Eastern Poconos Internal Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD062954L Issued in PA

Legal business name

EASTERN POCONOS INTERNAL MEDICINE

Practice address

6977 Route 611 Olympia Plaza
Stroudsburg, PA 18360-9166

Phone

(570) 424-2025

Fax

(570) 424-2028

NPI assigned

Jan 9, 2012

Organization subpart

No

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

Authorized official

Name

Sethuraman Muthiah, M.D.

Title

Owner/Medical Doctor

Phone

(570) 424-2025

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sethuraman Muthiah, MD Former legal business name

Locations

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1043580087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6977 ROUTE 611 OLYMPIA PLAZA",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183609166",
            "telephone_number": "570-424-2025",
            "fax_number": "570-424-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6977 ROUTE 611 OLYMPIA PLAZA",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183609166",
            "telephone_number": "570-424-2025",
            "fax_number": "570-424-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN POCONOS INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-09",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "MUTHIAH",
        "authorized_official_first_name": "SETHURAMAN",
        "authorized_official_title_or_position": "OWNER/MEDICAL DOCTOR",
        "authorized_official_telephone_number": "570-424-2025",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD062954L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001663400",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sethuraman Muthiah, MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Emily Dwyer, PAC
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• Rachel Antoinette Earle, MD
• East Stroudsburg
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• Julieann Eckel
• Eckerd Corporation
• Kevin Connor Eddinger, MD
• Edge Medical Services
• Empowered Living LLC

• Internal Medicine Physician in Stroudsburg, PA
• Providers in Stroudsburg, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.