Deborah L Khalife, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

OA000106L Issued in PA

Practice address

824 McAlpine St
Avoca, PA 18641

Phone

(570) 457-9299

NPI assigned

Apr 8, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• James J Kosik, DO, PC

  • Internal Medicine Physician
  • Avoca, PA
  • NPI 1013020551
  Medicare reassignment

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530576000000",
    "number": "1063855237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 JASON DR",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187022726",
            "telephone_number": "570-825-5673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 MCALPINE ST",
            "city": "AVOCA",
            "state": "PA",
            "postal_code": "18641",
            "telephone_number": "570-457-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALIFE",
        "first_name": "DEBORAH",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-08",
        "last_updated": "2018-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA-001376-L",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA000106L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Henahan, DPT
• James J Kosik, DO, PC
• Timothy Jurnak, ATC
• Ketasclepius LLC (The Good drop)
• Keystone Independent Living Inc.
• James J Kosik, D.O.
• Joann Kosik, MHA, PA-C
• Llewellyn's LTC
• Llewellyns Inc (Llewellyns Drugs)
• Llewellyns Inc

• Physician Assistant in Avoca, PA
• Providers in Avoca, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.