NPIMap

Organization Active NPI

CHS Professional Practice, P.C.

  • Internal Medicine Physician
  • Hazleton, PA
National Provider Identifier
1821332008
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CHS PROFESSIONAL PRACTICE, P.C.
Practice address
26 Station Cir
Hazleton, PA 18202-9726
Phone
(610) 861-8080
Fax
(570) 497-4046
NPI assigned
Nov 12, 2012
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Amy Nyberg
Title
President & Coo
Phone
(610) 861-8080

Practitioners 1

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

National Provider Directory

National Provider Directory
Tax ID family
CHS Professional Practice PC30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

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

View all 29

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

26 Station Cir
Hazleton, PA 18202-9726

Mailing address

2775 Schoenersville Rd
Bethlehem, PA 18017-7307
Phone (610) 861-8080

Other names 1

NPPES NPI Registry
  • COORDINATED HEALTH PRIMARY CARE-HAZLETON Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 23, 2020.

{
    "created_epoch": "1352678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1821332008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 SCHOENERSVILLE RD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177307",
            "telephone_number": "610-861-8080",
            "fax_number": "610-861-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 STATION CIR",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182029726",
            "telephone_number": "610-861-8080",
            "fax_number": "570-497-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHS PROFESSIONAL PRACTICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-12",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "NYBERG",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PRESIDENT & COO",
        "authorized_official_telephone_number": "610-861-8080"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COORDINATED HEALTH PRIMARY CARE-HAZLETON",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COORDINATED HEALTH PRIMARY CARE-HAZLETON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hazleton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.