Organization Active NPI

Darryl K. Guistwite, D.O. Inc.

  • Family Medicine Physician
  • Carlisle, PA
National Provider Identifier
1477740991
Registry record updated Aug 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS010715L Issued in PA
Legal business name
DARRYL K. GUISTWITE, D.O. INC.
Practice address
56 Ashton St
Carlisle, PA 17015-6914
Phone
(717) 609-2639
Fax
(717) 258-3140
NPI assigned
Sep 28, 2007
Last updated
Aug 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2009

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

Authorized official

Name
Dr. Darryl K Guistwite, D.O.NPI 1609816586
Title
Owner
Phone
(717) 609-2639

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 1

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

Addresses

Primary practice location

56 Ashton St
Carlisle, PA 17015-6914

Mailing address

56 Ashton St
Carlisle, PA 17015-6914
Phone (717) 609-2639

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071011000030 PA Part B Supplier - Clinic/Group Practice 3173619897 Receives reassigned benefits from 1 practitioner
Practice locations: Carlisle, PA; Newville, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249862400000",
    "number": "1477740991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 ASHTON ST",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170156914",
            "telephone_number": "717-609-2639",
            "fax_number": "717-258-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 ASHTON ST",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170156914",
            "telephone_number": "717-609-2639",
            "fax_number": "717-258-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARRYL K. GUISTWITE, D.O. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2009-08-10",
        "status": "A",
        "authorized_official_last_name": "GUISTWITE",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-609-2639",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS010715L",
            "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 10, 2009; 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.