Active NPI
Pavlik Teleguz, CRNP
- Family Nurse Practitioner
- Ephrata, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP023197
- Practice address
- 169 Martin Ave
Ephrata, PA 17522-1724 - Phone
- (717) 721-4740
- Fax
- (717) 738-6872
- NPI assigned
- Mar 22, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP023197 | PA | Primary |
Addresses
Primary practice location
169 Martin Ave
Ephrata, PA 17522-1724
Mailing address
3421 Concord Rd
York, PA 17402-9001
Phone (717) 721-4740
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6144
400 Highland Ave
Lewistown, PA 17044-1167
Phone (717) 363-9071
420 S 5TH Ave
West Reading, PA 19611-2143
Phone (484) 628-8000
Hospital & facility affiliations
- Geisinger-Lewistown Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tower Health Medical Group | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| Geisinger Clinic Sunbury | Current | Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients |
Locations
100 N Academy Ave
Danville, PA 17822
420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637
2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
- Internal Medicine Physician
- Birdsboro, PA
- NPI 1609291350
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
-
- Internal Medicine Physician
- Sunbury, PA
- NPI 1740239243
-
- Birthing Clinic/Center
- Reading, PA
- NPI 1417394115
-
- Surgery Physician
- Wyomissing, PA
- NPI 1831954353
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lewistown, PA
- NPI 1497338313
-
- Ambulatory Surgical Clinic/Center
- Port Matilda, PA
- NPI 1801531322
Hospital
-
- Psychiatric Hospital Unit
- Lewistown, PA
- NPI 1831242114
-
- General Acute Care Hospital
- Lewistown, PA
- NPI 1861545683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616371200000",
"number": "1033795026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 CONCORD RD",
"city": "YORK",
"state": "PA",
"postal_code": "174029001",
"telephone_number": "717-721-4740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 MARTIN AVE",
"city": "EPHRATA",
"state": "PA",
"postal_code": "175221724",
"telephone_number": "717-721-4740",
"fax_number": "717-738-6872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TELEGUZ",
"first_name": "PAVLIK",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-22",
"last_updated": "2021-03-22",
"certification_date": "2021-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP023197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ephrata, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.