DUBOIS REGIONAL MEDICAL GROUP PC NPI 1639373020

NPI Information

NPI: 1639373020
Provider Name: DUBOIS REGIONAL MEDICAL GROUP PC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

CLIA Number: 39D0181724

Address:
820 TURNPIKE AVE
CLEARFIELD, PA
ZIP 16830
Phone: (814) 765-2412
Get Directions

DUBOIS REGIONAL MEDICAL GROUP PC is a foot and ankle surgery podiatrist in Clearfield, PA. DUBOIS REGIONAL MEDICAL GROUP PC NPI is 1639373020. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

820 TURNPIKE AVE
CLEARFIELD, PA
ZIP 16830-233
Phone: (814) 765-2412

The provider's authorized official is John S Sutika .
The authorized official title is Authorized Official & Secretary and has the following contact phone number (814) 375-3385.

The CLIA number assigned to this NPI record is 39D0181724 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/12/2007 and was last updated on 3/8/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	063246	MEDICARE PIN	PENNSYLVANIA
2	100751931	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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