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

Dr. Misha Matongo Mutizwa, MD

Individual provider Dermatology Physician · NPI 1154559375

Dr. Misha Matongo Mutizwa, MD is a Dermatology in Danville, Pennsylvania. Graduated from Duke University School of Medicine in 2009, 17 years ago. Practices with Geisinger Clinic, a 3,413-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California and Pennsylvania.

Years since qualifying
17
Trained at
Duke University School of Medicine
Licensed in
CA, PA
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

16 Woodbine Ln
Danville, PA 17822
Phone: (570) 271-8050
Fax: (570) 271-5940
Show map & directions

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

Additional practice locations (2)

  • 3401 N Broad St, Philadelphia, PA 19140-5103 — (215) 707-3376
  • 3401 N Broad St, Philadelphia, PA 19140-5103 — (215) 707-3376

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence MD452484 (PA)
Dermatology Physician Taxonomy 207N00000X · Licence A126572 (CA)

Record details

NPI number1154559375
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 25, 2009
Last updated in NPPESAugust 27, 2020
Certification dateAugust 27, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolDUKE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Geisinger Clinic — 3413 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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