Surgical Specialists of Hazleton, P. C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SURGICAL SPECIALISTS OF HAZLETON, P. C.

Practice address

Health & Wellness Center
50 Moisey Drive Suite 214
Hazleton, PA 18202

Phone

(570) 501-6900

Fax

(570) 501-6945

NPI assigned

Jun 17, 2006

Last updated

Aug 3, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Hameed Ahmad Butt, MDNPI 1932136934

Title

Corporation President

Phone

(570) 501-6900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hameed Ahmad Butt, MD

  • Surgery Physician
  • Hazleton, PA
  • NPI 1932136934
  Authorized official Same address or phone
• Michael David Bono, MD

  • Surgery Physician
  • Langhorne, PA
  • NPI 1487690228
  NPD (past)
• Michael Haraschak

  • Surgery Physician
  • Montrose, PA
  • NPI 1962449280
  NPD (past)
• Alycia Dorrine Pavlick, PA-C

  • Physician Assistant
  • Wilkes Barre, PA
  • NPI 1932396561
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186099200000",
    "number": "1003851742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HEALTH & WELLNESS CENTER",
            "address_2": "50 MOISEY DRIVE SUITE 214",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "18202",
            "telephone_number": "570-501-6900",
            "fax_number": "570-501-6945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HEALTH & WELLNESS CENTER",
            "address_2": "50 MOISEY DRIVE SUITE 214",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "18202",
            "telephone_number": "570-501-6900",
            "fax_number": "570-501-6945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL SPECIALISTS OF HAZLETON, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2007-08-03",
        "status": "A",
        "authorized_official_last_name": "BUTT",
        "authorized_official_first_name": "HAMEED",
        "authorized_official_middle_name": "AHMAD",
        "authorized_official_title_or_position": "CORPORATION PRESIDENT",
        "authorized_official_telephone_number": "570-501-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016137400005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen M Wolk MD PC
• Stephen N. Shoemaker, D.O., P.C.
• Steven E. Nicholson, D.M.D., P.C.
• Edward Thomas Stish Jr.
• Heather Ann Sugarman, CRNP
• Cassie Surplus, MA
• Kerry Swiech
• Lisa A Tabbit, DO
• Nina Mithi Taggart, MD
• Mary Grace Tambasco

• Surgery Physician in Hazleton, PA
• Providers in Hazleton, PA by specialty
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.