Individual provider Active NPI

Anne S Pamula, M.D.

  • Family Medicine Physician
  • Athens, PA
National Provider Identifier
1245467224
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD444939 Issued in PA
Practice address
Main Street
412
Athens, PA 18810
Phone
(570) 888-9655
NPI assigned
Jun 17, 2009
Last updated
Mar 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD444939 PA Primary

Addresses

Primary practice location

Main Street
412
Athens, PA 18810

Mailing address

1 Guthrie SQ
Sayre
Sayre, PA 18840-1625
Phone (570) 888-5858

Other practice location 1

68 Fenner Ave
Troy
Troy, PA 16947-1501
Phone (570) 297-4104

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address apamula7407@direct-guthrie.org Direct
Direct Messaging Address apamula7407@direct-guthrie.org Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120222000645 PA Practitioner - Family Practice 3971761982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Guthrie Medical Group PCGroup PAC ID 6002728656, 795 clinicians

Practice addresses (Care Compare)

317 W Lockhart St
Surgery
Sayre, PA 18840-1618
Phone (570) 887-3920

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. Family Medicine CurrentSince May 1, 2014 Accepting new patients
Guthrie Medical Group, P.C. Family Medicine CurrentSince May 1, 2014 Accepting new patients
Guthrie Medical Group, P.C. Family Medicine Current Accepting new patients
Guthrie Health Past Accepting new patients
Guthrie Medical Group PC Past Accepting new patients

Locations

412 S Main St
Athens, PA 18810
Phone (570) 888-9655

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

317 W Lockhart St
Sayre, PA 18840
Phone (570) 887-3920

132 Colonial Dr
Towanda, PA 18848
Phone (570) 265-6165

285 Guthrie Dr
Troy, PA 16947
Phone (570) 297-4104

68 Fenner Ave
Troy, PA 16947
Phone (570) 297-4104

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1245467224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUTHRIE SQ",
            "address_2": "SAYRE",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188401625",
            "telephone_number": "570-888-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MAIN STREET",
            "address_2": "412",
            "city": "ATHENS",
            "state": "PA",
            "postal_code": "18810",
            "telephone_number": "570-888-9655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 Fenner Ave",
            "address_2": "Troy",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "PA",
            "postal_code": "169471501",
            "country_code": "US",
            "telephone_number": "570-297-4104",
            "fax_number": "570-297-2066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAMULA",
        "first_name": "ANNE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-17",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD444939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apamula7407@direct-guthrie.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "Main Street",
            "address_2": "412",
            "city": "Athens",
            "state": "PA",
            "country_code": "US",
            "postal_code": "18810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apamula7407@direct-guthrie.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "Main Street",
            "address_2": "412",
            "city": "Athens",
            "state": "PA",
            "country_code": "US",
            "postal_code": "18810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Athens, PA

Sources for this page

Verify at the official NPI Registry.