GEISINGER CLINIC (NPI# 1497765192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497765192 |
| Entity Type | Organization |
| Organization Name | GEISINGER CLINIC |
| Practice Address |
100 N Academy Ave Danville PA 17822 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-3034 |
| Practice Telephone | 5702716211 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2008-06-30 |
| Authorized Official Name | KENNETH HOLDREN (CAO) |
| Authorized Official Telephone | 5702715490 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK BS# | 788690 | 01 |
| 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 |
100 N ACADEMY AVE |
| City | DANVILLE |
| State | PA |
| Zip Code | 17822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861495996 | David J Salinger | Radiology | 100 N Academy Ave, Danville, PA 17822-2385 | 2005-05-23 |
| 1467053751 | Geisinger Clinc | Advanced Practice Midwife | 100 N Academy Ave, Danville, PA 17822-4903 | 2020-11-04 |
| 1144829649 | Felicia Mazzoni Sweeney | Nurse Practitioner | 100 N Academy Ave, Danville, PA 17822-9800 | 2020-10-26 |
| 1013516988 | Julia Elizabeth Dawson | Audiologist | 100 N Academy Ave, Danville, PA 17822-0001 | 2020-10-21 |
| 1114525888 | Madelyn Elise Stabinski | Pharmacist | 100 N Academy Ave, Danville, PA 17822-0001 | 2020-10-14 |
| 1316545304 | Victor Theodore Mallory | Physician Assistant | 100 N Academy Ave, Danville, PA 17822-9800 | 2020-10-13 |
| 1578160412 | Allison Nicole Hamner | Pharmacist | 100 N Academy Ave, Danville, PA 17822-0001 | 2020-10-05 |
| 1891392064 | Kaitlyn Kishbaugh | Speech-Language Pathologist | 100 N Academy Ave, Danville, PA 17822-9800 | 2020-10-01 |
| 1174138150 | Anna Marie Cruz | Psychologist | 100 N Academy Ave, Geisinger Medical Center, Danville, PA 17822-1335 | 2020-09-15 |
| 1649884933 | Heather M Krohn | Nurse Anesthetist, Certified Registered | 100 N Academy Ave, Danville, PA 17822-9800 | 2020-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366062895 | Staci Lee Benoit | Student in an Organized Health Care Education/Training Program | 100 North Academy Avenue Geisinger Medical Center, Danville, PA 17822 | 2020-04-24 |
| 1275162018 | Kristena Yossef | Student in an Organized Health Care Education/Training Program | Geisinger Medical Center, 100 North Academy Avenue, Da, Danville, PA 17822 | 2020-04-03 |
| 1003470444 | Intekhab Askari Syed Ahmad Raza | Student in an Organized Health Care Education/Training Program | 100 North Academy Avenue, Geisinger Medical Center, Danville, PA 17822 | 2019-04-30 |
| 1841766334 | Sarah Louise Dearment | Counselor | Geisinger Medical Center: Department of Psychiatry, 100 N. Academy Avenue, Danville, PA 17822 | 2018-10-23 |
| 1548753908 | Josie Pervola | Genetic Counselor, MS | 100 N Academy Ave Mc-26-20, Danville, PA 17822 | 2018-06-11 |
| 1477059350 | Martha Niemiec | Counselor | Geisinger Medical Center Department of Psychiatry, 100 North Academy Avenue, Danville, PA 17822 | 2018-04-01 |
| 1730625450 | Nir Shimony | Neurological Surgery | 100 N. Academy Ave., Geisinger Medical Center, Neurosurgery Department, Danville, PA 17822 | 2017-01-19 |
| 1164877197 | Britta Hunter | Speech-Language Pathologist | 100 N. Academy Ave., Danville, PA 17822 | 2016-04-27 |
| 1891180725 | Zach Rottmann | Internal Medicine | Geisinger Medical Center, 100 North Academy Avenue, Danville, PA 17822 | 2015-03-30 |
| 1891063251 | John D Chakan | Pharmacist | 1000 S Second St, Sunbury, PA 17822 | 2011-12-13 |
| Find all providers in zip 17822 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053574160 | Craig Holt Alexander | Pediatrics | 305 S. 4th Street #201, Danville, KY 40422 | 2008-07-08 |
| 1396042818 | John C. Ring | Pediatrics | 100 N Academy Ave, Danville, PA 17822-1339 | 2011-02-18 |
| 1306857784 | Herbert Joel Stern | Pediatrics | 142 S Main St, Danville, VA 24541-2922 | 2006-08-10 |
| 1316955156 | Avnit Golten | Pediatrics | 100 N Academy Ave, Danville, PA 17822-1339 | 2006-08-04 |
| 1356385306 | David Connuck | Pediatrics | 100 N Academy Ave, Danville, PA 17822-0001 | 2006-06-16 |
| 1265493712 | Robert A. Mangano | Pediatrics | 100 N Academy Ave, Danville, PA 17822-1339 | 2006-03-31 |
| 1750355079 | Fareed Ahmad | Pediatrics | 100 N Academy Ave, Danville, PA 17822-9800 | 2006-02-14 |
| 1154391019 | Shirah Shore | Pediatrics | 100 N Academy Ave, Danville, PA 17822-1339 | 2006-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639713944 | Stc Pediatrics LLC | Pediatrics | 1201 Langhorne Newtown Rd Ste 401, Langhorne, PA 19047-1201 | 2019-10-30 |
| 1316363716 | Alan Marc Mendelsohn | Pediatrics | 628 S Mount Pleasant Rd, Philadelphia, PA 19119-2957 | 2014-03-10 |
| 1497014062 | Lancaster General Hospital | Pediatrics | 2110 Harrisburg Pike Ste 315, Lancaster, PA 17601-2644 | 2012-05-16 |
| 1508008392 | Robert Anthony Palermo | Pediatrics | 1605 N Cedar Crest Blvd Ste 119, Allentown, PA 18104 | 2009-03-25 |
| 1598962417 | Cara Angela Garofalo | Pediatrics | Erie Ave. At Front Street, St. Christopher's Hospital for Children, Philadelphia, PA 19134 | 2007-07-03 |
| 1841396058 | David Mark Freeman | Pediatrics | 1351 W 6th St, Erie, PA 16505-2503 | 2006-09-15 |
| 1700800489 | Prapti Mulraj Kanani | Pediatrics | 3500 Brooktree Rd, Suite 204, Wexford, PA 15090-9277 | 2006-07-27 |
| 1922051762 | Vincent P Aluquin | Pediatrics | 121 N Nyes Rd Ste D, Harrisburg, PA 17112 | 2006-05-19 |
| 1598728719 | Michele P. Monaco | Pediatrics | 121 N Nyes Rd, Ste D, Harrisburg, PA 17112-3247 | 2006-04-10 |
| 1467458463 | Jeffrey R Boris | Pediatrics | 3401 Civic Center Blvd, Children's Hospital of Philadelphia - Cardiology, Philadelphia, PA 19104-4319 | 2005-06-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GEISINGER CLINIC.
| 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.