NPIMap

Organization Active NPI

Melissa M. Dworak Evaluation Services, Inc.

  • Community Health Worker
  • Dunmore, PA
National Provider Identifier
1679871271
Registry record updated Mar 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
OC003647L Issued in PA
Legal business name
MELISSA M. DWORAK EVALUATION SERVICES, INC.
Practice address
601 Butler St
Dunmore, PA 18512-2815
Phone
(570) 362-3373
Fax
(570) 344-4090
NPI assigned
Mar 5, 2011
Last updated
Mar 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2011

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

Authorized official

Name
Mrs. Melissa Marie Dworak, OTR/L
Title
Evaluator
Phone
(570) 362-3373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X OC003647L PA Primary

Addresses

Primary practice location

601 Butler St
Dunmore, PA 18512-2815

Mailing address

601 Butler St
Dunmore, PA 18512-2815
Phone (570) 362-3373

National Provider Directory

National Provider Directory
Tax ID family
Melissa M Dworak Evaluation Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1299283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299283200000",
    "number": "1679871271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 BUTLER ST",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185122815",
            "telephone_number": "570-362-3373",
            "fax_number": "570-344-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 BUTLER ST",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185122815",
            "telephone_number": "570-362-3373",
            "fax_number": "570-344-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA M. DWORAK EVALUATION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-05",
        "last_updated": "2011-03-05",
        "status": "A",
        "authorized_official_last_name": "DWORAK",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "EVALUATOR",
        "authorized_official_telephone_number": "570-362-3373",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": "PA",
            "license": "OC003647L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunmore, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.