Pravak & Associates PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

PRAVAK & ASSOCIATES PC

Practice address

800 Ostrum St Ste 100
Fountain Hill, PA 18015-1010

Phone

(484) 526-3010

Fax

(484) 526-3591

NPI assigned

Jul 7, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Roman Orest Pravak, M.D.

Title

Authorized Rep/Owner

Phone

(484) 526-3010

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1366894982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 OSTRUM ST STE 100",
            "city": "FOUNTAIN HILL",
            "state": "PA",
            "postal_code": "180151010",
            "telephone_number": "484-526-3010",
            "fax_number": "484-526-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 OSTRUM ST STE 100",
            "city": "FOUNTAIN HILL",
            "state": "PA",
            "postal_code": "180151010",
            "telephone_number": "484-526-3010",
            "fax_number": "484-526-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAVAK & ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PRAVAK",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_middle_name": "OREST",
        "authorized_official_title_or_position": "AUTHORIZED REP/OWNER",
        "authorized_official_telephone_number": "484-526-3010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "PA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103150256-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jameson Moore Petrochko, MD
• Susan Phillips
• Robert Louis Pierfy Jr., MA, CAADC
• Carol Lynn Poskay, PHARMD
• Rajeev Prasad, M.D.
• Roman O Pravak, M.D.
• Subhash C Proothi, MD
• Matthew M. Puc, M.D.
• Nathan Somers Quig
• Celeste Quinn, MA

• Ophthalmology Physician in Fountain Hill, PA
• Providers in Fountain Hill, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.