Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GEISINGER WYOMING VALLEY MEDICAL CENTER
NPI 1104624246
Clinic/Center in Dickson City, PA

Q: What is Geisinger Wyoming Valley Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since March 05, 2025

703 MARTIN F GIBBONS BLVD, DICKSON CITY, PA 18519(570) 846-2340(570) 846-2341 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 24, 2026, Jun 11, 2025, Mar 5, 2025 (3 updates tracked since 2025).

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About Geisinger Wyoming Valley Medical Center NPPES

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

GEISINGER WYOMING VALLEY MEDICAL CENTER (NPI 1104624246) is a healthcare organization registered as a clinic/center in Dickson City, Pennsylvania and active in the NPI registry since March 2025. The organization lists Will Xenakis, System Director Credentialing, as its authorized official.

NPPES Registry Identity

NPI1104624246

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameGEISINGER WYOMING VALLEY MEDICAL CENTER

Location Address703 MARTIN F GIBBONS BLVDDickson City, PA 18519-1787

Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144 · Fax (570) 271-6578

Phone(570) 846-2340

Fax(570) 846-2341

Organization SubpartNo

Authorized OfficialWill XenakisSystem Director Credentialing · (516) 661-8959

Enumeration DateMarch 5, 2025

Last NPPES UpdateJuly 24, 20263 updates tracked since enumeration

NPPES CertifiedJuly 24, 2026

✔ NPI 1104624246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X

703 MARTIN F GIBBONS BLVD, Dickson City, PA 18519

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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IRFAN SHAUKAT MD

Internal Medicine (Hematology & Oncology)