Active NPI
Dustin Samuel Hobbs, PA-C
- Surgical Physician Assistant
- Wilkes Barre, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- OA002624
- Practice address
- 110 S Pennsylvania Ave
Wilkes Barre, PA 18701-3301 - Phone
- (570) 552-6000
- Fax
- (570) 552-6021
- NPI assigned
- Sep 28, 2010
- Last updated
- Nov 17, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA054634 | PA | |
| Surgical Physician Assistant | 363AS0400X | OA002624 | PA | Primary |
Addresses
Primary practice location
110 S Pennsylvania Ave
Wilkes Barre, PA 18701-3301
Mailing address
220 S River St
Plains, PA 18705-1137
Phone (570) 824-8151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
220 River Rd
Suite 200
Plains, PA 18705-1137
Phone (570) 824-8151
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilkes-Barre Behavioral Hospital Company LLC | Physician Assistant | Past | Accepting new patients |
Interoperability endpoints
- dhobbs@nepafamilypractice.medentdirect.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Plains, PA
- NPI 1205417151
-
- Psychiatry Physician
- Kingston, PA
- NPI 1427292622
Physician Assistant
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Wilkes Barre General Hospital
- Clinic/Center
- Wilkes Barre, PA
- NPI 1053554378
Hospital
-
dba Wilkes Barre General Hospital
- General Acute Care Hospital
- Wilkes Barre, PA
- NPI 1255585303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479340800000",
"number": "1417266255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 S RIVER ST",
"city": "PLAINS",
"state": "PA",
"postal_code": "187051137",
"telephone_number": "570-824-8151",
"fax_number": "570-824-0111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 S PENNSYLVANIA AVE",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187013301",
"telephone_number": "570-552-6000",
"fax_number": "570-552-6021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOBBS",
"first_name": "DUSTIN",
"middle_name": "SAMUEL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-28",
"last_updated": "2016-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA054634",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "PA",
"license": "OA002624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilkes Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.