Active NPI
Heather E Okun Demuth, PA-C
- Physician Assistant
- Dunmore, PA
National Provider Identifier
1861635336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- OA002361
- Practice address
- 1208 Oneill Hwy
Dunmore, PA 18512-1709 - Phone
- (570) 207-2612
- Fax
- (570) 207-2616
- NPI assigned
- Apr 14, 2009
- Last updated
- Aug 28, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA053579 | PA | |
| Physician Assistant | 363A00000X | OA002361 | PA | Primary |
Addresses
Primary practice location
1208 Oneill Hwy
Dunmore, PA 18512-1709
Mailing address
201 Harvard Ave
Clarks Green, PA 18411-1115
Phone (570) 430-1779
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA053579 | PA | MD | Physician Assistant |
| OA002361 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Donna Eget PC | Current | Accepting new patients | |
| Pma Medical Specialists | Past | Accepting new patients | |
| Lackawanna Emergency Group PC | Physician Assistant | Past | Accepting new patients |
| Emergency Services, PC | Past | Accepting new patients |
Locations
1208 Oneill Hwy
Dunmore, PA 18512
Phone (570) 207-2612
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- NPI 1588686166
-
- Emergency Medicine Physician
- Scranton, PA
- NPI 1184962961
Physician Assistant
-
dba Prime Health Network
- Internal Medicine Physician
- Broomall, PA
- NPI 1043212137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377648000000",
"number": "1861635336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 HARVARD AVE",
"city": "CLARKS GREEN",
"state": "PA",
"postal_code": "184111115",
"telephone_number": "570-430-1779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1208 ONEILL HWY",
"city": "DUNMORE",
"state": "PA",
"postal_code": "185121709",
"telephone_number": "570-207-2612",
"fax_number": "570-207-2616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKUN DEMUTH",
"first_name": "HEATHER",
"middle_name": "E",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-14",
"last_updated": "2013-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA053579",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "OA002361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dunmore, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.