NPIMap

Organization Active NPI

Bloomsburg Physician Services

Doing business as Family Care Associates

  • Pediatrics Physician
  • Bloomsburg, PA
National Provider Identifier
1811913536
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
BLOOMSBURG PHYSICIAN SERVICES
Doing business as
Family Care Associates
Practice address
401 Glenn Ave
Bloomsburg, PA 17815-1247
Phone
(570) 387-2166
Fax
(570) 387-2316
NPI assigned
Jul 14, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mrs. Kristin A Hollister
Title
Assistant Practice Manager
Phone
(570) 387-2166

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

401 Glenn Ave
Bloomsburg, PA 17815-1247

Mailing address

410 Glenn Ave
Suite 2
Bloomsburg, PA 17815-1200
Phone (570) 387-2144

Other names 1

  • FAMILY CARE ASSOCIATES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bloomsburg Physicians Services14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1811913536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 GLENN AVE",
            "address_2": "SUITE 2",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178151200",
            "telephone_number": "570-387-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 GLENN AVE",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178151247",
            "telephone_number": "570-387-2166",
            "fax_number": "570-387-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMSBURG PHYSICIAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HOLLISTER",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ASSISTANT PRACTICE MANAGER",
        "authorized_official_telephone_number": "570-387-2166",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY CARE ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.