Joseph G Ciotola, M.D.

Key facts

NPI

1487682175

Entity type

Individual (NPI type 1)

Primary specialty

Diagnostic Radiology Physician 2085R0202X

License

MD029285E (PA)

Practice address

20 N Laurel St
Hazleton, PA 18201-5948

Phone

(570) 455-3608

Fax

(570) 459-6639

NPI assigned

Jun 29, 2006

Sex

Male

Sole proprietor

No

Organizations & group practices 3

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.

• Hazleton Radiology Associates Diagnostic Radiology Physician · Hazleton, PA · NPI 1720035942
  NPD (past) Authorized official DIAGNOSTIC RADIOLOGY
• Foundation Radiology Group PC Diagnostic Radiology Physician · Wexford, PA · NPI 1740482686
  NPD (past) DIAGNOSTIC RADIOLOGY
• Lehigh Valley Hospital Hazleton Community/Retail Pharmacy · Hazleton, PA · NPI 1336960533
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 3, 2008.

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207180800000",
    "number": "1487682175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 N LAUREL ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182015948",
            "telephone_number": "570-455-3608",
            "fax_number": "570-459-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N LAUREL ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182015948",
            "telephone_number": "570-455-3608",
            "fax_number": "570-459-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIOTOLA",
        "first_name": "JOSEPH",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2008-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD029285E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010903250001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazleton, PA

• Rachel L. Chitswara, PA-C
• Edward M Choi, MD
• Christian Santana D D S P C
• Brenda Christian, M.D.
• CHS Professional Practice, P.C.
• Thomas J Ciotola, MD
• Clearvision Health and Wellness, LLC
• Maiya Clouser
• Veronica Coppersmith, D.O.
• Jillian M Corra, DC

All providers in Hazleton, PA · Diagnostic Radiology Physician in Pennsylvania