Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Geisinger Clinic

Organization Family Medicine Physician · NPI 1083874770

Geisinger Clinic is a Family Medicine Physician in Port Matilda, Pennsylvania. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
6

Practice location Address checks out

132 Abigail Ln
Port Matilda, PA 16870
Phone: (814) 272-7100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Pediatrics Physician Taxonomy 208000000X
General Acute Care Hospital Taxonomy 282N00000X
Clinical Medical Laboratory Taxonomy 291U00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1083874770
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cindy Mull — System Director · (570) 271-6603
NPI enumeratedJune 16, 2008
Last updated in NPPESMarch 31, 2020
Certification dateMarch 31, 2020
Mailing address100 N Academy Ave, Danville, PA 17822-3034

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