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 1760402192

Geisinger Clinic is a Family Medicine 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
Phone: (814) 231-4560
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1760402192
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Holdren — Cao · (570) 271-5490
NPI enumeratedJuly 20, 2006
Last updated in NPPESJune 30, 2008
Mailing address100 N Academy Ave, Danville, PA 17822-3034

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