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DUBOIS REGIONAL MEDICAL GROUP PC NPI 1770741456


NPI Information

NPI: 1770741456
Provider Name: DUBOIS REGIONAL MEDICAL GROUP, PC

Doing Business As: DRMG CLEARFIELD CENTER FOR CHILDREN'S CARE

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
1033 TURNPIKE AVE
SUITE 200
CLEARFIELD, PA
ZIP 16830
Phone: (814) 768-7618
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DUBOIS REGIONAL MEDICAL GROUP, PC is a pediatrics in Clearfield, PA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DUBOIS REGIONAL MEDICAL GROUP, PC NPI is 1770741456. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Drmg Clearfield Center For Children's Care.

The provider's business location address is:

1033 TURNPIKE AVE
SUITE 200
CLEARFIELD, PA
ZIP 16830-061
Phone: (814) 768-7618

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 enumeration date for this NPI number is 5/29/2008 and was last updated on 4/27/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse PractitionerNo
2363A00000XPhysician AssistantNo
3208000000XPediatricsYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1002158632OTHERPENNSYLVANIAHIGHMARK ASSIGNMENT ACCOUNT
2100751931MEDICAIDPENNSYLVANIA

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: 4/28/2024

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