Phillip John States in Punxsutawney - Family Medicine
Phillip John States - NPI 1093791246
Phillip John States is a Family Medicine in Punxsutawney, Pennsylvania. Phillip John States practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Phillip John States is 1093791246. The last update date is 2015-10-30.
Phillip John States's current location address is 83 Hillcrest Dr, Punxsutawney, Pennsylvania. You can contact this provider via phone number 8149383550 and fax number 8149383679. The mailing address for Phillip John States is 83 Hillcrest Dr, Punxsutawney, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phillip John States |
|---|---|
| Address | 83 Hillcrest Dr, Punxsutawney, Pennsylvania |
| Phone Number | 8149383550 |
| Fax Number | 8149383679 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1093791246 |
|---|---|
| Provider Enumeration Date | 2005-12-20 |
| Last Updated Date | 2015-10-30 |
Provider Mailing Address Detail
| Address | 83 Hillcrest Dr |
|---|---|
| City | Punxsutawney |
| State | Pennsylvania (PA) |
| Post Code | 157672605 |
| Phone Number | 8149383550 |
| Fax Number | 8149383679 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD423371 |
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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 |
|---|---|---|---|
| 1010451800001 | PA | -- | |
| 1641714 | PA | HIGHMARK BLUE SHIELD | |
| 1030096480002 | PA | -- |
Post Comment/ Review Below
What is the Phillip John States's unique identification number?
The Phillip John States has been assigned the NPI (National Provider Identifier) Number 1093791246 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Phillip John States is physically located?
The Phillip John States is physically situated at the following address: 83 Hillcrest Dr, Punxsutawney, PA, 157672605.
What is Phillip John States's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Phillip John States is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1093791246 to Phillip John States?
The Phillip John States received its 1093791246 assignment from the Centers for Medicare & Medicaid Services on 2005-12-20.
When was the information pertaining to Phillip John States most recently updated or revised?
The details related to Phillip John States, including its address, specialty, and other relevant information, were last updated or revised on 2015-10-30.