Guthrie Medical Group, P.C.
Organization Active NPI Infectious Disease Physician · Sayre, PA
NPI 1154373504 · NPPES record last updated Feb 28, 2014
Key facts
- NPI
- 1154373504
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Infectious Disease Physician 207RI0200X
- Legal business name
- GUTHRIE MEDICAL GROUP, P.C.
- Practice address
- 1 Guthrie SQ
Sayre, PA 18840-1625 - Phone
- (570) 888-5858
- NPI assigned
- May 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Joseph A. Scopelliti, M.D.
- Title
- President
- Phone
- (570) 888-5858
Other NPIs on the same Medicare enrollment 40
Corporate family (same tax ID) 20
Practitioners 4
-
Dayle Bower, NP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040301000571 | PA | Part B Supplier - Clinic/Group Practice | 6002728656 |
Receives reassigned benefits from 897 practitioners 40 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Sayre, PA; Towanda, PA; Troy, PA; Tunkhannock, PA; Wellsboro, PA; Wexford, PA; Wyalusing, PA; York, PA… |
National Provider Directory
- Tax ID family
- Guthrie Medical PC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician |
207RI0200X | Yes |
Addresses
Primary practice location
1 Guthrie SQ
Sayre, PA 18840-1625
Mailing address
1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-5858
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GU707492 | Other | PA | HIGHMARK BLUE SHIELD |
Other names
- Guthrie Clinic, Ltd,
Other providers in Sayre, PA
- Guthrie Medical Group, P.C.
- Guthrie Medical Group, P.C.
- Guthrie Medical Group, P.C.
- Guthrie Medical Group, P.C.
- Guthrie Medical Group, P.C.
- Guthrie Medical Group, P.C.
- Guthrie Medical Group, P.C.
- Guthrie Medical Group, P.C.
- Guthrie Medical Group, P.C.
- Guthrie Medical Group, P.C.
All providers in Sayre, PA · Infectious Disease Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.