GEISINGER CLINIC (NPI# 1225080138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225080138 |
| Entity Type | Organization |
| Organization Name | GEISINGER CLINIC |
| Practice Address |
119 Nevada Dr Kulpmont PA 17834-1960 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-3034 |
| Practice Telephone | 5703731717 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-04-20 |
| Authorized Official Name | CINDY L MULL (SYSTEM DIRECTOR ENROLLMENTS) |
| Authorized Official Telephone | 5702716603 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 291U00000X | Clinical Medical Laboratory | PA | Laboratories | |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| 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 |
119 NEVADA DR |
| City | KULPMONT |
| State | PA |
| Zip Code | 17834-1960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407829963 | Debra Marie Kaleta | Physician Assistant | 119 Nevada Dr, Kulpmont, PA 17834-1960 | 2006-02-07 |
| 1699204263 | Hannah Hatley Berry | Family Medicine | 119 Nevada Dr, Kulpmont, PA 17834-1960 | 2017-06-07 |
| 1124497482 | Ashley Rumberger | Physician Assistant | 119 Nevada Dr, Kulpmont, PA 17834-1960 | 2015-09-16 |
| 1700016987 | Jennifer Angela Seroski | Family Medicine | 119 Nevada Dr, Kulpmont, PA 17834-1960 | 2009-07-22 |
| 1205884558 | John R. Tomedi | Family Medicine | 119 Nevada Dr, Kulpmont, PA 17834-1957 | 2006-05-05 |
| 1730145038 | Bruce M. Romanic | Family Medicine | 119 Nevada Dr, Kulpmont, PA 17834-1957 | 2006-04-25 |
| 1427011337 | Jill E. Nye | Family Medicine | 119 Nevada Dr, Kulpmont, PA 17834-1957 | 2006-04-11 |
| 1407825623 | Thomas J. Hood | Family Medicine | 119 Nevada Dr, Kulpmont, PA 17834-1957 | 2006-03-17 |
| 1821064411 | Stephanie L. Christian | Physician Assistant | 119 Nevada Dr, Kulpmont, PA 17834-1957 | 2006-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497063531 | Frank Peter Lentini | Hearing Instrument Specialist | 14 Chestnut St., Kulpmont, PA 17834 | 2010-09-23 |
| 1619136892 | Geisinger Clinic | Family Medicine | 1100 Spruce St, Ste 100, Kulpmont, PA 17834 | 2008-06-03 |
| 1861651499 | Mary Ann L Herrero | Speech-Language Pathologist | 1423 Chestnut St, Kulpmont, PA 17834-1010 | 2008-06-09 |
| 1164578456 | Michael Martin Breskiewicz | Dentist | 921 Chestnut St, Kulpmont, PA 17834-1207 | 2007-01-27 |
| 1962709824 | Michael M Breskiewicz, Dmd, PC | Clinic/Center | 921 Chestnut St, Kulpmont, PA 17834-1207 | 2011-02-11 |
| 1629073317 | Jane M Walter | Nurse Practitioner | 1100 Spruce St, Kulpmont, PA 17834-1234 | 2005-06-17 |
| 1730114422 | Donna Marie Testa | Family Medicine | 1100 Spruce St, Suite 100, Kulpmont, PA 17834-1234 | 2006-07-11 |
| 1225033772 | Timothy James Dennen | Family Medicine | 1100 Spruce St, Kulpmont, PA 17834-1234 | 2005-06-20 |
| 1871611400 | Ronald Lentini | Durable Medical Equipment & Medical Supplies | 828 Chestnut St, Kulpmont, PA 17834-1314 | 2007-03-26 |
| 1457826588 | Ronald A Lentini | Durable Medical Equipment & Medical Supplies | 828 Chestnut St, Kulpmont, PA 17834-1314 | 2018-10-04 |
| Find all providers in zip 17834 | ||||
| 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 |
|---|---|---|---|---|
| 1376596585 | Kraynak Family Medicine, P.C. | Family Medicine | 111 Chestnut St, Kulpmont, PA 17834-1403 | 2006-05-18 |
| 1699204263 | Hannah Hatley Berry | Family Medicine | 119 Nevada Dr, Kulpmont, PA 17834-1960 | 2017-06-07 |
| 1700016987 | Jennifer Angela Seroski | Family Medicine | 119 Nevada Dr, Kulpmont, PA 17834-1960 | 2009-07-22 |
| 1619136892 | Geisinger Clinic | Family Medicine | 1100 Spruce St, Ste 100, Kulpmont, PA 17834 | 2008-06-03 |
| 1730114422 | Donna Marie Testa | Family Medicine | 1100 Spruce St, Suite 100, Kulpmont, PA 17834-1234 | 2006-07-11 |
| 1205884558 | John R. Tomedi | Family Medicine | 119 Nevada Dr, Kulpmont, PA 17834-1957 | 2006-05-05 |
| 1730145038 | Bruce M. Romanic | Family Medicine | 119 Nevada Dr, Kulpmont, PA 17834-1957 | 2006-04-25 |
| 1427011337 | Jill E. Nye | Family Medicine | 119 Nevada Dr, Kulpmont, PA 17834-1957 | 2006-04-11 |
| 1407825623 | Thomas J. Hood | Family Medicine | 119 Nevada Dr, Kulpmont, PA 17834-1957 | 2006-03-17 |
| 1225033772 | Timothy James Dennen | Family Medicine | 1100 Spruce St, Kulpmont, PA 17834-1234 | 2005-06-20 |
| Find all providers in KULPMONT | ||||
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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.