GEISINGER CLINIC (NPI# 1306193826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306193826 |
| Entity Type | Organization |
| Organization Name | GEISINGER CLINIC |
| Practice Address |
4469 Red Rock Rd Benton PA 17814-7606 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-4903 |
| Practice Telephone | 5709256424 |
| Practice Fax Number | 5709255852 |
| Mailing Telephone | 5702715555 |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2012-08-15 |
| Authorized Official Name | KENNETH HOLDREN (CAO) |
| 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 |
| 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 |
4469 RED ROCK RD |
| City | BENTON |
| State | PA |
| Zip Code | 17814-7606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669468997 | Richard A Prisuta | Family Medicine | 4469 Red Rock Rd, Benton, PA 17814-7606 | 2005-09-22 |
| 1528412095 | Ann Smith Depoe | Nurse Practitioner | 4469 Red Rock Rd, Benton, PA 17814-7606 | 2016-04-20 |
| 1285967208 | Bloomsburg Physicians Services | Family Medicine | 4469 Red Rock Rd, Benton, PA 17814-7606 | 2009-09-09 |
| 1720040090 | North Columbia Medical Offices, Inc. | Family Medicine | 4469 Red Rock Rd, Benton, PA 17814-7606 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437319175 | Benton Volunteer Fire Company Ambulance Assoc | Ambulance | 150 Colley St, Benton, PA 17814 | 2008-06-16 |
| 1497886063 | Benton Volunteer Fire Company | Ambulance | 150 Colley St., Benton, PA 17814 | 2007-03-08 |
| 1396815312 | Thomas Anthony Kowalski | Dentist | 2 & Half & Market Streets, Benton, PA 17814 | 2006-11-08 |
| 1982717328 | Kenneth Detlaf Cross | Dentist | 510 Main St, Benton, PA 17814 | 2006-08-17 |
| 1609868512 | Dale Neiderhiser | Chiropractor | 224 Main St, Benton, PA 17814-0124 | 2005-08-17 |
| 1124040795 | Colpharm Inc | Pharmacy | 283-285 Main St, Benton, PA 17814-0251 | 2006-07-24 |
| 1174738587 | John Joseph Hutnick | Optometrist | 110 Main Street, Benton, PA 17814-0275 | 2007-05-11 |
| 1497874259 | Sugarloaf Community Rescue & Ambulance Association | Ambulance | 987 Elk Grove Rd, Benton, PA 17814-7404 | 2007-03-29 |
| 1609055896 | Sugarloaf Community Rescue & | Ambulance | 987 Elk Grove Rd, Benton, PA 17814-7404 | 2007-10-24 |
| 1225094733 | Benton Area School District | Local Education Agency (LEA) | 600 Green Acres Rd, Benton, PA 17814-7603 | 2006-04-24 |
| Find all providers in zip 17814 | ||||
| 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 |
|---|---|---|---|---|
| 1588270581 | Wk Palmetto Family Practice | Family Medicine | 4200 Palmetto Rd, Benton, LA 71006-9420 | 2020-09-16 |
| 1245641273 | Austin Beck | Family Medicine | 83 Wellness Way Lane, 1st Floor, Benton, KY 42025-7156 | 2014-05-13 |
| 1245415389 | Comprehensive Family Health Care LLC | Family Medicine | 142 S Winchester St, Benton, MO 63736-0000 | 2008-01-08 |
| 1891816153 | Patricia G Mcgarry | Family Medicine | 6640 Congo Rd., Benton, AR 72019-6913 | 2007-04-03 |
| 1477605988 | Marshall County Medical Associates | Family Medicine | 145 Vine Street, Benton, KY 42025 | 2007-01-17 |
| 1235209198 | Lisa Rebecca Barker | Family Medicine | 1304 Military Rd, Benton, AR 72015-2911 | 2006-11-08 |
| 1194821884 | Troy Glen Moore | Family Medicine | 5539 Atlantic Cv, Benton, AR 72019-8563 | 2006-09-16 |
| 1619071024 | Marvin Norwood Kirk | Family Medicine | 1102 B W. South Street, Benton, AR 72015-4066 | 2006-09-08 |
| 1780797035 | Aleksander Ivanovich Malakhov | Family Medicine | Highway 411 South, Benton, TN 37307-0308 | 2006-08-17 |
| 1215956602 | Ralph I Latta | Family Medicine | 501 N Duquoin, Benton, IL 62812-5228 | 2006-07-18 |
| Find all providers in BENTON | ||||
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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.