Christopher A. Giddings Connolly, MD
Individual provider Active NPI Sleep Medicine (Family Medicine) Physician · Mt. Pocono, PA
NPI 1992094957 · NPPES record last updated Aug 31, 2020
Key facts
- NPI
- 1992094957
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sleep Medicine (Family Medicine) Physician 207QS1201X
- License
- MD457078 (PA)
- Practice address
- 126 Market Way
Mt. Pocono, PA 18344-3842 - Phone
- (570) 839-3633
- Fax
- (570) 839-6490
- NPI assigned
- Mar 30, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 60
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Geisinger Clinic
Practice addresses (Care Compare)
126 Market Way
Mt Pocono, PA 18344-1039
Phone (570) 839-3633
Hospital & facility affiliations
- Bayada Home Health Care, Inc.
- Residential Healthcare of NE PA, LLC
- Geisinger Wyoming Valley Medical Center
- Geisinger-Community Medical Center
- St Luke'S Hospital - Monroe Campus
- Lehigh Valley Hospital - Pocono
- Geisinger Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160315001369 | PA | Practitioner - Family Practice | 0446556641 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD457078 | PA | MD | Sleep Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Current |
Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Current |
Accepting new patients | |
| Geisinger Clinic | Past | Accepting new patients |
Locations
503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100
100 N Academy Ave
Danville, PA 17822
126 Market Way
Mount Pocono, PA 18344
Phone (570) 839-3633
12 Kirby Ave
Mountain Top, PA 18707
Phone (570) 474-5978
125 Scranton Pocono Hwy
Scranton, PA 18505
Phone (570) 342-8500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Sleep Medicine (Family Medicine) Physician | 207QS1201X | MD457078 | PA | Yes |
Addresses
Primary practice location
126 Market Way
Mt. Pocono, PA 18344-3842
Mailing address
100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106658 | Other | PA | PROVIDER ID |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cgiddingsconnolly131181@direct.geisinger.edu | Direct |
Other providers in Mt. Pocono, PA
- Malynda Galka
- Geisinger Clinic
- Geisinger Community Health Services
- Geisinger Pharmacy, LLC
- Geisinger Wyoming Valley Medical Center
- Greater Insight Family Treatment, LLC
- Paul Guffrovich
- Elizabeth Hahn
- Lisa Hanna
- Allyson C. Hardy
All providers in Mt. Pocono, PA · Sleep Medicine (Family Medicine) Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.