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HAZLETON MEDICAL PRACTICE LLC
NPI 1740691955
Internal Medicine in Hazleton, PA

Active since May 12, 2014CLIA 39D2289763 · Waiver
141 N CEDAR ST, HAZLETON, PA 18201(570) 497-4419(570) 497-4420 Get Directions Write a Review

NPPES record last updated: February 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hazleton Medical Practice Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAZLETON MEDICAL PRACTICE LLC (NPI 1740691955) is a healthcare organization registered as an internal medicine in Hazleton, Pennsylvania and active in the NPI registry since May 2014. The organization holds a CLIA Waiver certificate valid through September 14, 2027 and lists Pedro Guzman, Director, as its authorized official.

NPPES Registry Identity

NPI1740691955
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameHAZLETON MEDICAL PRACTICE LLC
Location Address141 N CEDAR STHazleton, PA 18201-5580
Mailing Address141 N Cedar StHazleton, PA 18201-5580 · (570) 497-4419 · Fax (570) 497-4420
Phone(570) 497-4419
Fax(570) 497-4420
Organization SubpartNo
Authorized OfficialPedro GuzmanDirector · (570) 497-4419
Enumeration DateMay 12, 2014
Last NPPES UpdateFebruary 14, 2020
✔ NPI 1740691955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X · License MD441284 (PA)
141 N CEDAR ST, Hazleton, PA 18201
Open in Google Maps ↗

Other Identifiers 1

Other1174858104My Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2289763

Hazleton Medical Practice, LLC · Hazleton, PA
Active · expires Sep 14, 2027
CLIA Number39D2289763
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 15, 2025
Certificate Expiration DateSeptember 14, 2027
Laboratory DirectorDr. Pedro Guzman
Laboratory Phone(646) 284-8054
Laboratory LocationHazleton Medical Practice, LLC141 North Cedar St, Hazleton, PA 18201
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. PEDRO GUZMAN MD
Internal Medicine
141 N CEDAR ST
HAZLETON, PA 18201
Luzerne County (570) 497-4419

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hazleton Medical Practice LLC's NPI number?

The NPI number for Hazleton Medical Practice LLC is 1740691955. It was assigned to this organization in the NPPES registry on May 12, 2014.

Where is Hazleton Medical Practice LLC located?

Hazleton Medical Practice LLC is located at 141 N Cedar St, Hazleton, PA 18201. The listed phone number is (570) 497-4419.

What is Hazleton Medical Practice LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Hazleton Medical Practice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2289763) is associated with this NPI, valid through September 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hazleton Medical Practice LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Hazleton Medical Practice LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hazleton Medical Practice LLC was last updated on February 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.