GUTHRIE MEDICAL GROUP P.C. NPI 1962451013

NPI Information

NPI: 1962451013
Provider Name: GUTHRIE MEDICAL GROUP, P.C.

Former Legal Business Name: GUTHRIE CLINIC, LTD.

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

Address:
127 SULLIVAN ST
CANTON, PA
ZIP 17724
Phone: (570) 673-3197
Get Directions

GUTHRIE MEDICAL GROUP, P.C. is a family medicine in Canton, PA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GUTHRIE MEDICAL GROUP, P.C. NPI is 1962451013. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Guthrie Clinic, Ltd..

The provider's business location address is:

127 SULLIVAN ST
CANTON, PA
ZIP 17724-733
Phone: (570) 673-3197
Fax: (570) 673-8297

The provider's authorized official is Joseph A. Scopelliti .
The authorized official title is President and has the following contact phone number (570) 888-5858.

The CLIA number assigned to this NPI record is 39D0188945 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/8/2006 and was last updated on 2/11/2016.

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	291U00000X	Clinical Medical Laboratory		003728	PENNSYLVANIA	No
2	207Q00000X	Family Medicine				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	GU618079	OTHER	PENNSYLVANIA	HIGHMARK BLUE SHIELD
2	GU039829	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA	MEDICARE

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

NPI Synchronization or Removal

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