Alycia Marie Coar

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA054641 Issued in PA

Practice address

451 3Rd Ave Ste 1
Kingston, PA 18704

Phone

(570) 288-6543

NPI assigned

Sep 29, 2010

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: alycia@pak.pcc-direct.com

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.

• Pediatric Associates of Kingston, LLC

  • Pediatrics Physician
  • Kingston, PA
  • NPI 1831201276
  NPD (past)

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1689983272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 KRAFT ST",
            "city": "ARCHBALD",
            "state": "PA",
            "postal_code": "184031830",
            "telephone_number": "570-219-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 3RD AVE STE 1",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "18704",
            "telephone_number": "570-288-6543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 S Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Jermyn",
            "state": "PA",
            "postal_code": "184331121",
            "country_code": "US",
            "telephone_number": "570-383-9934",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1081 Oak St",
            "address_purpose": "LOCATION",
            "city": "Pittston",
            "state": "PA",
            "postal_code": "186403716",
            "country_code": "US",
            "telephone_number": "570-602-7257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COAR",
        "first_name": "ALYCIA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-29",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA054641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John G. Citti, M.D.
• Kaitlyn Clarke, MSLP
• Maria Clavell
• Kara Munley Clemson, PT, DPT
• Clnical Neurodiagnostics
• Cohen & Haydu Chiropractic Clinic, PC
• Cohen Chiropractic Clinic, P.C.
• Richard Cohen, DC
• Christa A Colaizzi, DMD
• Aprile B Coleman, DPT

• All providers in Kingston, PA
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.