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 1104952829

Geisinger Clinic is a Family Medicine Physician in Mahanoy City, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007
Specialties on file
7

Practice location Address checks out

31 S Main St
Mahanoy City, PA 17948-2647
Phone: (570) 773-3042
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Anatomic Pathology Physician Taxonomy 207ZP0101X
Pediatrics Physician Taxonomy 208000000X
Clinical Medical Laboratory Taxonomy 291U00000X (PA)
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1104952829
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cindy Mull — System Director Enrollment · (570) 271-6603
NPI enumeratedFebruary 26, 2007
Last updated in NPPESJanuary 23, 2023
Certification dateJanuary 23, 2023
Mailing address100 N Academy Ave, Danville, PA 17822-3034

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