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

Geisinger Clinic

Organization Urology Physician · NPI 1104878024

Geisinger Clinic is an Urology Physician in State College, Pennsylvania. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3

Practice location Address checks out

200 Scenery Dr
State College, PA 16801-7974
Phone: (814) 231-4560
Show map & directions

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

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1104878024
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cindy Mull — System Director · (570) 271-6603
NPI enumeratedMay 17, 2006
Last updated in NPPESSeptember 30, 2021
Certification dateSeptember 30, 2021
Mailing address100 N Academy Ave, Danville, PA 17822-3034

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