NPIMap

Organization Active NPI

Hazleton General and Osteopathic

  • Family Medicine Physician
  • Tresckow, PA
National Provider Identifier
1790889871
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS009036L Issued in PA
Legal business name
HAZLETON GENERAL AND OSTEOPATHIC
Practice address
52 E Market Street
Tresckow, PA 18254
Phone
(570) 459-2070
Fax
(570) 459-2072
NPI assigned
Sep 11, 2006
Last updated
Feb 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Authorized official

Name
Dr. John J Haber, DONPI 1023069457
Title
Owner
Phone
(570) 459-2070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS009036L PA Primary

Addresses

Primary practice location

52 E Market Street
Tresckow, PA 18254

Mailing address

52 E Market Street
PO Box 240
Tresckow, PA 18254
Phone (570) 459-2070

Other identifiers 1

IdentifierTypeStateIssuer
0015831860013MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1790889871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 E MARKET STREET",
            "address_2": "PO BOX 240",
            "city": "TRESCKOW",
            "state": "PA",
            "postal_code": "18254",
            "telephone_number": "570-459-2070",
            "fax_number": "570-459-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 E MARKET STREET",
            "city": "TRESCKOW",
            "state": "PA",
            "postal_code": "18254",
            "telephone_number": "570-459-2070",
            "fax_number": "570-459-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZLETON GENERAL AND OSTEOPATHIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "HABER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-459-2070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS009036L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015831860013",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tresckow, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.