Endocrinology Clinic P.C.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

MD438286 Issued in PA

Legal business name

ENDOCRINOLOGY CLINIC P.C.

Practice address

1090 N Church St
200 Hazleton Professional Plaza
Hazle Township, PA 18202-1480

Phone

(570) 455-0100

Fax

(570) 455-0177

NPI assigned

Apr 19, 2017

Last updated

Apr 19, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ayse Karca Mohyuddin, MDNPI 1669670535

Title

President

Phone

(570) 455-0100

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ayse K Mohyuddin, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Hazle Township, PA
  • NPI 1669670535
  NPD Authorized official

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1154855898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 N CHURCH ST",
            "address_2": "200 HAZLETON PROFESSIONAL PLAZA",
            "city": "HAZLE TOWNSHIP",
            "state": "PA",
            "postal_code": "182021480",
            "telephone_number": "570-455-0100",
            "fax_number": "570-455-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 N CHURCH ST",
            "address_2": "200 HAZLETON PROFESSIONAL PLAZA",
            "city": "HAZLE TOWNSHIP",
            "state": "PA",
            "postal_code": "182021480",
            "telephone_number": "570-455-0100",
            "fax_number": "570-455-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOCRINOLOGY CLINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "MOHYUDDIN",
        "authorized_official_first_name": "AYSE",
        "authorized_official_middle_name": "KARCA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-455-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD438286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rhina Elliot, DDS
• Endodontic Specialists of Nepa, P.C.
• Gabrielle Engelke, PTA
• Mboutidem Etokakpan, MD
• Travis Evans, DPT
• Evernorth Direct Health LLC

• Endocrinology, Diabetes & Metabolism Physician in Hazle Township, PA
• Providers in Hazle Township, PA by specialty
• Endocrinology, Diabetes & Metabolism Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.