MEDICARE: PEDIATRICS & BEYOND LLC

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	207R00000X	Internal Medicine Physician	OS010062L	PA
2	208000000X	Pediatrics Physician	OS010062L	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

General Provider Information

NPI Number	:	1912008475
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEDIATRICS & BEYOND LLC

Provider Business Mailing Address
First Line	:	10663 RAYSTOWN RD
Second Line	:	SUITE B
City	:	HUNTINGDON
State	:	PA
Zip	:	16652-7542
Country	:	US
Telephone Number	:	814-627-0071
Fax Number	:	814-627-0315

Provider Business Practice Location Address
First Line	:	10663 RAYSTOWN RD
Second Line	:	SUITE B
City	:	HUNTINGDON
State	:	PA
Zip	:	16652-7542
Country	:	US
Telephone Number	:	814-627-0071
Fax Number	:	814-627-0315

Authorized Official
Title or Position	:	OSTEOPATHIC PHYSICIAN & SURGEON
Name	:	DR. JAMES W MANSBERGER
Credential	:	DO
Telephone Number	:	814-627-0071

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	09/11/2025

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Directions to “PEDIATRICS & BEYOND LLC ” Practice Location

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