Organization Active NPI

Kenneth R. Guistwite, M.D. a P.C.

  • Family Medicine Physician
  • Carlisle, PA
National Provider Identifier
1144321555
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD014273E Issued in PA
Legal business name
KENNETH R. GUISTWITE, M.D. A P.C.
Practice address
522 S Pitt St
Carlisle, PA 17013-3820
Phone
(717) 243-1516
Fax
(717) 243-4849
NPI assigned
Sep 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kenneth R Guistwite, M.D.NPI 1982644852
Title
President
Phone
(717) 243-1516

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS010715L PA
Family Medicine Physician 207Q00000X MD014273E PA Primary

Addresses

Primary practice location

522 S Pitt St
Carlisle, PA 17013-3820

Mailing address

522 S Pitt St
Carlisle, PA 17013-3820
Phone (717) 243-1516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040615001186 PA Part B Supplier - Clinic/Group Practice 6204810559 Receives reassigned benefits from 1 practitioner
Practice locations: Carlisle, PA

National Provider Directory

National Provider Directory

Locations

522 S Pitt St
Carlisle, PA 17013
Phone (301) 500-2097

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144321555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 S PITT ST",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170133820",
            "telephone_number": "717-243-1516",
            "fax_number": "717-243-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 S PITT ST",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170133820",
            "telephone_number": "717-243-1516",
            "fax_number": "717-243-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH R. GUISTWITE, M.D. A P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUISTWITE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-243-1516",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS010715L",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD014273E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.