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

Geisinger Clinic

Organization Family Medicine Physician · NPI 1114977626

Geisinger Clinic is a Family Medicine Physician in Bloomsburg, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
Specialties on file
9
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Practice location Address checks out

240 Mall Blvd
Bloomsburg, PA 17815-8306
Phone: (570) 416-8250
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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
Clinical Pathology/Laboratory Medicine Physician Taxonomy 207ZP0105X
Pediatrics Physician Taxonomy 208000000X
Diagnostic Radiology Physician Taxonomy 2085R0202X
Clinical Medical Laboratory Taxonomy 291U00000X (PA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1114977626
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cindy Mull — System Director Credentialing · (570) 271-6603
NPI enumeratedMay 12, 2006
Last updated in NPPESAugust 23, 2022
Certification dateAugust 23, 2022
Mailing address100 N Academy Ave, Danville, PA 17822-3034

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