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 1902858301

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

Licensed in
PA
In the registry since
2006
Specialties on file
6

Practice location Address checks out

Rte 11 Lackawanna Trl
Nicholson, PA 18446-3822
Phone: (570) 942-6124
Fax: (570) 942-6193
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Family Medicine Physician Taxonomy 207Q00000X · Licence MD044346E (PA)
Clinical Pathology/Laboratory Medicine Physician Taxonomy 207ZP0105X
Clinical Medical Laboratory Taxonomy 291U00000X (PA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1902858301
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cindy Mull — System Director Enrollments · (570) 271-6603
NPI enumeratedMay 16, 2006
Last updated in NPPESApril 20, 2020
Certification dateApril 20, 2020
Mailing address100 N Academy, Danville, PA 17822-3034

Other providers in Nicholson