D/B/A PUNXSUTAWNEY PHYSICIAN GROUP – NPI #1821195033
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

D/B/A PUNXSUTAWNEY PHYSICIAN GROUP is a provider located in PUNXSUTAWNEY, PA. NPPES has assigned the NPI number 1821195033 to D/B/A PUNXSUTAWNEY PHYSICIAN GROUP on September 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “D/B/A PUNXSUTAWNEY PHYSICIAN GROUP” is a dba name, the actual legal business name for this organization is INDIANA HEALTHCARE PHYSICIAN SERVICES, INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice. Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 7 years ago on Mar 20, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for D/B/A PUNXSUTAWNEY PHYSICIAN GROUP below.

NPI Profile for
INDIANA HEALTHCARE PHYSICIAN SERVICES, INC

NPI Number
1821195033
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
INDIANA HEALTHCARE PHYSICIAN SERVICES, INC
Doing Business As (dba): D/B/A PUNXSUTAWNEY PHYSICIAN GROUP
Primary location
81 HILLCREST DR
PUNXSUTAWNEY, PA 15767-2605
Phone: (814) 938-1451 Fax: (814) 938-1451
Mailing address
Same as primary location
Organization Subpart
Yes - D/B/A PUNXSUTAWNEY PHYSICIAN GROUP is subpart of another organization.
Authorized Official
BRETT BRAUN
CHIEF OPERATING OFFICER
Phone: (888) 452-4762
Updated
Identifiers

Identifiers for D/B/A PUNXSUTAWNEY PHYSICIAN GROUP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERUPMCPABO65
MEDICAIDPA0015479580004
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
PA MD417193
363LF0000X
- Nurse Practitioner / Family
PA SP012816
208800000X
- Urology
208600000X
- Surgery
PA MD446903
207Y00000X
- Otolaryngology
PA MD450155
204R00000X
- Electrodiagnostic Medicine
PA MD450924

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.