NPIMap

Individual provider Active NPI

Frank Gary Romascavage, DO

  • General Practice Physician
  • Brodheadsville, PA
National Provider Identifier
1164535423
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
OS004898L Issued in PA
Practice address
Route 209
Brodheadsville, PA 18322
Phone
(570) 992-5500
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X OS004898L PA Primary

Addresses

Primary practice location

Route 209
Brodheadsville, PA 18322

Mailing address

PO Box 40
Route 209
Brodheadsville, PA 18322
Phone (570) 992-5500

Other identifiers 1

IdentifierTypeStateIssuer
R0182869OtherPAPA BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101112000726 PA Practitioner - General Practice 9638364888 Practice locations: Brodheadsville, PA

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Philadelphia College of Osteopathic Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1849 Route 209
Brodheadsville, PA 18322-0040

1849 Rte
Suite 209
Brodheadsville, PA 18322-0040
Phone (570) 992-5500

40 PO Box
Brodheadsville, PA 18322

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
18.07 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
60.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Frank Gary Romascavage DO General Practice Past Accepting new patients

Organizations & group practices 1

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

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164535423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "address_2": "ROUTE 209",
            "city": "BRODHEADSVILLE",
            "state": "PA",
            "postal_code": "18322",
            "telephone_number": "570-992-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROUTE 209",
            "city": "BRODHEADSVILLE",
            "state": "PA",
            "postal_code": "18322",
            "telephone_number": "570-992-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMASCAVAGE",
        "first_name": "FRANK",
        "middle_name": "GARY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "OS004898L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD",
            "identifier": "R0182869",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brodheadsville, PA

Sources for this page

Verify at the official NPI Registry.