COREY ADRIAN GENTEEL PAC NPI 1972544575

NPI Information

  • NPI: 1972544575
  • Provider Name: COREY ADRIAN GENTEEL, PAC
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 101 POCONO CMNS STE 101
    STROUDSBURG, PA
    ZIP 18360
  • Phone: (570) 872-9955

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NPI Details

Corey Adrian Genteel, PAC is a medical physician assistant in Stroudsburg, PA with 27 years of experience. Corey Adrian Genteel, PAC NPI is 1972544575. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

101 POCONO CMNS STE 101
STROUDSBURG, PA
ZIP 18360-599
Phone: (570) 872-9955
Fax: (570) 872-9255

The NPI 1972544575 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/8/2006 and was last updated on 7/18/2025.

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
1363A00000XPhysician AssistantMA003405LPENNSYLVANIANo
2363AM0700XPhysician AssistantMedicalMA003405LPENNSYLVANIAYes

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
1P00148935OTHERPENNSYLVANIARAILROAD 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: 11/21/2025

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