Geisinger Clinic
Nurse Practitioner in Pottsville, PA. Organization (NPI-2).
NPI number1255445748
StatusActive
Last updated in NPPESJun 30, 2008
Details
- NPI
- 1255445748
- Entity type
- Organization (NPI-2)
- Legal business name
- Geisinger Clinic
- Organization subpart
- No
- Enumeration date
- Aug 19, 2006
- Last updated
- Jun 30, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | – | – | Yes |
Practice location
529 Terry Reiley WayPottsville, PA 17901
Phone 570-624-4444
Mailing address
100 N Academy AveDanville, PA 17822-3034
Phone 570-271-6211
Authorized official
Kenneth Holdren
Cao
5702715490
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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