GEISINGER CLINIC
NPI 1215217377
Internal Medicine - Cardiovascular Disease in Burnham, PA
- Organization
- Internal Medicine
- Cardiovascular Disease
- CLIA Number: 39D2087341
- CLIA Cert. Type: Rural Health Clinic
- CLIA Exp. Date: 11-20-2026
About GEISINGER CLINIC
This page provides the complete NPI Profile along with additional information for Geisinger Clinic, an internist established in Burnham, Pennsylvania operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1215217377 assigned on August 2011. The practitioner's primary taxonomy code is 207RC0000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. Geisinger Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Kenneth Holdren (Cao)
- NPI
- 1215217377 Verify this NPI
- Provider Name
- GEISINGER CLINIC
- Entity Type
- Organization
- Location Address
- 217 S LOGAN BLVD BURNHAM, PA 17009
- Location Phone
- (717) 248-5431
- Location Fax
- (717) 248-5038
- Mailing Address
- 100 N ACADEMY AVE DANVILLE, PA 17822
- Mailing Phone
- (570) 271-6211
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-22-2011
- Last Update Date
- 08-22-2011
- Code Navigator
An internist like Geisinger Clinic is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Cardiovascular Disease
- Taxonomy Code
- 207RC0000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 39D2087341
- Facility Type
- Rural Health Clinic
- Certificate Effective Date
- November 21, 2024
- Certificate Expiration Date
- November 20, 2026
- Laboratory Director
- DR. MANDEEP DHILON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Geisinger Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215217377, enumerated as an "organization" on August 22, 2011.
The provider is located at 217 S LOGAN BLVD BURNHAM, PA 17009 and the phone number is (717) 248-5431.
Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.
