Active NPI
United Surgical Associates, P.C
- Vascular Surgery Physician
- Carbondale, PA
National Provider Identifier
1174521959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- OS009172L
- Legal business name
- UNITED SURGICAL ASSOCIATES, P.C
- Practice address
- 75 N Scott St
Carbondale, PA 18407-1833 - Phone
- (570) 281-9000
- Fax
- (570) 281-9200
- NPI assigned
- Jul 14, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph G Wrobleski Jr., D.O.
- Title
- President
- Phone
- (570) 281-9000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | OS009172L | PA | |
| Vascular Surgery Physician | 2086S0129X | OS009172L | PA | Primary |
Addresses
Primary practice location
75 N Scott St
Carbondale, PA 18407-1833
Mailing address
75 N Scott St
Carbondale, PA 18407-1833
Phone (570) 281-9000
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202975 | Other | BLACK LUNG | |
| 814383 | Other | FIRST PRIORITY HEALTH | |
| 119234 | Other | THREE RIVERS | |
| 1989020 | Other | FIRST HEALTH | |
| 3Y2164 | Other | HEALTHNET | |
| 925496 | Other | PA | BLUE SHIELD INDIVIUAL |
| 0077428240002 | Medicaid | PA | |
| 2587081 | Other | PA | AETNA |
| 343958 | Other | HEALTHAMERICA | |
| 0001364500 | Other | PA | BLUE SHIELD GROUP |
| 66699 | Other | GEISINGER | |
| P2741545 | Other | OXFORD |
National Provider Directory
National Provider DirectoryLocations
75 N Scott St
Carbondale, PA 18407
Phone (570) 281-9000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222387200000",
"number": "1174521959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 N SCOTT ST",
"city": "CARBONDALE",
"state": "PA",
"postal_code": "184071833",
"telephone_number": "570-281-9000",
"fax_number": "570-281-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 N SCOTT ST",
"city": "CARBONDALE",
"state": "PA",
"postal_code": "184071833",
"telephone_number": "570-281-9000",
"fax_number": "570-281-9200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED SURGICAL ASSOCIATES, P.C",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-14",
"last_updated": "2008-09-26",
"status": "A",
"authorized_official_last_name": "WROBLESKI",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "570-281-9000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "PA",
"license": "OS009172L",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": "PA",
"license": "OS009172L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLACK LUNG",
"identifier": "202975",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY HEALTH",
"identifier": "814383",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THREE RIVERS",
"identifier": "119234",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "1989020",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "3Y2164",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD INDIVIUAL",
"identifier": "925496",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0077428240002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2587081",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHAMERICA",
"identifier": "343958",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD GROUP",
"identifier": "0001364500",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER",
"identifier": "66699",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2741545",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Carbondale, PA
- Tri County Human Services Center Inc
- Tri County Human Services Center Inc
- Tri County Human Services Center Inc
- Tri County Human Services Center Inc (Maxis Counseling)
- Helen Trygar, CRNP
- Valhalla Enterprises Inc (Figliomeni Home Health Care Supplies)
- Rachael A Van Tassel, LPC, ATR-BC
- Vanwert Counseling and Wellness (Christina VanWert Counseling)
- Christina Vanwert, LPC, NCC, MA
- Vision Innovation Centers of Pennsylvania LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.