Samuel T Detwiler in Chicora - Family Medicine
Samuel T Detwiler - NPI 1548259617
Samuel T Detwiler is a Family Medicine in Chicora, Pennsylvania. Samuel T Detwiler practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Samuel T Detwiler is 1548259617. The last update date is 2023-05-08.
Samuel T Detwiler's current location address is 160 Medical Center Rd Ste A, Chicora, Pennsylvania. You can contact this provider via phone number 8339950123 and fax number 7244457446. The mailing address for Samuel T Detwiler is 160 Medical Center Rd Ste A, Chicora, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samuel T Detwiler |
|---|---|
| Address | 160 Medical Center Rd Ste A, Chicora, Pennsylvania |
| Phone Number | 8339950123 |
| Fax Number | 7244457446 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1548259617 |
|---|---|
| Provider Enumeration Date | 2005-10-20 |
| Last Updated Date | 2023-05-08 |
Provider Mailing Address Detail
| Address | 160 Medical Center Rd Ste A |
|---|---|
| City | Chicora |
| State | Pennsylvania (PA) |
| Post Code | 160252612 |
| Phone Number | 8339950123 |
| Fax Number | 7244457446 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 34-00-7985 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 753111223027 | OH | CARESOURCE | |
| 285856 | OH | ANTHEM BCBS | |
| 2393299 | OH | -- | |
| 285856 | OH | UNICARE-LIFE AND HEALTH | |
| P006463 | OH | GATEWAY HEALTH PLAN OF OH | |
| 4489898 | OH | CIGNA | |
| J07985 | OH | SUMMACARE HEALTH PLAN |
Post Comment/ Review Below
What is the Samuel T Detwiler's 1548259617?
The Samuel T Detwiler's NPI (National Provider Identifier) Number is 1548259617. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Samuel T Detwiler is physically located?
The Samuel T Detwiler is physically situated at the following address: 160 Medical Center Rd Ste A, Chicora, PA, 160252612.
What is Samuel T Detwiler's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Samuel T Detwiler's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1548259617 to Samuel T Detwiler?
The Centers for Medicare & Medicaid Services assigned the 1548259617 to Samuel T Detwiler on 2005-10-20.
As of what date were the Samuel T Detwiler's details last updated?
The information pertaining to the Samuel T Detwiler, including its address, specialty, and other details, was most recently updated on 2023-05-08.