St Josephs Internal Medicine PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ST JOSEPHS INTERNAL MEDICINE PC

Practice address

300 S Hickory St
Mt Carmel, PA 17851

Phone

(570) 339-2160

Fax

(570) 339-4193

NPI assigned

Jan 13, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Traci Gurba

Title

Office Manager

Phone

(570) 339-2160

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey M Greco, MD

  • Internal Medicine Physician
  • Mt Carmel, PA
  • NPI 1770667388
  Medicare reassignment NPD
• Angelique C Scicchitano, PAC

  • Physician Assistant
  • Middletown, PA
  • NPI 1912081530
  NPD (past)
• Sanjay K Sen, MD

  • Internal Medicine Physician
  • Shamokin, PA
  • NPI 1932171881
  NPD (past)

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1629057039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S HICKORY ST",
            "city": "MT CARMEL",
            "state": "PA",
            "postal_code": "17851",
            "telephone_number": "570-339-2160",
            "fax_number": "570-339-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S HICKORY ST",
            "city": "MT CARMEL",
            "state": "PA",
            "postal_code": "17851",
            "telephone_number": "570-339-2160",
            "fax_number": "570-339-4193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPHS INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-13",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "GURBA",
        "authorized_official_first_name": "TRACI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "570-339-2160",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MA01054599",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA2400",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "02325000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "402980",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allan A Santarelli, M.A.
• Rebecca Susanna Schu, M.S. CCC-SLP
• Secure Health, LP
• Shannon Sinko
• Crystal Snyder, BA OF PSYCHOLOGY
• Sherrie Lynn Strausser, LPN
• Robert Joseph Thurick II, D.O.
• Twilight Beginnings of Mt. Carmel
• Uptown Pharmacy Incorporated
• Waone Inc

• Internal Medicine Physician in Mt Carmel, PA
• Providers in Mt Carmel, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.