NPIMap

Organization Active NPI

Raphael Heart Group. P.C.

  • Cardiovascular Disease Physician
  • Clarks Summit, PA
National Provider Identifier
1700994837
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
RAPHAEL HEART GROUP. P.C.
Practice address
105 Layton Road
Clarks Summit, PA 18511
Phone
(570) 586-3982
Fax
(570) 585-2896
NPI assigned
Aug 28, 2006
Last updated
Nov 2, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Authorized official

Name
Sun-Tak Han, M.D.NPI 1043280514
Title
President
Phone
(570) 586-3982

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

105 Layton Road
Clarks Summit, PA 18511

Mailing address

PO Box 430
Chinchilla, PA 18410-0430
Phone (570) 586-3982

National Provider Directory

National Provider Directory

Locations

802 Jefferson Ave
Scranton, PA 18510
Phone (570) 346-7331

Practitioners & affiliated clinicians

Practitioners 5

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": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1700994837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430",
            "city": "CHINCHILLA",
            "state": "PA",
            "postal_code": "184100430",
            "telephone_number": "570-586-3982",
            "fax_number": "570-585-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 LAYTON ROAD",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "18511",
            "telephone_number": "570-586-3982",
            "fax_number": "570-585-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPHAEL HEART GROUP. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "SUN-TAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-586-3982",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarks Summit, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.