Active NPI
Schuylkill Valley Family Practice PC
- Family Medicine Physician
- Leesport, PA
National Provider Identifier
1750346441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SCHUYLKILL VALLEY FAMILY PRACTICE PC
- Practice address
- 5 S Centre Avenue
Leesport, PA 19533 - Phone
- (610) 926-5707
- Fax
- (610) 926-8352
- NPI assigned
- Apr 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregory C Tuke, MD
- Title
- Physician President
- Phone
- (610) 926-5707
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
5 S Centre Avenue
Leesport, PA 19533
Mailing address
PO Box 754
Leesport, PA 19533
Phone (610) 926-5707
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95986 | Other | PA | HEALTH ASSURANCE AMERICA |
| 0037 | Other | PA | AETNA |
| 02329200 | Other | PA | CAPITAL BLUE CROSS |
| CF7991 | Other | PA | PALMETTO RAILROAD MEDICAR |
| 0019244180001 | Medicaid | PA | |
| 100278 | Other | PA | AMERIHEALTH MERCY |
| 129142 | Other | PA | HIGHMARK BLUE SHIELD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1750346441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 754",
"city": "LEESPORT",
"state": "PA",
"postal_code": "19533",
"telephone_number": "610-926-5707",
"fax_number": "610-926-8352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 S CENTRE AVENUE",
"city": "LEESPORT",
"state": "PA",
"postal_code": "19533",
"telephone_number": "610-926-5707",
"fax_number": "610-926-8352"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCHUYLKILL VALLEY FAMILY PRACTICE PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TUKE",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PHYSICIAN PRESIDENT",
"authorized_official_telephone_number": "610-926-5707",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ASSURANCE AMERICA",
"identifier": "95986",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0037",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "02329200",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO RAILROAD MEDICAR",
"identifier": "CF7991",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019244180001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY",
"identifier": "100278",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "129142",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leesport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.