Mountain Area Healthcare PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MOUNTAIN AREA HEALTHCARE PC

Practice address

23 E Broad St
Hazleton, PA 18201-6520

Phone

(570) 454-8204

Fax

(570) 459-0099

NPI assigned

Aug 8, 2006

Organization subpart

No

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

Authorized official

Name

Miss Lisa M Matriccino

Title

Office Manager

Phone

(570) 454-8204

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kailas D Dave, MD FAAP

  • Pediatrics Physician
  • Hazleton, PA
  • NPI 1811976327
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306972800000",
    "number": "1497765234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 E BROAD ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182016520",
            "telephone_number": "570-454-8204",
            "fax_number": "570-459-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 E BROAD ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182016520",
            "telephone_number": "570-454-8204",
            "fax_number": "570-459-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN AREA HEALTHCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2011-06-02",
        "status": "A",
        "authorized_official_last_name": "MATRICCINO",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "570-454-8204",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chandra M Mohan, MD
• Yaqoob Mohyuddin, MD
• Laura Monto, RD
• Dominic Anthony Morollo, ACSW LCSW
• Amanda Morris
• Mountain City Health & Rehabilitation Center
• MTN City Prosthtics & Orthotics
• Muir OBGYN Associates PC
• Scott Douglas Muir, DO
• Catherine M Mullen-Marcera, M.S. CCC-SLP

• Family Medicine Physician in Hazleton, PA
• Providers in Hazleton, 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 Jun 2, 2011; 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.