Organization Active NPI

Mark James Lobitz DO CMD PC

Doing business as Hazleton Family Practice

  • General Practice Physician
  • Hazle Township, PA
National Provider Identifier
1295937548
Registry record updated Jun 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
OS005223-L Issued in PA
Legal business name
MARK JAMES LOBITZ DO CMD PC
Doing business as
Hazleton Family Practice
Practice address
420 W 23Rd St
Hazle Township, PA 18202-1302
Phone
(570) 455-6000
Fax
(570) 455-7371
NPI assigned
May 31, 2007
Last updated
Jun 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2024

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

Authorized official

Name
Dr. Mark James Lobitz, DO CMDNPI 1639141492
Title
Corporate Officer
Phone
(570) 455-6000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X OS005223-L PA Primary

Addresses

Primary practice location

420 W 23Rd St
Hazle Township, PA 18202-1302

Mailing address

420 W 23Rd St
Hazle Township, PA 18202-1302
Phone (570) 455-6000

Other names 1

  • Hazleton Family Practice Doing business as

National Provider Directory

National Provider Directory

Locations

420 W 23rd St
Hazle Township, PA 18202
Phone (570) 455-6000

400 W 23rd St
Hazleton, PA 18202
Phone (570) 455-6000

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718496000000",
    "number": "1295937548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W 23RD ST",
            "city": "HAZLE TOWNSHIP",
            "state": "PA",
            "postal_code": "182021302",
            "telephone_number": "570-455-6000",
            "fax_number": "570-455-7371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W 23RD ST",
            "city": "HAZLE TOWNSHIP",
            "state": "PA",
            "postal_code": "182021302",
            "telephone_number": "570-455-6000",
            "fax_number": "570-455-7371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK JAMES LOBITZ DO CMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2024-06-16",
        "certification_date": "2024-06-16",
        "status": "A",
        "authorized_official_last_name": "LOBITZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CORPORATE OFFICER",
        "authorized_official_telephone_number": "570-455-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO CMD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "OS005223-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hazleton Family Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hazleton Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hazle Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2024; 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.