Daria Verdonik, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA060538 Issued in PA

Practice address

26 S Centre St
Pottsville, PA 17901-3001

Phone

(570) 622-5751

Fax

(570) 628-0841

NPI assigned

Feb 26, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pottsville ENT, LLC

  • Otolaryngic Allergy Physician
  • Pottsville, PA
  • NPI 1336110261
  Medicare reassignment

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1760949705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 S CENTRE ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013001",
            "telephone_number": "570-622-5751",
            "fax_number": "570-628-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 S CENTRE ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013001",
            "telephone_number": "570-622-5751",
            "fax_number": "570-628-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERDONIK",
        "first_name": "DARIA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA060538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vickie@pottsvilleent.com",
            "affiliation": "N",
            "address_1": "26 S Centre St",
            "city": "Pottsville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "179013001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• US Sleep Physicians Inc
• Usv Optical Inc.
• Valley Kidney Specialists, PC
• Beth A Vanselous
• Rebecca Verderame, MS OTR/L
• Susan Vernitsky, CRNP
• Karen L Vigoda, MSW
• Carlos X Villarreal, MD
• Emily Ann Vinc, MSPT
• Vincent G. Dauchess, D.D.S, P.C

• Medical Physician Assistant in Pottsville, PA
• Providers in Pottsville, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.