Organization Active NPI

Duilio Valdivia MD PC

  • Hematology & Oncology Physician
  • Lewistown, PA
National Provider Identifier
1750418943
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD022186E Issued in PA
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000928225MedicaidPA
400572OtherPARAILROAD MEDICARE
0400572OtherPABLUE SHIELD
13837OtherPAGMG
6988OtherPAGEISINGER SPECIALIST
50047378OtherPACBC SP

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.