GEISINGER CLINIC (NPI# 1174575005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174575005 |
| Entity Type | Organization |
| Organization Name | GEISINGER CLINIC |
| Practice Address |
1000 E Mountain Dr Wilkes Barre PA 18711-0027 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-3034 |
| Practice Telephone | 5708267300 |
| Enumeration Date | 2006-05-17 |
| 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 | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 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 | 18711-0027 |
| 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 | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225549538 | Emily Elizabeth Ketz | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 | 2017-10-14 |
| 1124230560 | Jacqueline J Lee | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2007-05-06 |
| 1578639381 | Allen John Togut | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 166 Hanover Street, Suite 202, Wilkes Barre, PA 18702 | 2006-11-27 |
| 1306928056 | Steven W. Marra | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 545 N River St, Suite 220, Wilkes Barre, PA 18702-2600 | 2006-10-20 |
| 1528098159 | Mohammad A Shaikh | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1111 E End Blvd, Wilkes Barre, PA 18711-0030 | 2006-07-03 |
| 1023068533 | Geisinger South Wilkes Barre | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 25 Church St, Wilkes Barre, PA 18765 | 2006-05-12 |
| 1336197516 | Deepak Singh | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2006-05-04 |
| 1548268550 | Pennsylvania Cardiothoracic Surgery Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 545 N River St, Suite 130, Wilkes Barre, PA 18702-2600 | 2005-07-13 |
| 1013915008 | Michael Daniel Harostock | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2005-07-13 |
| 1801893573 | John Charles Darrell | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2005-07-07 |
| Find all providers in WILKES BARRE | ||||
| City | WILKES BARRE |
| Zip Code | 18711 |
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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.