Organization Active NPI

Oscar Y Piczon & Ferdinand J Mahahan

  • Nephrology Physician
  • Scranton, PA
National Provider Identifier
1174502199
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
OSCAR Y PICZON & FERDINAND J MAHAHAN
Practice address
239 Penn Ave
Forum Plaza
Scranton, PA 18503
Phone
(570) 346-6170
Fax
(570) 346-2575
NPI assigned
Jan 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

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

Authorized official

Name
Oscar Y Piczon, M.D.NPI 1164401006
Title
Physician
Phone
(570) 346-6170

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

239 Penn Ave
Forum Plaza
Scranton, PA 18503

Mailing address

239 Penn Ave
Forum Plaza
Scranton, PA 18503
Phone (570) 346-6170

Other identifiers 14

IdentifierTypeStateIssuer
000153941OtherPABLUE SHIELD GROUP
505690OtherAETNA PICZON
000036549OtherPABLUE SHIELD PICZON
220356OtherPAFIRST PRIORITY GROUP
440398OtherPAFIRST PRIORITY PICZON
38078OtherPAGEISINGER HEALTH MANAHAN
000424228OtherPABLUE SHIELD MANAHAN
440302OtherPAFIRST PRIORITY MANAHAN
0669043OtherPAPICZON
268DOtherPAGEISINGER HEALTH GROUP
505726OtherAETNA GROUP
0669043OtherPAMANAHAN
19816OtherPAGEISINGER HEALTH PICZON
505518OtherAETNA MANAHAN

Other names 1

  • Piczon-Manahan Associates Doing business as

National Provider Directory

National Provider Directory

Locations

239 Penn Ave
Scranton, PA 18503
Phone (570) 346-6170

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263513600000",
    "number": "1174502199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 PENN AVE",
            "address_2": "FORUM PLAZA",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "18503",
            "telephone_number": "570-346-6170",
            "fax_number": "570-346-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 PENN AVE",
            "address_2": "FORUM PLAZA",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "18503",
            "telephone_number": "570-346-6170",
            "fax_number": "570-346-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSCAR Y PICZON & FERDINAND J MAHAHAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-10",
        "last_updated": "2010-01-15",
        "status": "A",
        "authorized_official_last_name": "PICZON",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "570-346-6170",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP",
            "identifier": "000153941",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PICZON",
            "identifier": "505690",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PICZON",
            "identifier": "000036549",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY GROUP",
            "identifier": "220356",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY PICZON",
            "identifier": "440398",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH MANAHAN",
            "identifier": "38078",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD MANAHAN",
            "identifier": "000424228",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY MANAHAN",
            "identifier": "440302",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PICZON",
            "identifier": "0669043",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH GROUP",
            "identifier": "268D",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GROUP",
            "identifier": "505726",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAHAN",
            "identifier": "0669043",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PICZON",
            "identifier": "19816",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA MANAHAN",
            "identifier": "505518",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Piczon-Manahan Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; 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.