Anwar Nakkoul MD, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD059146L Issued in PA

Legal business name

ANWAR NAKKOUL MD, PC

Practice address

1023 Centre St
Ashland, PA 17921-1204

Phone

(570) 875-3665

Fax

(570) 875-2012

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Nicole Blase

Title

Office Manager

Phone

(570) 875-3665

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anwar Nakkoul, MD

  • Internal Medicine Physician
  • Ashland, PA
  • NPI 1669465381
  Medicare reassignment NPD
• Scott W. Sterling, D.O.

  • Family Medicine Physician
  • Towanda, PA
  • NPI 1154384170
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1053444018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 CENTRE ST",
            "city": "ASHLAND",
            "state": "PA",
            "postal_code": "179211204",
            "telephone_number": "570-875-3665",
            "fax_number": "570-875-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 CENTRE ST",
            "city": "ASHLAND",
            "state": "PA",
            "postal_code": "179211204",
            "telephone_number": "570-875-3665",
            "fax_number": "570-875-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANWAR NAKKOUL MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "BLASE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "570-875-3665"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD059146L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maram Mohamed Abdulaal
• Advent Foot and Ankle Inc
• Alternamed, LLC
• Alternamed, LLC
• Ashland Addiction Counseling and Education
• Ann M Batdorf, CRNP
• BB & L , LLC (Ashland Chiropractic)
• Carol Bebenek, LPC; RN,C
• Danielle Marie Bixler, DPT

• Internal Medicine Physician in Ashland, PA
• Providers in Ashland, 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 Jun 29, 2010; 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.