NPIMap

Individual provider Active NPI

Thomas G Majernick, DO

  • Family Medicine Physician
  • Olyphant, PA
National Provider Identifier
1972583995
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS004924L Issued in PA
Practice address
221 River St
Olyphant, PA 18447-1475
Phone
(570) 383-3636
NPI assigned
Jan 17, 2006
Last updated
Oct 7, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS004924L PA Primary

Addresses

Primary practice location

221 River St
Olyphant, PA 18447-1475

Mailing address

221 River St
Olyphant, PA 18447-1475
Phone (570) 383-3636

Other identifiers 1

IdentifierTypeStateIssuer
1104298MedicaidPA

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
I20080327000292 PA Practitioner - Family PracticePractitioner - Emergency Medicine 5890878383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

221 River St
Olyphant, PA 18447-1475
Phone (570) 383-3636

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Family Medicine Current Accepting new patients
Geisinger Clinic CurrentSince Oct 1, 2014 Accepting new patients
Geisinger Clinic Family Medicine CurrentSince Oct 1, 2014 Accepting new patients
Geisinger Clinic Past Accepting new patients
Emergency Services, PC Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

407 3rd Ave
Jessup, PA 18434
Phone (570) 383-7922

221 River St
Olyphant, PA 18447
Phone (570) 383-3636

1800 Mulberry St
Scranton, PA 18510
Phone (570) 703-7351

435 Scranton Carbondale Hwy
Scranton, PA 18508
Phone (570) 343-4334

Interoperability endpoints

  • Direct secure messaging: tmajernick@primemed.medentdirect.com

Organizations & group practices 5

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 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286409600000",
    "number": "1972583995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 RIVER ST",
            "city": "OLYPHANT",
            "state": "PA",
            "postal_code": "184471475",
            "telephone_number": "570-383-3636",
            "fax_number": "570-383-3638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 RIVER ST",
            "city": "OLYPHANT",
            "state": "PA",
            "postal_code": "184471475",
            "telephone_number": "570-383-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAJERNICK",
        "first_name": "THOMAS",
        "middle_name": "G",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2010-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS004924L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104298",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olyphant, PA

Sources for this page

Verify at the official NPI Registry.