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KANOUSE MEDICAL GROUP PC
NPI 1790859783
Internal Medicine in Berwick, PA

Active since November 20, 2006
695 E 16TH ST, SUITE D, BERWICK, PA 18603(570) 752-5500(570) 752-6790 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kanouse Medical Group Pc NPPES

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

KANOUSE MEDICAL GROUP PC (NPI 1790859783) is a healthcare organization registered as an internal medicine in Berwick, Pennsylvania and active in the NPI registry since November 2006. The organization lists Gary Douglas Kanouse, Physician, as its authorized official.

NPPES Registry Identity

NPI1790859783
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameKANOUSE MEDICAL GROUP PC
Location Address695 E 16TH ST, SUITE DBerwick, PA 18603-2320
Mailing Address695 E 16th St, Suite DBerwick, PA 18603-2320 · (570) 752-5500 · Fax (570) 752-6790
Phone(570) 752-5500
Fax(570) 752-6790
Organization SubpartNo
Authorized OfficialGary Douglas KanousePhysician · (570) 752-5500
Enumeration DateNovember 20, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1790859783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD-036479-E
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.
695 E 16TH ST, Berwick, PA 18603
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Other Identifiers 2

Other50002681PA · Capital Blue Cross
Other1335094PA · Highmark Blue Shield

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

Other Providers at the Same Location NPPES 5

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

VALLEY SPINE SPECIALISTS, PC
Orthopaedic Surgery
695 E 16TH ST, SUITE F
BERWICK, PA 18603
Columbia County (570) 802-0360
DR. ZEFERINO MARTINEZ M.D.
Orthopaedic Surgery
695 E 16TH ST, SUITE F
BERWICK, PA 18603
Columbia County (570) 759-5111
ROGER F CRAKE MD
Surgery
695 E 16TH ST, SUITE C
BERWICK, PA 18603
Columbia County (570) 759-3561
DR. GARY DOUGLAS KANOUSE M.D.
Internal Medicine
695 E 16TH ST, SUITE D
BERWICK, PA 18603
Columbia County (570) 752-5500
DR. RAMESH M. SHAH M.D.
Internal Medicine (Pulmonary Disease)
695 E 16TH ST, SUITE A
BERWICK, PA 18603
Columbia County (570) 759-5005

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 Kanouse Medical Group PC's NPI number?

The NPI number for Kanouse Medical Group PC is 1790859783. It was assigned to this organization in the NPPES registry on November 20, 2006.

Where is Kanouse Medical Group PC located?

Kanouse Medical Group PC is located at 695 E 16th St Suite D, Berwick, PA 18603. The listed phone number is (570) 752-5500.

What is Kanouse Medical Group PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Kanouse Medical Group PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.