Shamokin Dam Health Center PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SHAMOKIN DAM HEALTH CENTER PC

Practice address

3166 North Old Trail
Shamokin Dam, PA 17876-9409

Phone

(570) 743-4333

Fax

(570) 743-6012

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Michael J Dunigan, DC

Title

President

Phone

(570) 743-4333

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241481600000",
    "number": "1235284837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3166 NORTH OLD TRAIL",
            "city": "SHAMOKIN DAM",
            "state": "PA",
            "postal_code": "178769409",
            "telephone_number": "570-743-4333",
            "fax_number": "570-743-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3166 NORTH OLD TRAIL",
            "city": "SHAMOKIN DAM",
            "state": "PA",
            "postal_code": "178769409",
            "telephone_number": "570-743-4333",
            "fax_number": "570-743-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAMOKIN DAM HEALTH CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2009-05-05",
        "status": "A",
        "authorized_official_last_name": "DUNIGAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-743-4333",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019697320001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohammad Abdul Samad, MD
• James Patrick Satteson, PA-C
• Shamokin Dam Family Medical Center LLC
• Shamokin Dam Health Center
• Shamokin Dam Health Center
• Margaret Linn Smith
• Katelynn Sola
• Kareema Rhonda Stansbury
• Robin Lee Steele, PT
• Nikki Marie Styer

• Family Medicine Physician in Shamokin Dam, PA
• Providers in Shamokin Dam, 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 May 5, 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.