Guthrie Medical Group, P.C.
Organization Active NPI Durable Medical Equipment & Medical Supplies · Waverly, NY
NPI 1578755682 · NPPES record last updated Mar 20, 2014
Key facts
- NPI
- 1578755682
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- GUTHRIE MEDICAL GROUP, P.C.
- Practice address
- 150 Broad St
Waverly, NY 14892-1320 - Phone
- (607) 565-2177
- NPI assigned
- Aug 13, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Joseph A. Scopelliti, MD
- Title
- President
- Phone
- (570) 888-5858
Other NPIs with the same Medicare PAC ID 4
Practitioners 795
-
Owais Ahmed, MD
-
Sisay Akalu, M.D.
-
Jeffrey Alwine, D.O.
-
Mihir Amin, MD
-
Lu-Anne Antisdel, PA
-
Paul D Aridgides, M.D.
-
Becky L Arnold, CRNA
-
Sadid Askarian, DO, MPH
-
Rachel Avery, NP
-
Alexander Banashkevich, M.D.
-
Michael W Barrett, M.D.
-
Joshua Michael Bartlett, DNP, RN, FNP-BC
-
Alina Basnet, MD
-
Emily Catherine Bastiaanse, FNP-C
-
Susan L Behar, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930056634 | NY | DME Supplier - Physician - Optometrist | 6002728656 | Practice locations: Waverly, NY |
National Provider Directory
Locations
150 Broad St
Waverly, NY 14892
Phone (607) 565-2177
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
150 Broad St
Waverly, NY 14892-1320
Mailing address
1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-5858
Other names
- Guthrie Clinic, Ltd.
Other providers in Waverly, NY
- Timothy Michael Fullmer
- Stephanie Noel Furness
- Guthrie Clinic LTD
- Guthrie Clinic LTD
- Guthrie Health
- Guthrie Medical Group, P.C.
- Guthrie Specialty Physicians, PC
- Dianne L. Hill
- Victor Omamode Idahosa
- Thomas Daniel Jagger
All providers in Waverly, NY · Durable Medical Equipment & Medical Supplies in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 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.