Hughestown Health Services, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD039389L Issued in PA

Legal business name

HUGHESTOWN HEALTH SERVICES, PC

Practice address

2352 Newton Ransom Blvd
Clarks Summit, PA 18411-9650

Phone

(570) 388-2612

Fax

(570) 388-0946

NPI assigned

Apr 12, 2006

Last updated

Aug 22, 2020By 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

Anthony L Chiavacci, MD

Title

President

Phone

(570) 388-2923

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841254547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2352 NEWTON RANSOM BLVD",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184119650",
            "telephone_number": "570-388-2612",
            "fax_number": "570-388-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2352 NEWTON RANSOM BLVD",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184119650",
            "telephone_number": "570-388-2612",
            "fax_number": "570-388-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUGHESTOWN HEALTH SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHIAVACCI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-388-2923",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD039389L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0072770000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "HU1596910",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011539170011",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ASSURANCE",
            "identifier": "124627",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hospice Preferred Choice, Inc. (AseraCare Hospice)
• Rachael Howard, PTA
• Ronald Charles Howell, OTRL
• Jeffrey Hubert, RPH
• Kristi Suzanne Huff, PTA
• Michael Paul Hummel, PHARMD
• Jung Jang Hwan, M.D.
• Alexa Igoe, PT
• Jennifer Jaffe Finn, DC
• Michael A Jalowiec, D.O.

• Family Medicine Physician in Clarks Summit, PA
• Providers in Clarks Summit, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.