Guthrie Medical Group, P.C.
Organization Active NPI General Practice Physician · Sayre, PA
NPI 1245246644 · NPPES record last updated Nov 10, 2015
Key facts
- NPI
- 1245246644
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- Legal business name
- GUTHRIE MEDICAL GROUP, P.C.
- Practice address
- 1 Guthrie SQ
Sayre, PA 18840-1625 - Phone
- (570) 888-5858
- NPI assigned
- Jul 31, 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 1
Other NPIs with the same Medicare PAC ID 4
Practitioners 1,371
-
Nathan Gomes, MD
-
Patrick Jeremy Roth, M.D.
-
Ryan Allan Incledon, D.O.
-
Scott B Keller, M.D.
-
Ambereen Khan, MD
-
Helen Kim-James, M.D.
-
Kenneth A Krajewski, M.D.
-
Anil Kumar, MD
-
Kevin Limbaugh, M.D.
-
Carla R a Mason, NP
-
Shaile Philips, MD
-
Justin Laplante, M.D.
-
Syed M Rizvi, M.D.
-
Jessica L Adams, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (12 enrollments) in NY, TX, CO, WA, GA, IL, MI, OH, MA, KY, NC, FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031103000220 | NY | Part B Supplier - Clinic/Group Practice | 6002728656 |
Receives reassigned benefits from 861 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Johnson City, NY; Ithaca, NY; Elmira, NY; Horseheads, NY; Homer, NY; Erin, NY; Endicott, NY; New York, NY… |
| O20210318001486 | TX | Part B Supplier - Clinic/Group Practice | 6002728656 |
Receives reassigned benefits from 7 practitioners Practice locations: Sugar Land, TX; Prosper, TX; Frisco, TX; Fairview, TX; Dallas, TX |
| O20220201000333 | CO | Part B Supplier - Clinic/Group Practice | 6002728656 |
Receives reassigned benefits from 3 practitioners Practice locations: Fort Collins, CO; Boulder, CO |
| O20220316000675 | WA | Part B Supplier - Clinic/Group Practice | 6002728656 |
Receives reassigned benefits from 3 practitioners Practice locations: Kenmore, WA; Spokane, WA; Vancouver, WA |
| O20220830002225 | GA | Part B Supplier - Clinic/Group Practice | 6002728656 |
Receives reassigned benefits from 1 practitioner Practice locations: Atlanta, GA |
| O20220906003155 | IL | Part B Supplier - Clinic/Group Practice | 6002728656 |
Receives reassigned benefits from 1 practitioner Practice locations: Yorkville, IL |
| O20220914003101 | MI | Part B Supplier - Clinic/Group Practice | 6002728656 |
Receives reassigned benefits from 2 practitioners Practice locations: Grand Rapids, MI |
| O20230411001015 | OH | Part B Supplier - Clinic/Group Practice | 6002728656 |
Receives reassigned benefits from 1 practitioner Practice locations: Cleveland, OH |
| O20230612001070 | MA | Part B Supplier - Clinic/Group Practice | 6002728656 |
Receives reassigned benefits from 2 practitioners Practice locations: Needham Heights, MA; Wellesley Hills, MA |
| O20240717002257 | KY | Part B Supplier - Clinic/Group Practice | 6002728656 |
Receives reassigned benefits from 1 practitioner Practice locations: Prospect, KY |
| O20250417001253 | NC | Part B Supplier - Clinic/Group Practice | 6002728656 |
Receives reassigned benefits from 1 practitioner Practice locations: Surf City, NC |
| O20260408000080 | FL | Part B Supplier - Clinic/Group Practice | 6002728656 |
Receives reassigned benefits from 1 practitioner Practice locations: Indian Harbour Beach, FL |
National Provider Directory
Locations
218 N Charles St
Baltimore, MD 21201
Phone (570) 596-2044
114 Columbia St
Corning, NY 14830
Phone (607) 937-3100
163 E 2nd St
Corning, NY 14830
Phone (607) 569-3474
4057 West Rd
Cortland, NY 13045
Phone (607) 299-7116
304 Hoffman St
Elmira, NY 14905
Phone (607) 425-0050
3344 Chambers Rd
#200
Horseheads, NY 14845
Phone (607) 734-2264
1780 Hanshaw Rd
Ithaca, NY 14850
Phone (607) 257-5858
145 N Main St
Spencer, NY 14883
Phone (607) 589-4407
29 N Chemung St
Waverly, NY 14892
Phone (607) 565-9975
412 S Main St
Athens, PA 18810
Phone (570) 888-9655
116 S Elmer Ave
Sayre, PA 18840
Phone (570) 887-2849
1 Guthrie Sq
Fl 1
Sayre, PA 18840
512 Towne Plz
Ste 124
Tunkhannock, PA 18657
Phone (570) 836-4294
5950 Sr 6
Ste 101
Tunkhannock, PA 18657
Phone (570) 836-4294
110 Plaza Ln
Wellsboro, PA 16901
Phone (570) 724-4241
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician |
207K00000X | |||
| Anesthesiology Physician |
207L00000X | |||
| Critical Care Medicine (Anesthesiology) Physician |
207LC0200X | |||
| Dermatology Physician |
207N00000X | |||
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | |||
| Cardiovascular Disease Physician |
207RC0000X | |||
| Endocrinology, Diabetes & Metabolism Physician |
207RE0101X | |||
| Gastroenterology Physician |
207RG0100X | |||
| Hematology & Oncology Physician |
207RH0003X | |||
| Nephrology Physician |
207RN0300X | |||
| Neurological Surgery Physician |
207T00000X | |||
| Neurology Physician |
2084N0400X | |||
| General Practice Physician |
208D00000X | Yes | ||
| Multi-Specialty Clinic/Center | 261QM1300X |
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 |
|---|---|---|---|
| CC9269 | Other | PA | RR MEDICARE GROUP |
| BA1155 | Other | NY | NY MEDICARE CORNING LAB |
| CC8362 | Other | NY | RR MEDICARE GROUP |
| 02079481 | Medicaid | NY | |
| 1007332090087 | Medicaid | PA |
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 · General Practice 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 Nov 10, 2015. 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.