DR. JEREMY ALEXANDER MOCK (NPI# 1063657310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063657310 |
| Entity Type | Individual |
| Full Name | DR. JEREMY ALEXANDER MOCK |
| Credential | M.D. |
| Practice Address |
100 N Academy Ave Danville PA 17822-0006 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-4903 |
| Practice Telephone | 5702716429 |
| Practice Fax Number | 5702716854 |
| Mailing Telephone | 5702716144 |
| Mailing Fax Number | 5702716578 |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2020-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | D89638 | MD | Allopathic & Osteopathic Physicians |
| Y | 207Y00000X | Otolaryngology | MD464947 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
100 N ACADEMY AVE |
| City | DANVILLE |
| State | PA |
| Zip Code | 17822-0006 |
| 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 | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851558597 | Piedmont Ent Specialist, P.C. | Otolaryngology | 159 Executive Dr Ste J, Danville, VA 24541-4160 | 2008-05-20 |
| 1811957558 | John Clifton Hignight | Otolaryngology | 120 Daniel Dr, Danville, KY 40422-2527 | 2006-03-25 |
| 1124529888 | Hendricks County Hospital | Otolaryngology | 100 Hospital Ln Ste 220, Danville, IN 46122-1845 | 2018-02-27 |
| 1447783782 | Tyler Schwartz | Otolaryngology | Geisinger Medical Center 100 North Academy Ave, Danville, PA 17822-0001 | 2017-04-04 |
| 1417302274 | Robert Tuliszewski Jr. | Otolaryngology | 100 N Academy Ave, Danville, PA 17822-9800 | 2016-04-29 |
| 1609261395 | Periakaruppan Manickam | Otolaryngology | 100 N Academy Ave, Danville, PA 17822-9800 | 2015-03-31 |
| 1043573652 | Aileen Wertz | Otolaryngology | 100 N Academy Ave, Danville, PA 17822-5000 | 2012-06-19 |
| 1710112024 | Nicholas Craig Purdy | Otolaryngology | 100 N Academy Ave, Danville, PA 17822-1333 | 2009-05-16 |
| 1295984953 | James Barrese | Otolaryngology | 100 N Academy Ave, Danville, PA 17822-9800 | 2008-09-17 |
| 1033377023 | Thorsen Wayne Haugen | Otolaryngology | 100 N Academy Ave, Danville, PA 17822-4238 | 2008-05-28 |
| Find all providers in DANVILLE | ||||
Please comment or provide details below to improve the information on DR. JEREMY ALEXANDER MOCK.
| 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.