice Midwife
  • Danville, PA
  • NPI 1922035716
  NPD tax ID
• Geisinger Clinic

  • Family Medicine Physician
  • Mountain Top, PA
  • NPI 1922392372
  NPD tax ID
• Geisinger Clinic

  • Clinical Social Worker
  • Danville, PA
  • NPI 1932136603
  NPD tax ID
• Geisinger Clinic

  • Hematology & Oncology Physician
  • Danville, PA
  • NPI 1932150331
  NPD tax ID
• Geisinger Clinic

  • Clinical Medical Laboratory
  • Lewistown, PA
  • NPI 1932150406
  NPD tax ID
• Geisinger Clinic

  • Family Medicine Physician
  • Orwigsburg, PA
  • NPI 1932151842
  NPD tax ID
• Geisinger Clinic

  • Audiologist
  • State College, PA
  • NPI 1932291200
  NPD tax ID
• Geisinger Clinic

  • Family Medicine Physician
  • Scranton, PA
  • NPI 1932534799
  NPD tax ID
• Geisinger Clinic

  • Diabetes Educator Registered Nurse
  • Danville, PA
  • NPI 1932587938
  NPD tax ID
• Geisinger Clinic

  • Internal Medicine Physician
  • State College, PA
  • NPI 1942252515
  NPD tax ID
• Geisinger Clinic

  • Internal Medicine Physician
  • Mount Carmel, PA
  • NPI 1942550116
  NPD tax ID
• Geisinger Clinic

  dba Geisinger Viewmont Imaging

  • Diagnostic Radiology Physician
  • Scranton, PA
  • NPI 1942602537
  NPD tax ID

Locations

Practitioners 488

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.

• Lythe Albakri, MD

  • Diagnostic Radiology Physician
  • Danville, PA
  • NPI 1912403890

  OH

  Medicare reassignment Care Compare group NPD
• Priya Bhandarkar, MD

  • Diagnostic Radiology Physician
  • Danville, PA
  • NPI 1114115987

  DC

  Medicare reassignment Care Compare group NPD
• Yonah Baruch Esterson

  • Diagnostic Radiology Physician
  • Danville, PA
  • NPI 1093134991

  MD

  Medicare reassignment Care Compare group NPD
• Ashish Gandhe, M.D.

  • Diagnostic Radiology Physician
  • Danville, PA
  • NPI 1447566971

  NM

  Medicare reassignment Care Compare group NPD
• Brian Wayne Goldner, MD

  • Diagnostic Radiology Physician
  • Danville, PA
  • NPI 1730459363

  CA

  Medicare reassignment Care Compare group NPD
• Andrew Lichliter, MD

  • Diagnostic Radiology Physician
  • Danville, PA
  • NPI 1124447107

  TN

  Medicare reassignment Care Compare group NPD
• Kenan Xiao

  • Diagnostic Radiology Physician
  • Danville, PA
  • NPI 1437786506

  WA

  Medicare reassignment Care Compare group NPD
• Chad Clinton Adams, M.D.

  • Diagnostic Radiology Physician
  • Tacoma, WA
  • NPI 1447691266
  Medicare reassignment Care Compare group NPD
• Jamile Yasmin Alexander, MD

  • Diagnostic Radiology Physician
  • Houston, TX
  • NPI 1588645634
  Medicare reassignment Care Compare group NPD
• Neil Anand, M.D.

  • Diagnostic Radiology Physician
  • Edina, MN
  • NPI 1508271149

  Internal Medicine, WA

  Medicare reassignment Care Compare group NPD
• Samih Elakkad, M.D.

  • Diagnostic Radiology Physician
  • Long Beach, CA
  • NPI 1134566235

  VA

  Medicare reassignment Care Compare group NPD
• Daniel E Erdman, MD

  • Diagnostic Radiology Physician
  • Saratoga, CA
  • NPI 1730152208
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1952076119",
    "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": "255 ROUTE 220 HIGHWAY",
            "city": "MUNCY",
            "state": "PA",
            "postal_code": "17756",
            "telephone_number": "570-308-2600",
            "fax_number": "570-308-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEISINGER-HM JOINT VENTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-10",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "MULL",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR CREDENTIALING & ENROLLMENT",
        "authorized_official_telephone_number": "570-271-6603"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaye Elisabeth Fries, PA-C
• Michelle Antionette Gavitt, PTA
• Geisinger Medical Center
• Geisinger Medical Center Muncy
• Geisinger Pharmacy, LLC (Geisinger Pharmacy)
• Ellen Janette Goodheer
• Gerald William Gray Jr Jr.
• Daniel Hampton, PT, DPT
• Timothy Claire Hampton II, D.C.
• Hamptons Chiropractic Inc

• Internal Medicine Physician in Muncy, PA
• Providers in Muncy, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.