GEISINGER CLINIC (NPI# 1134536519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134536519 |
| Entity Type | Organization |
| Organization Name | GEISINGER CLINIC |
| Other Organization Name | PRIMMED MEDICAL GRP OLD FORGE IN COLLABORATION W/GEISINGER CLINIC |
| Practice Address |
939 Moosic Road Old Forge PA 18518 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-4903 |
| Practice Telephone | 5704713506 |
| Practice Fax Number | 5704713507 |
| Mailing Telephone | 5702715555 |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2014-11-12 |
| Authorized Official Name | CINDY L MULL (DIRECTOR REVENUE MANAGEMENT) |
| Authorized Official Telephone | 5702715555 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| PrimMed Medical Grp Old Forge in collaboration w/Geisinger Clinic | 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 |
939 MOOSIC ROAD |
| City | OLD FORGE |
| State | PA |
| Zip Code | 18518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407285331 | Kelly A. Bartels | Occupational Therapist | 106 Tamara Dr, Old Forge, PA 18518 | 2013-11-01 |
| 1114216967 | Bridget Elizabeth Thomas | Pharmacist | 401-403 Main St, Old Forge, PA 18518 | 2011-04-01 |
| 1720377666 | Deborah M. Dunbar | Pharmacist | 401-403 South Main St., Old Forge, PA 18518 | 2011-03-31 |
| 1215235114 | Verna Mae Saleski | Nurse Practitioner | 1315 Colfax Ave, Maternal Family Health Services Circle of Care, Scranton, PA 18518 | 2011-03-02 |
| 1801909528 | Jan Charles Stampien | Dentist | 121 Moosic Rd, Old Forge Medical Center, Old Forge, PA 18518 | 2006-08-16 |
| 1700810835 | William Allen Stang Jr. | Specialist/Technologist | 501 South Main St, Physical Therapy Associates Nepa, Old Forge, PA 18518 | 2006-07-11 |
| 1093784076 | Stephen Robert Paranich | Chiropractor | 102 N Main St, Old Forge, PA 18518 | 2006-03-14 |
| 1720377005 | Kellyann Daley | Pharmacist | 401 South Main St, Old Forge, PA 18518 | 2011-04-07 |
| 1801009196 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 101 S. Main St, Old Forge, PA 18518 | 2007-05-07 |
| 1831251727 | Nicholas E Pecuch | Dentist | 165 N Main St, Old Forge, PA 18518 | 2006-12-15 |
| Find all providers in zip 18518 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164715397 | Emir Hodzic | Family Medicine | 114 South Shore Road, Old Forge, NY 13420 | 2011-05-20 |
| 1306914627 | Central Adirondack Family Practice | Family Medicine | 114 South Shore Rd., Old Forge, NY 13420-0207 | 2006-12-04 |
| 1356458574 | Darlene Ann Dunay | Family Medicine | 314 Oak St, Old Forge, PA 18518-1619 | 2006-08-24 |
| 1588640296 | Mark C Webster | Family Medicine | 114 S Shore Rd, Old Forge, NY 13420-3500 | 2005-12-15 |
| 1326289836 | Kathryn Ann Sallavanti | Family Medicine | 315 S Main St, Old Forge, PA 18518-1606 | 2009-03-12 |
| 1033326772 | Dana Marie Montgomery | Family Medicine | 315 S Main St, Old Forge, PA 18518-1606 | 2007-05-16 |
| 1124059464 | Jihad Charabati | Family Medicine | 315 S Main St, Old Forge, PA 18518-1606 | 2006-07-05 |
| 1982672523 | Armando R Sallavanti | Family Medicine | 315 S Main St, Old Forge, PA 18518-1606 | 2006-03-09 |
| 1487630190 | Thomas J Socash | Family Medicine | 114 S Shore Rd, Old Forge, NY 13420-3500 | 2005-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442878 | Hallie Szymanski | Family Medicine | 3481 Frye Ave, Finleyville, PA 15332-1305 | 2020-09-19 |
| 1124633672 | Upmc Community Medicine, Inc | Family Medicine | 3140 Highland Rd Ste 102, Hermitage, PA 16148-4514 | 2020-09-11 |
| 1275147647 | Rebecca Diane Yeater | Family Medicine | Wellspan Family Medicine - Fairfield, 4910 Fairfield Rd, Fairfield, PA 17320 | 2020-09-03 |
| 1497369813 | Christina Socash | Family Medicine | 11335 Neiger Rd, Girard, PA 16417-9130 | 2020-09-02 |
| 1902410673 | Geisinger Clinic | Family Medicine | 20 Diana Ln, West Hazleton, PA 18202-1210 | 2020-09-01 |
| 1457964603 | Cynthia Rainey Raposas | Family Medicine | 3552 Woodside Rd, Hollidaysburg, PA 16648-5258 | 2020-08-27 |
| 1841802592 | Community Health and Wellness Services, Inc. | Family Medicine | 312 Memorial Park Dr, Springfield, PA 19064-1714 | 2020-08-22 |
| 1649882275 | Blair Regenerative Medicine LLC | Family Medicine | 201 Hospital Dr Ste 2, Everett, PA 15537-7019 | 2020-08-17 |
| 1447861521 | Mature Resources Foundation | Family Medicine | 28944 Frenchville Karthaus Hwy, Frenchville, PA 16836-8834 | 2020-08-12 |
| 1619587227 | Cmp Medical LLC | Family Medicine | 3626 Sears St, Philadelphia, PA 19146-3217 | 2020-08-07 |
| Find all providers with the same taxonomy | ||||
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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.