MEDICARE: PHILLIP JOHN STATES M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD423371	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1641714	OTHER	PA	HIGHMARK BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093791246
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHILLIP JOHN STATES M.D.

Provider Business Mailing Address
First Line	:	83 HILLCREST DR
Second Line	:	SUITE 200
City	:	PUNXSUTAWNEY
State	:	PA
Zip	:	15767-2605
Country	:	US
Telephone Number	:	814-938-3550
Fax Number	:	814-938-3679

Provider Business Practice Location Address
First Line	:	83 HILLCREST DR
Second Line	:	SUITE 200
City	:	PUNXSUTAWNEY
State	:	PA
Zip	:	15767-2605
Country	:	US
Telephone Number	:	814-938-3550
Fax Number	:	814-938-3679

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2005
Last Update Date	:	10/30/2015

Similar Medicare Providers

1922003284 — KYLE A LINGENFELTER MD FACS
Practice Location Address:

81 HILLCREST DR , STE 2600
PUNXSUTAWNEY, PA
15767-2605

Practice Phone: 814-938-4121
Practice Fax: 814-938-4158

1568468031 — KAMAL KHALAF MD
Practice Location Address:

81 HILLCREST DR
PUNXSUTAWNEY, PA
15767-2605

Practice Phone: 814-938-1836
Practice Fax: 814-938-1834

1104818970 — MR. EMIL DIB MD
Practice Location Address:

81 HILLCREST DR , SUITE 2200
PUNXSUTAWNEY, PA
15767-2605

Practice Phone: 814-938-3343
Practice Fax: 814-938-3369

1861484586 — STEPHEN R GRIEBEL MD
Practice Location Address:

81 HILLCREST DR
PUNXSUTAWNEY, PA
15767-2605

Practice Phone: 814-938-4777
Practice Fax: 814-938-1460

1346235678 — DAWN E CEKOVSKY PA-C.
Practice Location Address:

83 HILLCREST DR
PUNXSUTAWNEY, PA
15767-2605

Practice Phone: 814-938-3310
Practice Fax: 814-938-6804

1194795856 — JOSEPH D CLARK M.D.
Practice Location Address:

81 HILLCREST DR STE 1300
PUNXSUTAWNEY, PA
15767-2605

Practice Phone: 814-938-5910
Practice Fax: 814-938-4525

Directions to “ PHILLIP JOHN STATES M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.