NPIMap

Individual provider Active NPI

Jeanne Lorraine Gricoski, D.O.

  • Internal Medicine Physician
  • Orwigsburg, PA
National Provider Identifier
1962720292
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS015740 Issued in PA
Practice address
300 Hollywood Blvd
Orwigsburg, PA 17961-2426
Phone
(570) 366-1557
Fax
(570) 366-3981
NPI assigned
May 11, 2010
Last updated
Aug 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS015740 PA Primary
Internal Medicine Physician 207R00000X OT013362 PA

Addresses

Primary practice location

300 Hollywood Blvd
Orwigsburg, PA 17961-2426

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Other identifiers 1

IdentifierTypeStateIssuer
102819394MedicaidPA

Other names 1

  • Jeanne Lorraine Zukas Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jzukas116830@direct.geisinger.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130530000206 PA Practitioner - Internal Medicine 2961649082 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Medical Group P CGroup PAC ID 1355247180, 105 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

1260 Centre Tpke
Suite 108
Orwigsburg, PA 17961-8956
Phone (570) 516-9647

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Medical Group P C Internal Medicine CurrentSince Jul 7, 2025 Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic CurrentSince Jul 1, 2014 Accepting new patients
Geisinger Clinic CurrentSince Jul 1, 2014 Accepting new patients
Integrated Medical Group, P.C. CurrentSince Jul 7, 2025 Accepting new patients
Lehigh Valley Hospital - Schuylkill Past Accepting new patients
Integrated Medical Group Internal Medicine Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

701 W Oak St
Frackville, PA 17931
Phone (570) 874-4100

232 Sunbury St
Minersville, PA 17954
Phone (570) 544-4590

6 S Oak St
Mount Carmel, PA 17851
Phone (570) 339-2636

1260 Centre Tpke
Ste 108
Orwigsburg, PA 17961
Phone (570) 516-9647

300 Hollywood Blvd
Orwigsburg, PA 17961
Phone (570) 366-1557

8 Oak Grove Rd
Ste 1
Pine Grove, PA 17963
Phone (570) 345-3321

420 S Jackson St
Pottsville, PA 17901
Phone (570) 621-5000

48 Tunnel Rd
Ste 104
Pottsville, PA 17901
Phone (570) 622-5555

700 E Norwegian St
Pottsville, PA 17901
Phone (570) 621-4000

82 Tunnel Rd
Pottsville, PA 17901
Phone (570) 622-5455

2234 Perkiomen Ave
Reading, PA 19606
Phone (610) 370-2511

2752 Century Blvd
Wyomissing, PA 19610
Phone (610) 378-8800

Interoperability endpoints

  • Direct secure messaging: jgricoski@imgpc.medentdirect.com
  • Direct secure messaging: jzukas116830@direct.geisinger.edu

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 35

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1962720292",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HOLLYWOOD BLVD",
            "city": "ORWIGSBURG",
            "state": "PA",
            "postal_code": "179612426",
            "telephone_number": "570-366-1557",
            "fax_number": "570-366-3981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRICOSKI",
        "first_name": "JEANNE",
        "middle_name": "LORRAINE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-11",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS015740",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OT013362",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102819394",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jzukas116830@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "300 Hollywood Blvd",
            "city": "Orwigsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "179612426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JEANNE",
            "last_name": "ZUKAS",
            "middle_name": "LORRAINE",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orwigsburg, PA

Sources for this page

Verify at the official NPI Registry.