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

Geisinger South Wilkes Barre

Organization Internal Medicine Physician · NPI 1023068533

Geisinger South Wilkes Barre is an Internal Medicine Physician in Wilkes Barre, Pennsylvania. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
4

Practice location Address checks out

25 Church St
Wilkes Barre, PA 18765
Phone: (570) 826-3293
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1023068533
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Holdren — Cao · (570) 271-5490
NPI enumeratedMay 12, 2006
Last updated in NPPESJune 30, 2008
Mailing address100 N Academy Ave, Danville, PA 17822-3034

Other providers in Wilkes Barre