Active NPI
Nicholas Molacek, M.D,
- Student in an Organized Health Care Education/Training Program
- Danville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- Geisinger Medical Center 100 North Academy Ave
Danville, PA 17822-0001 - Phone
- (570) 271-6211
- NPI assigned
- Mar 31, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
Geisinger Medical Center 100 North Academy Ave
Danville, PA 17822-0001
Mailing address
237 Wirt Street
Bloomsburg, PA 17815
Phone (402) 217-0948
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Nebraska College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
731 12TH Ave NW
Suite 100
Ardmore, OK 73401-5762
Phone (580) 223-3216
Hospital & facility affiliations
- Mercy Hospital Ardmore, Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 47 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 45 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Oklahoma Communities | Current | Accepting new patients | |
| Mercy Hospital Ardmore, Inc. | Past | Accepting new patients | |
| Mercy Hospital Oklahoma City, Inc | Past | Accepting new patients |
Locations
731 12th Ave NW
Ste 100
Ardmore, OK 73401
Phone (580) 223-3216
4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962
4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455
Interoperability endpoints
- nmolacek1032045@directc.mercy.net
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1386874550
-
- General Acute Care Hospital
- Ardmore, OK
- NPI 1386741635
-
- Diagnostic Radiology Physician
- Yukon, OK
- NPI 1730326406
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ardmore, OK
- NPI 1386741635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457568000000",
"number": "1164840823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "237 WIRT STREET",
"city": "BLOOMSBURG",
"state": "PA",
"postal_code": "17815",
"telephone_number": "402-217-0948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "GEISINGER MEDICAL CENTER 100 NORTH ACADEMY AVE",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178220001",
"telephone_number": "570-271-6211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLACEK",
"first_name": "NICHOLAS",
"credential": "M.D,",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-31",
"last_updated": "2016-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.