Active NPI
Duilio Valdivia MD PC
- Hematology & Oncology Physician
- Lewistown, PA
National Provider Identifier
1750418943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- MD022186E
- Legal business name
- DUILIO VALDIVIA MD PC
- Practice address
- 27 Sandy LN
Lewistown, PA 17044-1310 - Phone
- (717) 242-2594
- NPI assigned
- Feb 27, 2007
- Last updated
- Jul 1, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Duilio Valdivia, MD
- Title
- President
- Phone
- (717) 242-2594
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | MD022186E | PA | Primary |
Addresses
Primary practice location
27 Sandy LN
Lewistown, PA 17044-1310
Mailing address
27 Sandy LN
Lewistown, PA 17044-1310
Phone (717) 242-2594
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000928225 | Medicaid | PA | |
| 400572 | Other | PA | RAILROAD MEDICARE |
| 0400572 | Other | PA | BLUE SHIELD |
| 13837 | Other | PA | GMG |
| 6988 | Other | PA | GEISINGER SPECIALIST |
| 50047378 | Other | PA | CBC SP |
National Provider Directory
National Provider DirectoryLocations
27 Sandy Ln
Lewistown, PA 17044
Phone (717) 242-0311
27 Sandy Ln
Ste 120
Lewistown, PA 17044
Phone (717) 242-2594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277942400000",
"number": "1750418943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 SANDY LN",
"city": "LEWISTOWN",
"state": "PA",
"postal_code": "170441310",
"telephone_number": "717-242-2594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 SANDY LN",
"city": "LEWISTOWN",
"state": "PA",
"postal_code": "170441310",
"telephone_number": "717-242-2594"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUILIO VALDIVIA MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-27",
"last_updated": "2010-07-01",
"status": "A",
"authorized_official_last_name": "VALDIVIA",
"authorized_official_first_name": "DUILIO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "717-242-2594",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "PA",
"license": "MD022186E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000928225",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "400572",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "0400572",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GMG",
"identifier": "13837",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER SPECIALIST",
"identifier": "6988",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CBC SP",
"identifier": "50047378",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewistown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.