# GEISINGER CLINIC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518576412
- **Authorized official:** CINDY L MULL (SYSTEM DIRECTOR CREDENTIALING)
- **Authorized official phone:** (570) 271-6144

## Contact information

- **Practice address:** 30 BALDWIN BLVD, SHAMOKIN DAM, PA 17876-9519
- **Practice address phone:** (570) 884-7970
- **Practice address fax:** (570) 884-7975
- **Mailing address:** 100 N ACADEMY AVE, DANVILLE, PA 17822-4903
- **Mailing address phone:** (570) 271-6144
- **Mailing address fax:** (570) 271-6578

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TB0200X | Cognitive & Behavioral Psychologist | — | NULL | — |
| 103TB0200X | Cognitive & Behavioral Psychologist | — | — | — |
| 133N00000X | Nutritionist | — | NULL | — |
| 133N00000X | Nutritionist | — | — | — |
| 172V00000X | Community Health Worker | — | NULL | — |
| 172V00000X | Community Health Worker | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207RI0001X | Clinical & Laboratory Immunology (Internal Medicine) Physician | — | NULL | — |
| 207RI0001X | Clinical & Laboratory Immunology (Internal Medicine) Physician | — | — | — |
| 207ZP0105X | Clinical Pathology/Laboratory Medicine Physician | — | NULL | — |
| 207ZP0105X | Clinical Pathology/Laboratory Medicine Physician | — | — | — |
| 2085B0100X | Body Imaging Physician | — | NULL | — |
| 2085B0100X | Body Imaging Physician | — | — | — |
| 2085U0001X | Diagnostic Ultrasound Physician | — | NULL | — |
| 2085U0001X | Diagnostic Ultrasound Physician | — | — | — |

## Other

- **Enumeration date:** 07/27/2020
- **Last updated:** 07/28/2020