Hazleton Endoscopy Center, Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

14601501 Issued in PA

Legal business name

HAZLETON ENDOSCOPY CENTER, INC.

Practice address

10 Park Place
Hazle Township, PA 18202-9394

Phone

(570) 454-1400

Fax

(570) 454-2144

NPI assigned

Dec 23, 2006

Last updated

Dec 24, 2008By 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. Young Kul Yoo, M.D.

Title

President

Phone

(570) 454-1400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Listed as

Hazleton Endoscopy Center IncCCN 39C0001113

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Michael A Yoder, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Dunmore, PA
  • NPI 1346206752
  Medicare reassignment NPD
• Alan Shienbaum, D.O.

  • Anatomic Pathology & Clinical Pathology Physician
  • Cherry Hill, NJ
  • NPI 1811967904

  PA

  Medicare reassignment NPD

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

{
    "created_epoch": "1166832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230076800000",
    "number": "1043375702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PARK PLACE",
            "city": "HAZLE TOWNSHIP",
            "state": "PA",
            "postal_code": "182029394",
            "telephone_number": "570-454-1400",
            "fax_number": "570-454-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PARK PLACE",
            "city": "HAZLE TOWNSHIP",
            "state": "PA",
            "postal_code": "182029394",
            "telephone_number": "570-454-1400",
            "fax_number": "570-454-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZLETON ENDOSCOPY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-23",
        "last_updated": "2008-12-24",
        "status": "A",
        "authorized_official_last_name": "YOO",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_middle_name": "KUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-454-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "14601501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Marie Haggerty-Barron, MS, RDN
• Larry Gene Halye Jr., LAT, ATC
• Jessica Hartz
• Edward Joseph Harvilla, RN
• Hazleton Area SD
• Hazleton Eye Center, Inc.
• Hazleton Physical Therapy, LLC
• Russell Scott Herring
• Darren Joseph Hohn, DO
• Home Health Agency -Philadelphia, LLC (Omni Home Care)

• Ambulatory Surgical Clinic/Center in Hazle Township, PA
• Providers in Hazle Township, PA by specialty
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.