Pottsville Sleep Physicians LLC

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

License

MD454695 Issued in PA

Legal business name

POTTSVILLE SLEEP PHYSICIANS LLC

Practice address

1816 W Market St
Pottsville, PA 17901-2002

Phone

(570) 581-8218

Fax

(888) 383-2102

NPI assigned

Jul 7, 2015

Last updated

Jul 7, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Zia Hussain Shah, MDNPI 1750362380

Title

Ceo

Phone

(607) 222-5032

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Zia H Shah, MD

  • Pulmonary Disease Physician
  • Binghamton, NY
  • NPI 1750362380

  PA

  Medicare reassignment Authorized official
• Khaula Rehman, MD

  • Internal Medicine Physician
  • Binghamton, NY
  • NPI 1568443521

  PA

  Medicare reassignment

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1205219458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 SUNRISE PL",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138502898",
            "telephone_number": "607-222-5032",
            "fax_number": "866-546-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 W MARKET ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012002",
            "telephone_number": "570-581-8218",
            "fax_number": "888-383-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTTSVILLE SLEEP PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "ZIA",
        "authorized_official_middle_name": "HUSSAIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "607-222-5032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "PA",
            "license": "MD454695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pottsville Oral Surgery, PC
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• Pottsville Pediatric Dental Center
• Pottsville Radiology Associates
• Pottsville Rehabilitation LLC
• Pottsville SNF Operations LLC
• Pottsville Sports & Rehabilitation Center, Inc.
• Colby Allan Powell, PA-C
• Precision Home Healthcare Inc
• Premier Pain Professionals PC

• Sleep Medicine (Internal Medicine) Physician in Pottsville, PA
• Providers in Pottsville, PA by specialty
• Sleep Medicine (Internal Medicine) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.