Organization Active NPI

Sharon Palushock, M.D., P.C.

  • Endocrinology, Diabetes & Metabolism Physician
  • Old Forge, PA
National Provider Identifier
1033516414
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD040639 L Issued in PA
Legal business name
SHARON PALUSHOCK, M.D., P.C.
Practice address
939 Moosic Rd
Old Forge, PA 18518-2034
Phone
(570) 471-3506
Fax
(570) 471-3507
NPI assigned
Dec 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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

Authorized official

Name
Sharon Palushock, M.D.
Title
Owner
Phone
(570) 885-0963

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X MD040639 L PA Primary

Addresses

Primary practice location

939 Moosic Rd
Old Forge, PA 18518-2034

Mailing address

100 Laflin Rd
Wilkes Barre, PA 18702-7238
Phone (570) 885-0963

Other identifiers 1

IdentifierTypeStateIssuer
001261360MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417392000000",
    "number": "1033516414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LAFLIN RD",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187027238",
            "telephone_number": "570-885-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 MOOSIC RD",
            "city": "OLD FORGE",
            "state": "PA",
            "postal_code": "185182034",
            "telephone_number": "570-471-3506",
            "fax_number": "570-471-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON PALUSHOCK, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-01",
        "last_updated": "2014-12-01",
        "status": "A",
        "authorized_official_last_name": "PALUSHOCK",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-885-0963",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD040639 L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001261360",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Forge, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; 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.