Back Mountain Pediatrics
NPI 1063621233 · Pediatrics Physician · Dallas, PA
Back Mountain Pediatrics is a Pediatrics Physician organization in Dallas, PA (NPI 1063621233).
Provider details
- NPI number
- 1063621233
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Joan Greulick, Owner(570) 675-7955
- License
- 022874 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Laboratories
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-22
- Last updated
- 2025-09-11
Frequently asked questions
- What is Back Mountain Pediatrics's NPI number?
- Back Mountain Pediatrics's National Provider Identifier (NPI) is 1063621233, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Back Mountain Pediatrics?
- Back Mountain Pediatrics is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Back Mountain Pediatrics located?
- Back Mountain Pediatrics's practice location on file with NPPES is 550 Memorial Highway, Dallas, PA 18612.
- What is Back Mountain Pediatrics's phone number?
- The practice phone number listed in the NPPES registry for Back Mountain Pediatrics is (570) 675-7955.
- Who is the authorized official for Back Mountain Pediatrics?
- The authorized official listed on Back Mountain Pediatrics's NPPES record is Joan Greulick, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Back Mountain Pediatrics's NPI active?
- Yes — Back Mountain Pediatrics's NPI (1063621233) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.