Individual provider Active NPI

Sharon Marie Savakinas, PA-C

  • Physician Assistant
  • Carbondale, PA
National Provider Identifier
1215955828
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA003046L Issued in PA
Practice address
150 Brooklyn St
Carbondale, PA 18407-2274
Phone
(570) 282-2031
Fax
(570) 282-2534
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA003046L PA Primary

Addresses

Primary practice location

150 Brooklyn St
Carbondale, PA 18407-2274

Mailing address

601 Park St
Honesdale, PA 18431-1445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061102000387 PA Practitioner - Physician Assistant 3072510155 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA003046LPAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne Memorial Community Health Centers CurrentSince Feb 17, 2015 Accepting new patients
Wayne Memorial Community Health Centers CurrentSince Feb 17, 2015 Accepting new patients
Whites Crossing Medical Group Inc Physician Assistant Past Accepting new patients
Wayne Memorial Community Health Centers Past Accepting new patients

Locations

150 Brooklyn St
Carbondale, PA 18407
Phone (570) 282-2031

600 Maple Ave
Unit 1
Honesdale, PA 18431
Phone (570) 282-2456

601 Park St
Honesdale, PA 18431
Phone (570) 253-8100

412 Como Rd
Lake Como, PA 18437
Phone (570) 775-7100

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1215955828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 PARK ST",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BROOKLYN ST",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184072274",
            "telephone_number": "570-282-2031",
            "fax_number": "570-282-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVAKINAS",
        "first_name": "SHARON",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA003046L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carbondale, PA

Sources for this page

Verify at the official NPI Registry.