GEISINGER CLINIC (NPI# 1134175581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134175581 |
| Entity Type | Organization |
| Organization Name | GEISINGER CLINIC |
| Other Organization Name | GEISINGER COMMUNITY HEALTH SERVICES |
| Practice Address |
44 Woodbine Ln Danville PA 17821-8020 |
| Mailing Address |
100 N Academy Ave # Mc24-01 Danville PA 17822-2401 |
| Practice Telephone | 5702718767 |
| Practice Fax Number | 5702715843 |
| Mailing Telephone | 5702148503 |
| Mailing Fax Number | 5702717953 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-07-09 |
| Authorized Official Name | MR. MICHAEL A EVANS (VP ENTERPRISE PHARMACY/CHIEF PHARM) |
| Authorized Official Telephone | 5702716192 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251F00000X | Home Infusion | PP414060L | PA | Agencies |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | UNISON HEALTH PLAN | 132447 | 01 |
| PA | GATEWAY PROVIDER # | 1507155 | 01 |
| PA | CAPITAL BLUE CROSS PROVID | 09HI10 | 01 |
| PA | 1007535151387 | 05 | |
| PA | HIGHMARK BS PROVIDER # | 243353 | 01 |
| PA | KEYSTONE HEALTH CENTRAL | 39JI10 | 01 |
| PA | BC NEPA PROVIDER NUMBER | 996012 | 01 |
| PA | 1000038000024 | 05 | |
| PA | GEISINGER HEALTH PLAN HMO | GE205242 | 01 |
| PA | BCNEPA ACCESS CARE PROV # | 181925 | 01 |
| PA | AETNA PROVIDER NUMBER | 362013 | 01 |
| PA | HEALTH AMERICA PROVIDER # | 95862 | 01 |
| Other Name | Type Code |
|---|---|
| Geisinger Community Health Services | Former Legal Business Name - Organization |
| VITALine Infusion Pharmacy Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410673 | Geisinger Clinic | Family Medicine | 20 Diana Ln, West Hazleton, PA 18202-1210 | 2020-09-01 |
| 1780295733 | Geisinger Clinic | Emergency Medicine | 545 Fair Street, Bloomsburg, PA 17815 | 2020-08-13 |
| 1457973927 | Geisinger Clinic | Medical Genetics | 15 Wesner Ln Fl 1, Danville, PA 17821-8023 | 2020-05-07 |
| 1376163014 | Geisinger Clinic | Medical Genetics | 3 Wesner Lane, 1st Floor, Danville, PA 17821 | 2020-04-23 |
| 1689214488 | Geisinger Clinic | Orthopaedic Surgery | 112 N 15th St, Lewisburg, PA 17837-1224 | 2020-01-09 |
| 1861048803 | Geisinger Clinic | Pediatrics | 55 Medical Drive, Lewisburg, PA 17837-6343 | 2019-08-15 |
| 1407315310 | Geisinger Clinic | Pediatrics | 2936 Route 611, Tannersville, PA 18372-7880 | 2019-03-19 |
| 1023572278 | Geisinger Clinic | Surgery | 480 Pierce St Ste 314, Kingston, PA 18704-5512 | 2019-01-22 |
| 1639600075 | Geisinger Clinic | Counselor | 2407 Reichard Road, Bloomsburg, PA 17815-6001 | 2017-03-27 |
| 1548709561 | Geisinger Clinic | Pharmacy | 210 Industrial Park Rd, Elysburg, PA 17824-9770 | 2017-02-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GEISINGER CLINIC | 100 N Academy Ave, Danville, PA 17822-9800 |
| Oregon Corporations, Companies and Business Names | GEISINGER CLINIC | 100 N Academy Ave, Danville, PA 17822 |
| Colorado Business Entities | Geisinger Clinic | 100 N. Academy Ave., Danville, PA 17822 |
| Indiana Business Entities | GEISINGER CLINIC | 100 N Academy Ave, Mc 40-31, Danville, PA 17822 |
| Washington State Corporations | GEISINGER CLINIC | 100 N Academy Ave, Danville, PA 17822 |
| Connecticut Business Registrations | GEISINGER CLINIC INC. | 100 N. Academy Ave., Danville, PA 17822 |
| Street Address |
44 WOODBINE LN |
| City | DANVILLE |
| State | PA |
| Zip Code | 17821-8020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023620614 | Megan Marie Devaney | Pharmacist | 44 Woodbine Ln, Danville, PA 17821-8020 | 2020-08-17 |
| 1245791193 | Maria Debellis | Pharmacist | 44 Woodbine Ln, Danville, PA 17821-8020 | 2019-03-25 |
| 1730692427 | Amanda Helen Barnhart | Dietitian, Registered | 44 Woodbine Ln, Danville, PA 17821-8020 | 2017-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376163014 | Geisinger Clinic | Medical Genetics | 3 Wesner Lane, 1st Floor, Danville, PA 17821 | 2020-04-23 |
| 1437620853 | Teresa Lynne Hess | Pharmacist | 553-555 Mahoning St, Milton, PA 17821 | 2018-12-11 |
| 1013257393 | Greggory Lewis Anderson | Speech-Language Pathologist | 64 Rehab Lane, Danville, PW 17821 | 2013-02-22 |
| 1487920047 | Eve Marina Santos | Dentist | 444 Pine St, Danville, PA 17821 | 2012-03-28 |
| 1164758371 | Mary Gergis | Physician Assistant | 604 Continental Blvd, Danville, PA 17821 | 2009-10-22 |
| 1568627529 | Tamara T Myers | Surgery | 100 North Academy Avenue, Mc 21-70, Geisinger Medical Center, Department of General Surgery, Danville, PA 17821 | 2008-07-18 |
| 1407999766 | Cmsu Behavioral Health and Developmental Services | Case Management | 507 E Market St, Danville, PA 17821 | 2007-02-15 |
| 1912074261 | John Stephen Foster | Physical Therapist | 11 Northumberland Street, Danville, PA 17821 | 2006-11-30 |
| 1073587796 | Susquehanna Valley Home Health Care | Home Health | 273 Gotschal Rd, Danville, PA 17821 | 2006-02-17 |
| 1306302716 | Lindsay A Hauser | Nurse Practitioner | 175 Northumberland Street, Danville, PA 17821 | 2019-02-11 |
| Find all providers in zip 17821 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
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| 1508134628 | Piedmont Pharmacy Inc | Pharmacy | 305 Mount Cross Rd, Danville, VA 24540-4045 | 2011-12-03 |
| 1891081642 | Phamily Pharmacy Inc | Pharmacy | 10372 Martinsville Hwy Ste A, Danville, VA 24541-6888 | 2011-06-21 |
| 1720202237 | Danville Pharmacy Inc | Pharmacy | 905 San Ramon Valley Blvd Ste 106, Ste 106, Danville, CA 94526-4035 | 2007-04-13 |
| 1417097023 | Optimal Outcomes Inc | Pharmacy | 125 Woodstock Way, Danville, VA 24541-5100 | 2007-02-06 |
| 1366515991 | Danville Pharmacy LLC | Pharmacy | 2008 Smoot Ave, Danville, WV 25053 | 2006-11-15 |
| 1558440891 | Super D Drugs Acquisition Co | Pharmacy | 300 East 8th Street, Danville, AR 72833 | 2006-11-06 |
| 1942314935 | Professional Pharmacy of Danville | Pharmacy | 130 Watson St, Danville, VA 24541-2835 | 2006-08-18 |
| 1801801535 | Suthars Inc | Pharmacy | 411 Park Ave, Danville, VA 24541-4629 | 2006-07-30 |
| Find all providers in DANVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.