| Hazleton Pediatrics | |
|
1730 E Broad St Ste 2 Hazleton PA 18201-5657 | |
| (570) 455-9589 | |
| (570) 455-8848 |
| Full Name | Hazleton Pediatrics |
|---|---|
| Speciality | Clinic/Center |
| Location | 1730 E Broad St Ste 2, Hazleton, Pennsylvania |
| Authorized Official Name and Position | Matthew J Iskra (CFO) |
| Authorized Official Contact | 5708258741 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hazleton Pediatrics 276 E End Ctr Wilkes Barre PA 18702-6970 Ph: (570) 825-8741 | Hazleton Pediatrics 1730 E Broad St Ste 2 Hazleton PA 18201-5657 Ph: (570) 455-9589 |
| NPI Number | 1679115760 |
|---|---|
| Provider Enumeration Date | 10/10/2019 |
| Last Update Date | 10/26/2023 |
| Certification Date | 10/26/2023 |
| Medicare PECOS PAC ID | 1052362662 |
|---|---|
| Medicare Enrollment ID | O20200701002237 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679115760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
| 208000000X | Pediatrics | () | Secondary |
Stephen N. Shoemaker, D.O., P.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 E 9th St, Hazleton, PA 18201 Phone: 570-453-2555 |
Poole Chiropractic Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 Sunburst Dr, Hazleton, PA 18202 Phone: 570-455-5893 Fax: 570-459-5756 |
Michael A. Washinsky, DO Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1730 E Borad Street, Suite1, Hazleton, PA 18201 Phone: 570-459-2226 Fax: 570-459-2511 |
Thomas H. Dittman, M.D. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 N Laurel St, Suite 2 E, Hazleton, PA 18201 Phone: 570-453-0550 Fax: 570-453-0138 |
Geisinger Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1740 E Broad St, Hazleton, PA 18201 Phone: 570-271-5555 |
Mountain Area Healthcare PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23 E Broad St, Hazleton, PA 18201 Phone: 570-454-8204 Fax: 570-459-0099 |