Active NPI
Vasili Sitaras, DO
- Public Health & General Preventive Medicine Physician
- Nazareth, PA
National Provider Identifier
1699397661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- OS022976
- Practice address
- 4541 Foxtail Dr
Nazareth, PA 18064-9666 - Phone
- (610) 657-6402
- NPI assigned
- May 13, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | OS022976 | PA | |
| Public Health & General Preventive Medicine Physician | 2083P0901X | OS022976 | PA | Primary |
Addresses
Primary practice location
4541 Foxtail Dr
Nazareth, PA 18064-9666
Mailing address
4541 Foxtail Dr
Nazareth, PA 18064-9666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS022976 | PA | MD | Public Health & General Preventive Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723852800000",
"number": "1699397661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4541 FOXTAIL DR",
"city": "NAZARETH",
"state": "PA",
"postal_code": "180649666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4541 FOXTAIL DR",
"city": "NAZARETH",
"state": "PA",
"postal_code": "180649666",
"telephone_number": "610-657-6402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SITARAS",
"first_name": "VASILI",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-05-13",
"last_updated": "2024-08-17",
"certification_date": "2024-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PA",
"license": "OS022976",
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "PA",
"license": "OS022976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nazareth, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.