Organization Active NPI

Mountain View Orthopaedics & Associates, PC

  • Orthopaedic Surgery Physician
  • Hazle Township, PA
National Provider Identifier
1871562819
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
OS0091962 Issued in PA
Legal business name
MOUNTAIN VIEW ORTHOPAEDICS & ASSOCIATES, PC
Practice address
1201A N Church St
Suite 103
Hazle Township, PA 18202-1471
Phone
(570) 455-8544
Fax
(570) 455-8554
NPI assigned
Mar 14, 2006
Last updated
Dec 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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

Authorized official

Name
Dr. Scott John Boyle, D.O.NPI 1245208826
Title
Orthopaedic Surgeon
Phone
(570) 455-8544

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X OS0091962 PA Primary

Addresses

Primary practice location

1201A N Church St
Suite 103
Hazle Township, PA 18202-1471

Mailing address

1201A N Church St
Suite 103
Hazle Township, PA 18202-1471
Phone (570) 455-8544

Other identifiers 6

IdentifierTypeStateIssuer
50000123OtherPACBC GROUP #
7133212OtherPAAETNA
1367821OtherPABLUESHIELD
814625OtherPAFIRST PRIORITY
DF5796OtherPAMC RAILROAD
0017960400004MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041203000535 PA Part B Supplier - Clinic/Group Practice 8426014267 Receives reassigned benefits from 3 practitioners
Practice locations: Hazle Township, PA

National Provider Directory

National Provider Directory

Locations

2701 Columbia Blvd
Bloomsburg, PA 17815
Phone (570) 322-4138

425 E 1st St
Ste 2
Bloomsburg, PA 17815
Phone (570) 455-8544

1201A N Church St
Ste 103
Hazle Township, PA 18202
Phone (570) 455-7108

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1871562819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201A N CHURCH ST",
            "address_2": "SUITE 103",
            "city": "HAZLE TOWNSHIP",
            "state": "PA",
            "postal_code": "182021471",
            "telephone_number": "570-455-8544",
            "fax_number": "570-455-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201A N CHURCH ST",
            "address_2": "SUITE 103",
            "city": "HAZLE TOWNSHIP",
            "state": "PA",
            "postal_code": "182021471",
            "telephone_number": "570-455-8544",
            "fax_number": "570-455-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW ORTHOPAEDICS & ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "BOYLE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "ORTHOPAEDIC SURGEON",
        "authorized_official_telephone_number": "570-455-8544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "OS0091962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBC GROUP #",
            "identifier": "50000123",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7133212",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD",
            "identifier": "1367821",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY",
            "identifier": "814625",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MC RAILROAD",
            "identifier": "DF5796",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017960400004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazle Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.