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Back Mountain Pediatrics

Pediatrics Physician in Dallas, PA · enumerated 2007 · authorized official Joan Greulick, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063621233

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Registry record

Entity type Organization (Type 2)
Legal business name Back Mountain Pediatrics
Practice address 550 Memorial Highway, Dallas, PA, 18612
Fax (570) 675-7882
Enumeration date May 22, 2007
Last updated in NPPES Sep 11, 2025

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License MD024845E (PA) Primary
291U00000X Clinical Medical Laboratory Laboratories · License 022874 (PA) Secondary

Authorized official

Name Joan Greulick
Title Owner

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-09-11. Verify at npiregistry.cms.hhs.gov.
Where is Back Mountain Pediatrics located?
The practice location on file with NPPES is in Dallas, PA.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.