Hazleton Medical Practice LLC
NPI 1740691955ActiveOrganization· Internal Medicine· Hazleton, PA
Internal Medicine in Hazleton, Pennsylvania, registered in NPPES in May 2014. The authorized official on file is Pedro Guzman, MD, Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1740691955 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 12, 2014 |
| Last updated in NPPES | Feb 14, 2020 |
| Certified by provider | Feb 14, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Clinic/Center, Primary Care | 261QP2300X | MD441284 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (PA) |
|---|
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