GEISINGER CLINIC (NPI# 1255767463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255767463 |
| Entity Type | Organization |
| Organization Name | GEISINGER CLINIC |
| Practice Address |
425 E 1st St Bloomsburg PA 17815-1480 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-4903 |
| Practice Telephone | 5704161890 |
| Practice Fax Number | 5704161892 |
| Mailing Telephone | 5702715555 |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2019-02-28 |
| Authorized Official Name | CINDY MULL (DIRECTOR) |
| Authorized Official Telephone | 5702716144 |
| 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 | 207Q00000X | Family Medicine | 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 |
425 E 1ST ST |
| City | BLOOMSBURG |
| State | PA |
| Zip Code | 17815-1480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437126752 | Amy V. Everett | Pediatrics | 425 E 1st St, Ste 201, Bloomsburg, PA 17815-1480 | 2006-03-06 |
| 1073111720 | Caroline Stephanie Riegel | Advanced Practice Midwife | 425 E 1st St, Bloomsburg, PA 17815-1480 | 2020-10-14 |
| 1326522574 | James Thomas Kane II | Physician Assistant | 425 E 1st St, Bloomsburg, PA 17815-1480 | 2018-09-23 |
| 1851882161 | Penny Fritz | Registered Nurse | 425 E 1st St, Bloomsburg, PA 17815-1480 | 2018-05-22 |
| 1538650841 | Mary Kleiner | Registered Nurse | 425 E 1st St, Bloomsburg, PA 17815-1480 | 2018-05-22 |
| 1609367903 | Carol Bath | Registered Nurse | 425 E 1st St, Bloomsburg, PA 17815-1480 | 2018-05-22 |
| 1629572870 | Melissa Bresenhan | Nurse Practitioner | 425 E 1st St, Bloomsburg, PA 17815-1480 | 2018-03-22 |
| 1396254256 | Jessica Lennon | Midwife | 425 E 1st St, Bloomsburg, PA 17815-1480 | 2017-09-23 |
| 1770032492 | Lauren Elizabeth Samuels | Physician Assistant | 425 E 1st St, Bloomsburg, PA 17815-1480 | 2016-09-22 |
| 1992179030 | Jacquelyn Buff | Nurse Practitioner | 425 E 1st St, Bloomsburg, PA 17815-1480 | 2015-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780295733 | Geisinger Clinic | Emergency Medicine | 545 Fair Street, Bloomsburg, PA 17815 | 2020-08-13 |
| 1124457551 | Patricia Marie Archey | Physician Assistant | 93 Avon Ave, Bloomsburg, PA 17815 | 2013-11-06 |
| 1154684561 | Alice Michele Weaver Maczuga | Social Worker | 816 Central Road, Bollmsburg, PA 17815 | 2012-06-20 |
| 1396069332 | Cmsu Behavioral Health and Developmental Services | Community/Behavioral Health | 675 Locust St, Bloomsburg, PA 17815 | 2010-03-19 |
| 1922235829 | Joel Stephen Hamilton | Dentist | 2 Audubon Court, Bloomsburg, PA 17815 | 2009-06-18 |
| 1508011685 | Cindy A Prosseda | Social Worker | 6850 Lowes Road, Bloomsburg, PA 17815 | 2008-11-17 |
| 1881854271 | Francis Joseph Welk | Physical Therapist | 410 Glen Ave, Suite 101 Susquehanna Physical Therapy Associates, Bloomsburg, PA 17815 | 2008-06-10 |
| 1679652390 | John A Scerbo | Dentist | 812 Central Road, Bloomsburg, PA 17815 | 2006-11-03 |
| 1104914811 | Columbia Ancillary Services Inc | Durable Medical Equipment & Medical Supplies | 1141 Ridge Road, Bloomsburg, PA 17815 | 2006-10-10 |
| 1922192681 | Patricia M. Taylor | Speech-Language Pathologist | 6530 Main Street, Bloomsburg, PA 17815 | 2006-10-03 |
| Find all providers in zip 17815 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811913536 | Bloomsburg Physician Services | Family Medicine | 401 Glenn Ave, Bloomsburg, PA 17815-1247 | 2006-07-14 |
| 1356303788 | John Luther Runyan | Family Medicine | 410 Glenn Ave Suite 303, Medical Professional Building, Bloomsburg, PA 17815 | 2006-04-03 |
| 1629040670 | Robert William Meldrum | Family Medicine | 447 East First Street, Bloomsburg, PA 17815 | 2006-02-03 |
| 1467452052 | Suzanne M Stepanski | Family Medicine | 2407 Reichart Rd, Bloomsburg, PA 17815-8969 | 2005-07-26 |
| 1366821274 | Maxwell Eric Tolan | Family Medicine | 3151 Columbia Blvd, Bloomsburg, PA 17815-8889 | 2015-05-26 |
| 1558708503 | Joanna M Kraynak | Family Medicine | 2407 Reichart Rd, Bloomsburg, PA 17815-8969 | 2013-05-31 |
| 1922327600 | Joseph M Valdez | Family Medicine | 549 Fair St, Bloomsburg, PA 17815-1419 | 2010-05-20 |
| 1861649113 | Bloomsburg Physicians Services | Family Medicine | 447 E 1st St, Bloomsburg, PA 17815-1417 | 2008-08-19 |
| 1518138304 | Rhea Victoria B Razon-wu | Family Medicine | 2407 Reichart Rd, Bloomsburg, PA 17815-8969 | 2008-03-19 |
| 1588869515 | Bloomsburg Physicians Services | Family Medicine | 410 Glenn Ave, Suite 303, Bloomsburg, PA 17815-1419 | 2007-06-19 |
| Find all providers in BLOOMSBURG | ||||
| City | BLOOMSBURG |
| Zip Code | 17815 |
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.