| Clearfield Professional Group, Ltd. | |
|
820 Turnpike Ave Clearfield PA 16830-1229 | |
| (814) 765-2412 | |
| (814) 765-8807 |
| Full Name | Clearfield Professional Group, Ltd. |
|---|---|
| Speciality | Internal Medicine |
| Location | 820 Turnpike Ave, Clearfield, Pennsylvania |
| Authorized Official Name and Position | Brian Blair Witherow (BUSINESS MANAGER) |
| Authorized Official Contact | 8147655796 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clearfield Professional Group, Ltd. 820 Turnpike Ave Clearfield PA 16830-1229 Ph: (814) 765-2412 | Clearfield Professional Group, Ltd. 820 Turnpike Ave Clearfield PA 16830-1229 Ph: (814) 765-2412 |
| NPI Number | 1730108994 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 01/24/2014 |
| Medicare PECOS PAC ID | 7214827914 |
|---|---|
| Medicare Enrollment ID | O20040317000535 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730108994 | NPI | - | NPPES |
| 0011097860011 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | (* (Not Available)) | Secondary |
| Provider Name | Darren Smeal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356382493 PECOS PAC ID: 4486547072 Enrollment ID: I20040317000488 |
| Provider Name | Bruno Romeo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689615247 PECOS PAC ID: 8426948001 Enrollment ID: I20040317001089 |
| Provider Name | Julie A Hillyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730158031 PECOS PAC ID: 4082627302 Enrollment ID: I20060802000503 |
| Provider Name | Richard Arthur Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154379568 PECOS PAC ID: 4082697479 Enrollment ID: I20110415000392 |
| Provider Name | John Anthony Bacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922655059 PECOS PAC ID: 4385077916 Enrollment ID: I20191212000017 |
| Provider Name | Nicole A Stover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609529312 PECOS PAC ID: 0446645295 Enrollment ID: I20220315001325 |
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