MEADVILLE PHYSICIAN SERVICES NPI 1619236056

NPI Information

  • NPI: 1619236056
  • Provider Name: MEADVILLE PHYSICIAN SERVICES
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • :
  • Address: 765 LIBERTY ST STE 101
    MEADVILLE, PA
    ZIP 16335
  • Phone: (814) 373-3434

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NPI Details

MEADVILLE PHYSICIAN SERVICES is a multi-specialty clinic center in Meadville, PA. MEADVILLE PHYSICIAN SERVICES NPI is 1619236056. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

765 LIBERTY ST STE 101
MEADVILLE, PA
ZIP 16335-566
Phone: (814) 373-3434
Fax: (814) 373-2152

The provider's authorized official is Renato Suntay .
The authorized official title is Cfo and has the following contact phone number (814) 333-5031.

The enumeration date for this NPI number is 5/4/2012 and was last updated on 7/22/2025.

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
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3207RC0000XInternal MedicineCardiovascular DiseaseNo
4207RI0011XInternal MedicineInterventional CardiologyNo
5207RI0200XInternal MedicineInfectious DiseaseNo
6207Y00000XOtolaryngologyNo
72085R0204XRadiologyVascular & Interventional RadiologyNo
8208600000XSurgeryNo
9225100000XPhysical TherapistNo
10225X00000XOccupational TherapistNo
11261QM1300XClinic/CenterMulti-SpecialtyYes

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: 11/21/2025

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