Hazleton Ambulatory Surgical Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

HAZLETON AMBULATORY SURGICAL CENTER LLC

Practice address

1062 N Church St
Hazleton, PA 18202-1444

Phone

(570) 459-5102

Fax

(570) 459-9923

NPI assigned

Jul 26, 2005

Organization subpart

No

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

Authorized official

Name

Nicholas J Barna, MDNPI 1154321776

Title

Ceo

Phone

(570) 288-1974

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Listed as

Hazleton Ambulatory Surgical Center LLCCCN 39C0001074

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicholas J Barna, MD

  • Ophthalmology Physician
  • Hazleton, PA
  • NPI 1154321776
  NPD (past) Authorized official

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1821098443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 N CHURCH ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182021444",
            "telephone_number": "570-459-5102",
            "fax_number": "570-459-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 N CHURCH ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182021444",
            "telephone_number": "570-459-5102",
            "fax_number": "570-459-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZLETON AMBULATORY SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "BARNA",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "570-288-1974",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017266720001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC - PALMETTO GBA",
            "identifier": "490003971",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Francis Harmonosky, MSPT
• Tara M Harmonosky, CRNP
• Christopher Hartwell
• Hazle Compounding
• Hazle Drugs Inc
• Hazleton Ambulette Services Inc.
• Hazleton Anesthesia Services, P.C.
• Hazleton Area School District
• Hazleton Children'S Medical Associates
• Hazleton Community Ambulance Association, Inc.

• All providers in Hazleton, PA
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.