Hazleton Health & Wellness Center

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

HAZLETON HEALTH & WELLNESS CENTER

Practice address

50 Moisey Dr
Hazleton, PA 18202-9297

Phone

(570) 501-4000

NPI assigned

Jan 31, 2007

Last updated

Feb 22, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

NORTHEASTERN PENNSYLVANIA HEALTHCARE CORPORATIONAs reported in NPPES

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

Authorized official

Name

Mr. William C Bauer

Title

Cfo

Phone

(570) 501-6293

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Hazleton General Hosp

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Lehigh Valley Hospital Hazleton

  dba Lehigh Valley Pharmacy Services

  • Community/Retail Pharmacy
  • Hazleton, PA
  • NPI 1336960533

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1346387933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E BROAD ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182016835",
            "telephone_number": "570-501-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MOISEY DR",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182029297",
            "telephone_number": "570-501-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZLETON HEALTH & WELLNESS CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHEASTERN PENNSYLVANIA HEALTHCARE CORPORATION",
        "enumeration_date": "2007-01-31",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "570-501-6293",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007383950005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hazleton Anesthesia Services, P.C.
• Hazleton Area School District
• Hazleton Children's Medical Associates
• Hazleton Community Ambulance Association, Inc.
• Hazleton General Hospital Occupational Health
• Hazleton Medical Practice LLC
• Hazleton Oxygen Medical Equipment Inc.
• Hazleton Pathology PC
• Hazleton Professional Services (Lehigh Valley Physician Group-Hazleton)
• Hazleton Radiology Associates

• Diagnostic Radiology Physician in Hazleton, PA
• Providers in Hazleton, PA by specialty
• Diagnostic Radiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.