Unknown Individual – Family Medicine Physician, NPI 1487607735

Unknown Individual is a healthcare provider. based in Danville, Pennsylvania. specializing in Family Medicine Physician. They hold a License No. OS013256 (PA). The NPI Number for Unknown Individual is 1487607735

Main info

Organization
Inactive
24 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1487607735
Phone
(570) 271-6144
Address
100 N ACADEMY AVE
Deactivation Date
20 December 2023

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
5708744100
Graduation Year
2002 (24 years ago)
PAC ID
2860429909
Group Practice PAC ID
5395657001
Professional Enrollment ID
I20050720000974

Contacts

Secure Messaging
jzienkiewicz83082@direct.geisinger.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

Loading map...

Provider Addresses for Unknown Individual

  • Geisinger Medical Center Danville, 100, North Academy Avenue, Danville, Montour County, Pennsylvania, 17822, United States

    DANVILLE, PA 178229800

    Phone: (570) 271-6144

    Fax: (570) 271-6578

    Type: Mailing

  • 701, West Oak Street, Englewood, Butler Township, Schuylkill County, Pennsylvania, 17931, United States

    FRACKVILLE, PA 179311672

    Phone: (570) 271-6144

    Fax: (570) 271-6578

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99215Established patient office or other outpatient visit, 40-54 minutes116107$0
99214Established patient office or other outpatient visit, 30-39 minutes114103$0
85610Blood test, clotting time3829$0
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional3530$0
93793Anticoagulant management of patient taking warfarin3225$0
View full utilization report →

Insurance plans in this area (ZIP 17822)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395657001View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1487607735.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Danville, Pennsylvania in registry-derived data.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

Similar Providers

ANTHONY J. SR. MELA (D.O.)

Family Medicine Physician
Geisinger Medical Center Danville, 100, North Academy Avenue, Danville, Montour County, Pennsylvania, 17822, United States
NPI: 1447252697

LAURA J SIEMS (MD)

Family Medicine Physician
6642, Oak Drive, Smithfield Township, Huntingdon County, Pennsylvania, 16652, United States
NPI: 1467456202

DANIEL T MATEER (D.O.)

Family Medicine Physician
Geisinger Medical Center Danville, 100, North Academy Avenue, Danville, Montour County, Pennsylvania, 17822, United States
NPI: 1225032873

MR. TIMOTHY JAMES DENNEN (M.D.)

Family Medicine Physician
1100, Spruce Street, Kulpmont, Northumberland County, Pennsylvania, 17834, United States
NPI: 1225033772

DR. FERNANDO CARLOS (MD)

Pediatrics Physician
Geisinger Medical Center Danville, 100, North Academy Avenue, Danville, Montour County, Pennsylvania, 17822, United States
NPI: 1871590372

DR. LINDA MARIE TAYLOR (M.D.)

Family Medicine Physician
Geisinger Medical Center Danville, 100, North Academy Avenue, Danville, Montour County, Pennsylvania, 17822, United States
NPI: 1790783876

MS. SUZANNE M STEPANSKI (M.D.)

Family Medicine Physician
Geisinger Medical Center Danville, 100, North Academy Avenue, Danville, Montour County, Pennsylvania, 17822, United States
NPI: 1467452052

EDDIE RODRIGUEZ-LOPEZ (M.D.)

Family Medicine Physician
Geisinger Medical Center Danville, 100, North Academy Avenue, Danville, Montour County, Pennsylvania, 17822, United States
NPI: 1457352221

ANTHONY E PATTERSON (MD)

Family Medicine Physician
Geisinger Medical Center Danville, 100, North Academy Avenue, Danville, Montour County, Pennsylvania, 17822, United States
NPI: 1023019288