Samuel E Schrack, D.O., P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SAMUEL E SCHRACK, D.O., P.C.

Practice address

520 W 4TH St
Suite 1a
Williamsport, PA 17701-6038

Phone

(570) 327-9110

Fax

(570) 327-1181

NPI assigned

Apr 13, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa R Miller

Title

Office Manager

Phone

(570) 327-9110

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Melinda Marie Stoetzel, PA-C

  • Physician Assistant
  • Williamsport, PA
  • NPI 1467566844
  NPD (past)
• Rosemary Wiegand

  • Family Medicine Physician
  • Williamsport, PA
  • NPI 1245239870
  NPD (past)

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259020800000",
    "number": "1174587570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 W 4TH ST",
            "address_2": "SUITE 1A",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177016038",
            "telephone_number": "570-327-9110",
            "fax_number": "570-327-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W 4TH ST",
            "address_2": "SUITE 1A",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177016038",
            "telephone_number": "570-327-9110",
            "fax_number": "570-327-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL E SCHRACK, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2009-11-24",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "570-327-9110",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019492200004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sai Bhaskara Srinivas Sajja, MD
• Jonathan Whitney Sakowski, MSPT
• Farag Salama
• Mariam Bukky Salisu, MD
• Alysha Sampson
• Joanly Sanchez
• Andrea Marie Sann, CRNP
• Lori Sanner, NCC
• Mak Sarich, MD
• Megan Saunders, CRNP

• Family Medicine Physician in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; 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.