Hazleton Medical Practice LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

HAZLETON MEDICAL PRACTICE LLC

Practice address

141 N Cedar St
Hazleton, PA 18201-5580

Phone

(570) 497-4419

Fax

(570) 497-4420

NPI assigned

May 12, 2014

Last updated

Feb 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Pedro Guzman, MDNPI 1174858104

Title

Director

Phone

(570) 497-4419

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Pedro Guzman, MD

  • Internal Medicine Physician
  • Hazleton, PA
  • NPI 1174858104
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581638400000",
    "number": "1740691955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 N CEDAR ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182015580",
            "telephone_number": "570-497-4419",
            "fax_number": "570-497-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 N CEDAR ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182015580",
            "telephone_number": "570-497-4419",
            "fax_number": "570-497-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZLETON MEDICAL PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-12",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "570-497-4419",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PA",
            "license": "MD441284",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MY NPI",
            "identifier": "1174858104",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hazleton Area School District
• Hazleton Children's Medical Associates
• Hazleton Community Ambulance Association, Inc.
• Hazleton General Hospital Occupational Health
• Hazleton Health & Wellness Center
• Hazleton Oxygen Medical Equipment Inc.
• Hazleton Pathology PC
• Hazleton Professional Services (Lehigh Valley Physician Group-Hazleton)
• Hazleton Radiology Associates
• Hazleton Surgery Center, LLC

• Internal Medicine Physician in Hazleton, PA
• Providers in Hazleton, 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 Feb 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.