Individual provider Active NPI

Abbey M Oatman

  • Physician Assistant
  • Scranton, PA
National Provider Identifier
1154400059
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA052737 Issued in PA
Practice address
700 Quincy Ave
Ed
Scranton, PA 18510-1724
Phone
(570) 340-2100
Fax
(570) 558-7936
NPI assigned
Nov 3, 2006
Last updated
Mar 29, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA052737 PA Primary

Addresses

Primary practice location

700 Quincy Ave
Ed
Scranton, PA 18510-1724

Mailing address

700 Quincy Ave
Ed
Scranton, PA 18510-1724
Phone (570) 340-2100

Other identifiers 1

IdentifierTypeStateIssuer
50064837OtherPACAPITAL BC

Other names 1

  • Abbey M Eztweiler Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070109000540 PA Practitioner - Physician Assistant 0749280154 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group CurrentSince Feb 11, 2022 Accepting new patients
Lancaster General Medical Group CurrentSince Feb 11, 2022 Accepting new patients
Pennsylvania Physician Services, LLC CurrentSince Jan 1, 2015 Accepting new patients
Lancaster General Medical Group Past Accepting new patients
Emergency Services, PC Past Accepting new patients
Moses Taylor Hospital Past Accepting new patients

Locations

1570 Fruitville Pike
Ste 100
Lancaster, PA 17601
Phone (717) 569-6481

2118 Spring Valley Rd
Lancaster, PA 17601
Phone (215) 615-2222

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

51 Peters Rd
Ste 202
Lititz, PA 17543
Phone (717) 569-6481

575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301356800000",
    "number": "1154400059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 QUINCY AVE",
            "address_2": "ED",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101724",
            "telephone_number": "570-340-2100",
            "fax_number": "570-558-7936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 QUINCY AVE",
            "address_2": "ED",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101724",
            "telephone_number": "570-340-2100",
            "fax_number": "570-558-7936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OATMAN",
        "first_name": "ABBEY",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2011-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA052737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BC",
            "identifier": "50064837",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABBEY",
            "last_name": "EZTWEILER",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.