Intermed Physicians Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

INTERMED PHYSICIANS INC

Practice address

4 E Main St
Nanticoke, PA 18634-1602

Phone

(570) 735-7474

Fax

(570) 735-2921

NPI assigned

May 18, 2006

Last updated

Apr 9, 2008By 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

Carole Chapple

Title

Office Manager

Phone

(570) 735-7474

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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.

• David Peter Mouallem, DO

  • Internal Medicine Physician
  • Nanticoke, PA
  • NPI 1730132200
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1801849328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 E MAIN ST",
            "city": "NANTICOKE",
            "state": "PA",
            "postal_code": "186341602",
            "telephone_number": "570-735-7474",
            "fax_number": "570-735-2921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 E MAIN ST",
            "city": "NANTICOKE",
            "state": "PA",
            "postal_code": "186341602",
            "telephone_number": "570-735-7474",
            "fax_number": "570-735-2921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERMED PHYSICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "CHAPPLE",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "570-735-7474"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "200174",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "890390",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "E163",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001819216 0005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY LIFE",
            "identifier": "890390",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Lasco Nutrition LLC (Confidently NourishED)
• Melanie Hill
• Richard A Hiscox, DO
• Jennifer L Houston, MS OTR/L
• Jacob Luke Hummel, PA-C
• J.T. Huang, M.D. P.C
• Janusz Wolanin MD
• Ethan Paul Jezewski
• Bethany Lyn Jones, O.D.
• Gina Jorgensen, MSPT

• Internal Medicine Physician in Nanticoke, PA
• Providers in Nanticoke, 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 Apr 9, 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.