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

Mr. Dane J Doornbos, PA-C

Individual provider Physician Assistant · NPI 1750541579

Mr. Dane J Doornbos, PA-C is a Physician Assistant in Hazle Township, Pennsylvania. Qualified in 2007, 19 years ago. Practices with Geisinger Clinic, a 3,413-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
19
Licensed in
PA
In the registry since
2008
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1525 N Church St
Hazle Township, PA 18202-9383
Phone: (570) 751-5900
Fax: (570) 751-5901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA056068 (PA)
Physician Assistant Taxonomy 363A00000X · Licence OA003020 (PA)
Physician Assistant Taxonomy 363A00000X · Licence MD1844530 (PA)

Record details

NPI number1750541579
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 16, 2008
Last updated in NPPESApril 18, 2025
Certification dateApril 18, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Geisinger Clinic — 3413 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

Other providers in Hazle Township