Geisinger Clinic
Orthopaedic Surgery in Wilkes Barre, PA. Organization (NPI-2).
NPI number1669423620
StatusActive
Last updated in NPPESJun 27, 2008
Details
- NPI
- 1669423620
- Entity type
- Organization (NPI-2)
- Legal business name
- Geisinger Clinic
- Organization subpart
- No
- Enumeration date
- May 15, 2006
- Last updated
- Jun 27, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | – | – | Yes |
| 207XS0106X | Orthopaedic Surgery, Hand Surgery | – | – | |
| 207XS0114X | Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery | – | – | |
| 207XS0117X | Orthopaedic Surgery, Orthopaedic Surgery of the Spine | – | – | |
| 207XX0004X | Orthopaedic Surgery, Foot and Ankle Surgery | – | – | |
| 207XX0005X | Orthopaedic Surgery, Sports Medicine | – | – | |
| 207XX0801X | Orthopaedic Surgery, Orthopaedic Trauma | – | – | |
| 363A00000X | Physician Assistant | – | – | |
| 363L00000X | Nurse Practitioner | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Practice location
1000 E Mountain DrWilkes Barre, PA 18711
Phone 570-826-7300
Mailing address
100 N Acaemy AveDanville, PA 17822-3034
Authorized official
Kenneth Holdren
Cao
5702715490
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