NPIMap

Organization Active NPI

Lycoming Physical Medicine, PC

  • Durable Medical Equipment & Medical Supplies
  • Kingston, PA
National Provider Identifier
1356751580
Registry record updated Feb 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LYCOMING PHYSICAL MEDICINE, PC
Practice address
250 Pierce St
Suite 103
Kingston, PA 18704-5149
Phone
(570) 916-4897
Fax
(570) 278-1121
NPI assigned
Apr 28, 2014
Last updated
Feb 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2015

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

Authorized official

Name
Dr. Richard E Huskey, MD
Title
President
Phone
(570) 916-4897

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

250 Pierce St
Suite 103
Kingston, PA 18704-5149

Mailing address

250 Pierce St
Suite 103
Kingston, PA 18704-5149
Phone (570) 916-4897

National Provider Directory

National Provider Directory
Tax ID family
Lycoming Physical Medicine PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

250 Pierce St
Ste 103
Kingston, PA 18704
Phone (570) 287-1110

NPI Registry JSON

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424044800000",
    "number": "1356751580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 PIERCE ST",
            "address_2": "SUITE 103",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045149",
            "telephone_number": "570-916-4897",
            "fax_number": "570-278-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PIERCE ST",
            "address_2": "SUITE 103",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045149",
            "telephone_number": "570-916-4897",
            "fax_number": "570-278-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYCOMING PHYSICAL MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-28",
        "last_updated": "2015-02-16",
        "status": "A",
        "authorized_official_last_name": "HUSKEY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-916-4897",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; 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.