Active NPI
Michael W Rosiecki, MD
- Ophthalmology Physician
- Scranton, PA
National Provider Identifier
1811009640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD011303E
- Practice address
- 1360 Wyoming Ave
Scranton, PA 18509 - Phone
- (570) 961-2504
- Fax
- (570) 347-6585
- NPI assigned
- Aug 31, 2006
- Last updated
- Jul 26, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD011303E | PA | Primary |
Addresses
Primary practice location
1360 Wyoming Ave
Scranton, PA 18509
Mailing address
200 Mifflin Ave
Scranton, PA 18503
Phone (570) 342-3145
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 818445 | Other | FIRST PRIORITY HEALTH | |
| 00178790 | Other | RAILROAD MEDICARE | |
| 007042290 | Medicaid | PA | |
| 054666 | Other | HIGH MARK BLUE SHIELD | |
| 11954 | Other | GEISINGER HEALTH PLAN | |
| 506554 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532563200000",
"number": "1811009640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MIFFLIN AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "18503",
"telephone_number": "570-342-3145",
"fax_number": "570-344-1309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1360 WYOMING AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "18509",
"telephone_number": "570-961-2504",
"fax_number": "570-347-6585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSIECKI",
"first_name": "MICHAEL",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2018-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PA",
"license": "MD011303E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY HEALTH",
"identifier": "818445",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "00178790",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007042290",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGH MARK BLUE SHIELD",
"identifier": "054666",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER HEALTH PLAN",
"identifier": "11954",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "506554",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.