Pancoast & Fagerburg Associates

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

PANCOAST & FAGERBURG ASSOCIATES

Practice address

748 Quincy Ave
Suite 301B
Scranton, PA 18510-1739

Phone

(570) 342-5253

Fax

(570) 342-6038

NPI assigned

Jul 4, 2006

Organization subpart

No

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

Authorized official

Name

Rodger E Fagerburg, M.D.

Title

President

Phone

(570) 342-5253

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700816782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 QUINCY AVE",
            "address_2": "SUITE 301B",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101739",
            "telephone_number": "570-342-5253",
            "fax_number": "570-342-6038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 QUINCY AVE",
            "address_2": "SUITE 301B",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101739",
            "telephone_number": "570-342-5253",
            "fax_number": "570-342-6038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANCOAST & FAGERBURG ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAGERBURG",
        "authorized_official_first_name": "RODGER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-342-5253",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011414420007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stefanie Marie Palillo, MPT
• Joseph David Palko, OTR/L, ABDA
• Sabrina Pall
• Karen Michelle Palonis, NCC, LPC
• Dipti Samir Pancholy, M.D.
• Ketaki Pande, MBBS
• Sahil Pandya
• Varsha J. Pandya, M.D.
• Ajit Singh Pannu, MD
• Maura Papi, C.R.N.P.

• Infectious Disease Physician in Scranton, PA
• Providers in Scranton, PA by specialty
• Infectious Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.