ST JOSEPHS INTERNAL MEDICINE PC NPI 1629057039

NPI Information

  • NPI: 1629057039
  • Provider Name: ST JOSEPHS INTERNAL MEDICINE PC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Address: 300 S HICKORY ST
    MT CARMEL, PA
    ZIP 17851
  • Phone: (570) 339-2160

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NPI Details

ST JOSEPHS INTERNAL MEDICINE PC is an internal medicine in Mt Carmel, PA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. ST JOSEPHS INTERNAL MEDICINE PC NPI is 1629057039. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

300 S HICKORY ST
MT CARMEL, PA
ZIP 17851
Phone: (570) 339-2160
Fax: (570) 339-4193

The provider's authorized official is Traci Gurba .
The authorized official title is Office Manager and has the following contact phone number (570) 339-2160.

The enumeration date for this NPI number is 1/13/2006 and was last updated on 11/8/2011.

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
1207R00000XInternal MedicineYes

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
1DA2400OTHERPENNSYLVANIARAILROAD MEDICARE
2402980OTHERPENNSYLVANIABLUE SHIELD
3C33440MEDICARE UPIN
4402980MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA
5MA01054599MEDICAIDPENNSYLVANIA
602325000OTHERPENNSYLVANIABLUE CROSS

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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