Ronald Dominic Nardell, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD421023 Issued in PA

Practice address

16 Luzerne Ave
Suite 125
West Pittston, PA 18643-2817

Phone

(570) 654-6714

Fax

(570) 654-9599

NPI assigned

Nov 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• R Dominic Nardell MD PC

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1033243076
  NPD (past) Authorized official
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1467434688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043702",
            "telephone_number": "570-288-5441",
            "fax_number": "570-288-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 LUZERNE AVE",
            "address_2": "SUITE 125",
            "city": "WEST PITTSTON",
            "state": "PA",
            "postal_code": "186432817",
            "telephone_number": "570-654-6714",
            "fax_number": "570-654-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARDELL",
        "first_name": "RONALD",
        "middle_name": "DOMINIC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "10518",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD421023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102691690 0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Scott Miller, RN
• Mjam Chiropractic
• Matthew John Morgan, D.C.
• Nilaja Morgan
• Laura J Morrissey, MED EDD
• Nicholas J. Telincho Jr. LCSW
• Corey Scott Owen, DC
• Amanda Marie Panuski, MS, CCC-SLP
• Joanna K Pechal, LSW
• Joseph Radzwilka, D.O.

• Family Medicine Physician in West Pittston, PA
• Providers in West Pittston, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; 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.