Individual provider Active NPI

Vaghenag Vahe Tarpinian, MD

  • Family Medicine Physician
  • Bangor, PA
National Provider Identifier
1700886181
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD038095-E Issued in PA
Practice address
104 S 2ND St
Bangor, PA 18013-2504
Phone
(610) 588-3133
Fax
(610) 588-6251
NPI assigned
Jul 28, 2005
Last updated
Sep 20, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD038095-E PA Primary

Addresses

Primary practice location

104 S 2ND St
Bangor, PA 18013-2504

Mailing address

104 S 2ND St
Bangor, PA 18013-2504
Phone (610) 588-3133

Other identifiers 4

IdentifierTypeStateIssuer
001556643005MedicaidPA
821939OtherPAPENNSYLVANIA BLUE SHIELD
0015566430013MedicaidPA
50081521OtherPACAPITAL BLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040109000807 PA Practitioner - Family Practice 6204736903 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD038095-EPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince May 1, 2017 Accepting new patients
Steward Medical Group, Inc CurrentSince May 1, 2017 Accepting new patients
Steward Medical Group Inc. Family Medicine Current Accepting new patients
St. Luke's Warren Physician Group, PC Past Accepting new patients
Chatargy S. Kaza, MD, PC Past Accepting new patients
Tarpinian Family Medicine LLC Family Medicine Past Accepting new patients

Locations

9 Galen St
Ste 240
Watertown, MA 02472

250 S 21st St
Easton, PA 18042
Phone (610) 250-4300

2925 Wm Penn Hwy
Ste 201
Easton, PA 18045
Phone (610) 258-1400

951 Male Rd
Wind Gap, PA 18091
Phone (610) 654-1000

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1700886181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S 2ND ST",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "180132504",
            "telephone_number": "610-588-3133",
            "fax_number": "610-588-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S 2ND ST",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "180132504",
            "telephone_number": "610-588-3133",
            "fax_number": "610-588-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARPINIAN",
        "first_name": "VAGHENAG",
        "middle_name": "VAHE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD038095-E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001556643005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA BLUE SHIELD",
            "identifier": "821939",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015566430013",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50081521",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, PA

Sources for this page

Verify at the official NPI Registry.