Back Mountain Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD024845E Issued in PA

Legal business name

BACK MOUNTAIN PEDIATRICS

Practice address

550 Memorial Highway
Dallas, PA 18612

Phone

(570) 675-7955

Fax

(570) 675-7882

NPI assigned

May 22, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Joan E Greulick, MDNPI 1831181858

Title

Owner

Phone

(570) 675-7955

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joan Elizabeth Greulick, MD

  • Pediatrics Physician
  • Dallas, PA
  • NPI 1831181858
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1063621233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 MEMORIAL HIGHWAY",
            "address_2": "SUITE 1",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "18612",
            "telephone_number": "570-675-7955",
            "fax_number": "570-675-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 MEMORIAL HIGHWAY",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "18612",
            "telephone_number": "570-675-7955",
            "fax_number": "570-675-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK MOUNTAIN PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GREULICK",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-675-7955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": "022874",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD024845E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Ashford, PHARMD
• Azimuth Occupational Therapy & Wellness
• Back Mountain Music Therapy, the Heyward Rooms LLC
• Back Mountain Orthopedics P.C.
• Back Mountain Pediatric Dentistry
• Back Mountain Regional Fire and EMS Inc
• Amy Lynn Balent, M.S., CCC-SLP/L,CBIS
• Eric Garn Barrett, M.D.
• Sierra Rose Barry, PT, DPT
• Patricia Marie Bates

• Pediatrics Physician in Dallas, PA
• Providers in Dallas, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.