GEISINGER CLINIC (NPI# 1174573943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174573943 |
| Entity Type | Organization |
| Organization Name | GEISINGER CLINIC |
| Practice Address |
1000 E Mountain Dr Wilkes Barre PA 18711 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-3034 |
| Practice Telephone | 5708267300 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2008-06-27 |
| 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 | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
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 |
1000 E MOUNTAIN DR |
| City | WILKES BARRE |
| State | PA |
| Zip Code | 18711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629077185 | Martha A. Danon | Radiology | 1000 E Mountain Dr, Wilkes Barre, PA 18711 | 2005-07-18 |
| 1336759984 | Deanne Angela Walters | Nurse Practitioner | 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 | 2020-08-07 |
| 1982213062 | Erin Leigh Dougherty | Physician Assistant | 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 | 2020-07-24 |
| 1013525179 | Chelsea Lynn Lopatka | Nurse Practitioner | 1000 E Mountain Dr, Wilkes Barre, PA 18711-0001 | 2020-07-15 |
| 1467060483 | Preston Benjamin Setzer | Pharmacist | 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 | 2020-07-15 |
| 1295382554 | Carol Teets | Nurse Practitioner | 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 | 2019-08-21 |
| 1417501941 | Krushna Shah | Pharmacist | 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 | 2019-08-01 |
| 1790269660 | Samantha Marie Weiksner | Pharmacist | 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 | 2018-09-18 |
| 1356825244 | Michelle Jeanne Butcher | Pharmacist | 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 | 2018-09-18 |
| 1467932863 | Arthur Jankowski | Pharmacist | 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 | 2018-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467924274 | Leeann Kayal | Nurse Practitioner | 111 East End Boulevard, Wilkes Barre, PA 18711 | 2018-12-19 |
| 1336661701 | Patricia Dworak | Occupational Therapist | 1175 East Mountain Boulevard, Wilkes-barre, PA 18711 | 2017-07-07 |
| 1992160352 | Hope Danishanko | Social Worker | 111 East End Blvd, Wilkes Barre, PA 18711 | 2015-12-29 |
| 1477962785 | Jennifer L. Heck | Physical Therapist | 1140 Route 315, Suite 207, Wilkes-barre, PA 18711 | 2014-08-12 |
| 1821338807 | Melinda Flaim | Physical Therapist | 1555 East End Blvd, Wilkes Barre, PA 18711 | 2013-02-27 |
| 1598900953 | Elizabeth Patricia Keating | Pharmacist | 1000 East Mountain Drive, Wilkes Barre, PA 18711 | 2008-12-12 |
| 1457433294 | Christopher William O'brien | Specialist/Technologist | King's College, 133 North River Street, Wilkes-barre, PA 18711 | 2006-10-20 |
| 1821197450 | Louis Jay Freedman | Obstetrics & Gynecology | Valley Medical Building, 3rd Floor, 1010 East Mountain Boulevard, Wilkes-barre, PA 18711 | 2006-09-21 |
| 1730282625 | Natalia N Belikova | Internal Medicine | 1111 East End Boulvard, Wilkesbarre, PA 18711 | 2006-09-06 |
| 1609883628 | Va Medical Center | General Acute Care Hospital | 1111 East End Blvd., Wilkes-barre, PA 18711 | 2006-08-02 |
| Find all providers in zip 18711 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1134241359 | Joseph Briskie Jr Do PC | Internal Medicine | 142 Mundy Street, Wilkes Barre, PA 18702 | 2007-04-06 |
| 1245295922 | Bharat Singh | Internal Medicine | 1111 E End Blvd, Wilkes Barre, PA 18711-0030 | 2006-04-18 |
| 1548248396 | Joseph Briskie Jr. | Internal Medicine | 142 Mundy St, Wilkes Barre, PA 18702-6875 | 2006-01-03 |
| 1700034246 | Bradley D Fenster Md Phd PC | Internal Medicine | 107 Loomis St, Wilkes Barre, PA 18702-4637 | 2008-09-08 |
| 1912164302 | Vernon Mascarenhas | Internal Medicine | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2008-05-22 |
| 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 |
| 1033249750 | Farook K Shroff | Internal Medicine | 166 Hanover St, Suite 305, Wilkes Barre, PA 18702-3549 | 2007-03-06 |
| 1720124811 | Ekg Associates of Wyoming Valley LLP | Internal Medicine | 575 N River St, Wilkes Barre, PA 18764-0999 | 2007-01-29 |
| 1922151836 | Sean Kevin George | Internal Medicine | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2007-01-22 |
| Find all providers in WILKES BARRE | ||||
| City | WILKES BARRE |
| Zip Code | 18711 |
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.