Active NPI
Barbara A Vilushis, DO
- Family Medicine Physician
- Hazleton, PA
National Provider Identifier
1083693592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS004405L
- Practice address
- 23 E Broad St
Hazleton, PA 18201-6520 - Phone
- (570) 454-8204
- Fax
- (570) 459-0099
- NPI assigned
- Jan 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS004405L | PA | Primary |
Addresses
Primary practice location
23 E Broad St
Hazleton, PA 18201-6520
Mailing address
23 E Broad St
Hazleton, PA 18201-6520
Phone (570) 454-8204
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 138529 | Other | UNISON MED PLUS | |
| 0010874000008 | Medicaid | PA | |
| 001476 | Other | FIRST PRIORITY HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306972800000",
"number": "1083693592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 E BROAD ST",
"city": "HAZLETON",
"state": "PA",
"postal_code": "182016520",
"telephone_number": "570-454-8204",
"fax_number": "570-459-0099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 E BROAD ST",
"city": "HAZLETON",
"state": "PA",
"postal_code": "182016520",
"telephone_number": "570-454-8204",
"fax_number": "570-459-0099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILUSHIS",
"first_name": "BARBARA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-12",
"last_updated": "2011-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS004405L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON MED PLUS",
"identifier": "138529",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010874000008",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY HEALTH",
"identifier": "001476",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Hazleton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.