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CLEARFIELD JEFFERSON HEAD AND NECK SURGICAL ASSOCIATES INC. NPI 1235204611


NPI Information

NPI: 1235204611
Provider Name: CLEARFIELD JEFFERSON HEAD AND NECK SURGICAL ASSOCIATES, INC.
Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
871 BEAVER DR
DU BOIS, PA
ZIP 15801
Phone: (814) 375-0455
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CLEARFIELD JEFFERSON HEAD AND NECK SURGICAL ASSOCIATES, INC. is an otolaryngology in Du Bois, PA. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. CLEARFIELD JEFFERSON HEAD AND NECK SURGICAL ASSOCIATES, INC. NPI is 1235204611. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

871 BEAVER DR
DU BOIS, PA
ZIP 15801-511
Phone: (814) 375-0455
Fax: (814) 375-2721

The provider's authorized official is Gregory James Roscoe .
The authorized official title is President and has the following contact phone number (814) 375-0455.

The enumeration date for this NPI number is 11/21/2006 and was last updated on 9/10/2008.


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
1231H00000XAudiologistAT006006PENNSYLVANIANo
2237700000XHearing Instrument SpecialistAT006006PENNSYLVANIANo
3207Y00000XOtolaryngologyMD038440LPENNSYLVANIAYes

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
1CL4582OTHERPENNSYLVANIARAILROAD MEDICARE PIN
2219994OTHERPENNSYLVANIAHEALTHAMERICA/HEALTHASSURANCE
31007698100009MEDICAIDPENNSYLVANIA
4021796MEDICARE PINPENNSYLVANIA
52038288OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
62031692OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
72036569OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
83489OTHERPENNSYLVANIAGEISINGER HEALTH PLAN

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

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