GEISINGER CLINIC (NPI# 1043408826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043408826 |
| Entity Type | Organization |
| Organization Name | GEISINGER CLINIC |
| Practice Address |
166 Hanover St Ste 203 Wilkes Barre PA 18702 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-3034 |
| Practice Telephone | 5708258780 |
| Mailing Telephone | 5702715555 |
| Enumeration Date | 2007-10-05 |
| 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 | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207R00000X | Internal Medicine | OS009287L | PA | 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 |
166 HANOVER ST STE 203 |
| City | WILKES BARRE |
| State | PA |
| Zip Code | 18702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376543165 | Vincent A Drapiewski | Family Medicine | 166 Hanover St, Suite 102, Wilkes Barre, PA 18702-3549 | 2005-07-22 |
| 1053816132 | Amanda Ferriola Murphy | Psychologist | 166 Hanover St, Wilkes Barre, PA 18702-3549 | 2018-03-29 |
| 1215280334 | Geisinger Clinic | Pediatrics | 166 Hanover St, Wilkes Barre, PA 18702-3549 | 2012-10-26 |
| 1942433263 | Kimberly M. Wood | Physician Assistant | 166 Hanover St, Ste 203, Wilkes Barre, PA 18702-3549 | 2009-09-03 |
| 1720286503 | Gerald Maloney Do PC | Internal Medicine | 166 Hanover St, Suite 203, Wilkes Barre, PA 18702-3549 | 2007-07-03 |
| 1588866792 | Dwaraki Bai Penugonda Md PC | Specialist | 166 Hanover St, Wilkes Barre, PA 18702-3549 | 2007-06-01 |
| 1952512808 | Yu Song Kao | Psychiatry & Neurology | 166 Hanover St, Wilkes Barre, PA 18702-3544 | 2007-05-24 |
| 1073638201 | Geisinger Clinic | Pediatrics | 166 Hanover St, Wilkes Barre, PA 18702-3549 | 2007-03-20 |
| 1275663833 | Michael D Rupp | Internal Medicine | 166 Hanover St, Suite 305, Wilkes Barre, PA 18702-3549 | 2007-03-06 |
| 1700916244 | M.s.u.r., M.d., Associates, P.C. | Internal Medicine | 166 Hanover St, Suite 305, Wilkes Barre, PA 18702-3549 | 2007-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153161 | Joann Bonn | Pharmacist | 441 Wilkes-barre Township Blvd, Wilkes-barre, PA 18702 | 2020-10-30 |
| 1689213167 | Megan Grace Zanghi | Pharmacist | 58-60 Public Square, 4th Floor, Wilkes-barre, PA 18702 | 2019-12-31 |
| 1467013292 | Kelly Rose Sones | Pharmacist | 58/60 Public Square, Wilkes-barre, PA 18702 | 2019-06-24 |
| 1528520186 | Adam Olivetti | Pharmacist | 58-60 Public Square, Wilkes-barre, PA 18702 | 2019-04-03 |
| 1295220648 | Dental Associates of Nepa PC | Dentist | 360 Kidder Street, Suite 5, Wilkes Barre, PA 18702 | 2018-06-28 |
| 1568983245 | Bio-medical Applications of Pennsylavania, Inc. | Clinic/Center | 309 Laird St, Wilkes-barre, PA 18702 | 2017-07-03 |
| 1538615166 | Elsa Gates | Nurse Practitioner | 100 East Mountain Blvd, Geisinger, Wilkes Barre, PA 18702 | 2016-09-01 |
| 1972990455 | Epeople Health Care Inc. | Home Health | 1092 Route 315, Ste 3, Wilkes Barre, PA 18702 | 2015-04-22 |
| 1063819001 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 277 Mundy St, Suite 101, Wilkes Barre, PA 18702 | 2014-11-19 |
| 1356764013 | Jill Stacchiotti | Speech-Language Pathologist | 2 Salem Drive, Laflin, PA 18702 | 2014-01-30 |
| Find all providers in zip 18702 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710210166 | Oliver T Finch | Internal Medicine | 177 S Grant St, Wilkes Barre, PA 18702-5853 | 2009-09-16 |
| 1972752301 | Alison M Brodginski | Internal Medicine | 675 Baltimore Dr., Wilkes Barre, PA 18702-3317 | 2008-09-10 |
| 1346304847 | Waseem Butt | Internal Medicine | 675 Baltimore Drive, Wilkes Barre, PA 18702-2111 | 2006-12-20 |
| 1427118454 | Maria Ann Mera | Internal Medicine | 8 Church St Ste 216, Wilkes Barre, PA 18702-3539 | 2006-12-11 |
| 1437173580 | Richard Harvey Blum | Internal Medicine | 545 N. River Street, Suite 230, Wilkes Barre, PA 18702-2643 | 2006-07-26 |
| 1558399766 | Thomas J Barry Jr. | Internal Medicine | 268 Highland Park Blvd, Wilkes Barre, PA 18702-6768 | 2006-06-28 |
| 1972539807 | Leonard Kuchemba | Internal Medicine | 480 Scott St, Wilkes Barre, PA 18702-5511 | 2006-06-23 |
| 1225086895 | Atul Odhavji Dalsania | Internal Medicine | 1111 East End Blvd, Va Hospital, Wilkes Barre, PA 18711-0030 | 2006-05-05 |
| 1457333262 | Raymond Joseph | Internal Medicine | 165 Carey Ave, Wilkes Barre, PA 18702-2112 | 2005-11-17 |
| 1518961374 | Sreehari Cherukuri | Internal Medicine | 1000 East Mountain Blvd, Wilkes Barre, PA 18711 | 2005-06-09 |
| Find all providers in WILKES BARRE | ||||
| City | WILKES BARRE |
| Zip Code | 18702 |
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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.