GEISINGER CLINIC
NPI 1023572278
Surgery in Kingston, PA

Active since January 22, 2019CLIA 39D2167172 · Waiver
480 PIERCE ST STE 314, KINGSTON, PA 18704(570) 714-3911(570) 214-3912 Get Directions Write a Review

NPPES record last updated: January 22, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Geisinger Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEISINGER CLINIC (NPI 1023572278) is a healthcare organization registered as a surgery in Kingston, Pennsylvania and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through June 3, 2027 and lists Cindy L Mull, Director, as its authorized official.

NPPES Registry Identity

NPI1023572278
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameGEISINGER CLINIC
Location Address480 PIERCE ST STE 314Kingston, PA 18704-5512
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144
Fax(570) 214-3912
Organization SubpartNo
Authorized OfficialCindy L MullDirector · (570) 271-6603
Enumeration DateJanuary 22, 2019
NPI 1023572278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
480 PIERCE ST STE 314, Kingston, PA 18704

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2167172

Geisinger Clinic Dba Geisinger 65 Forward Kingston · Kingston, PA
Active · expires Jun 3, 2027
CLIA Number39D2167172
Laboratory TypePhysician Office
Certificate Effective DateJune 4, 2025
Certificate Expiration DateJune 3, 2027
Laboratory DirectorDr. James A. Tricarico
Laboratory Phone(570) 714-3050
Laboratory LocationGeisinger Clinic Dba Geisinger 65 Forward Kingston499 Wyoming Avenue, Kingston, PA 18704
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Geisinger Clinic's NPI number?

The NPI number for Geisinger Clinic is 1023572278. It was assigned to this organization in the NPPES registry on January 22, 2019.

Where is Geisinger Clinic located?

Geisinger Clinic is located at 480 Pierce St Ste 314, Kingston, PA 18704. The listed phone number is (570) 714-3911.

What is Geisinger Clinic's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Does Geisinger Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2167172) is associated with this NPI, valid through June 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Geisinger Clinic was last updated on January 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.