Lauren Rotunda, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA057162 Issued in PA

Practice address

648 N Main St
Taylor, PA 18517-1112

Phone

(570) 348-1101

NPI assigned

Sep 9, 2014

Last updated

Sep 9, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Geisinger Clinic

  • Family Medicine Physician
  • Danville, PA
  • NPI 1366493868
  Medicare reassignment
• Geisinger Clinic

  • Diagnostic Radiology Physician
  • Danville, PA
  • NPI 1558313023
  NPD
• Geisinger Clinic

  • Multi-Specialty Clinic/Center
  • Milton, PA
  • NPI 1679178255
  NPD

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1639570633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 N MAIN ST",
            "city": "TAYLOR",
            "state": "PA",
            "postal_code": "185171112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 N MAIN ST",
            "city": "TAYLOR",
            "state": "PA",
            "postal_code": "185171112",
            "telephone_number": "570-348-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTUNDA",
        "first_name": "LAUREN",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-09",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA057162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Marie Richards, MSPT
• Scott David Rieder, DPM
• Leyda Denise Rivera
• Riverside Rehabilitation and Healthcare LLC
• Riverside School District
• Carolyn Ann Rupp, R.PH
• Salego LLC (Salego)
• Scott Rieder D.P.M.
• Donna M Scott, LDN
• Sincere Nurses, LLC

• Medical Physician Assistant in Taylor, PA
• Providers in Taylor, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.