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GEISINGER CLINIC NPI 1023069408


NPI Information

NPI: 1023069408
Provider Name: GEISINGER CLINIC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 39D2237358

Address:
531 MOUNT PLEASANT DRIVE
SCRANTON, PA
ZIP 18503
Phone: (570) 342-8500
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GEISINGER CLINIC is a family medicine in Scranton, PA. The provider is 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. GEISINGER CLINIC NPI is 1023069408. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

531 MOUNT PLEASANT DRIVE
SCRANTON, PA
ZIP 18503
Phone: (570) 342-8500

The provider's authorized official is Cindy L. Mull .
The authorized official title is Director, Credentialing and has the following contact phone number (570) 271-6144.

The CLIA number assigned to this NPI record is 39D2237358 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/12/2006 and was last updated on 3/3/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician AssistantNo
2207QG0300XFamily MedicineGeriatric MedicineNo
32085R0202XRadiologyDiagnostic RadiologyNo
4291U00000XClinical Medical LaboratoryPENNSYLVANIANo
5332B00000XDurable Medical Equipment & Medical SuppliesNo
6363L00000XNurse PractitionerNo
7207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10673670015MEDICARE NSCPENNSYLVANIA
2476514MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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