Michael a Jalowiec DO PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS007959L Issued in PA

Legal business name

MICHAEL A JALOWIEC DO PC

Practice address

821 S Main St
Suite 4
Old Forge, PA 18518-1431

Phone

(570) 457-2300

Fax

(570) 457-6627

NPI assigned

Mar 26, 2007

Last updated

Oct 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Johnna Jalowiec

Title

Office Manager

Phone

(570) 851-9618

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1790803302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 S MAIN ST",
            "address_2": "SUITE 4",
            "city": "OLD FORGE",
            "state": "PA",
            "postal_code": "185181497",
            "telephone_number": "570-457-2300",
            "fax_number": "570-457-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 S MAIN ST",
            "address_2": "SUITE 4",
            "city": "OLD FORGE",
            "state": "PA",
            "postal_code": "185181431",
            "telephone_number": "570-457-2300",
            "fax_number": "570-457-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A JALOWIEC DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "JALOWIEC",
        "authorized_official_first_name": "JOHNNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "570-851-9618"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS007959L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015121390005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Old Forge, PA
• Providers in Old Forge, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.