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

Geisinger Clinic Selinsgrove

Organization Family Medicine Physician · NPI 1780642165

Geisinger Clinic Selinsgrove provides Family Medicine Physician services in Selinsgrove, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
Specialties on file
7
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Practice location Address checks out

201 Roosevelt Ave
Selinsgrove, PA 17870
Phone: (570) 374-5501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Clinical Pathology/Laboratory Medicine Physician Taxonomy 207ZP0105X
Diagnostic Radiology Physician Taxonomy 2085R0202X
Clinical Medical Laboratory Taxonomy 291U00000X (PA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1780642165
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cindy Mull — System Director Enrollments · (570) 271-6603
NPI enumeratedMay 3, 2006
Last updated in NPPESMarch 31, 2020
Certification dateMarch 31, 2020
Mailing address100 N Academy Ave, Danville, PA 17822

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