Prakash K Vin MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD037361L Issued in PA

Legal business name

PRAKASH K VIN MD PC

Practice address

118 W Fourth Ave
Derry, PA 15627

Phone

(724) 694-2765

Fax

(724) 694-2870

NPI assigned

Nov 28, 2006

Last updated

Oct 1, 2013By 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

Prakash K Vin, MDNPI 1902892813

Title

President

Phone

(724) 694-2765

Specialties & licenses 3

Addresses

Other identifiers 8

Practitioners 2

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.

• Prakash K Vin, MD

  • Internal Medicine Physician
  • Derry, PA
  • NPI 1902892813
  Authorized official Same address or phone
• Suzana Stepanek, M.D.

  • Internal Medicine Physician
  • Ligonier, PA
  • NPI 1679511091
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380585600000",
    "number": "1871660837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 215",
            "city": "DERRY",
            "state": "PA",
            "postal_code": "15627",
            "telephone_number": "724-694-2765",
            "fax_number": "724-694-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 W FOURTH AVE",
            "city": "DERRY",
            "state": "PA",
            "postal_code": "15627",
            "telephone_number": "724-694-2765",
            "fax_number": "724-694-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAKASH K VIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2013-10-01",
        "status": "A",
        "authorized_official_last_name": "VIN",
        "authorized_official_first_name": "PRAKASH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-694-2765",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD037361L",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD037361L",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "MD037361L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "060480",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA HEALTH ASS",
            "identifier": "219922",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK PRODUCTS",
            "identifier": "154859",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "VENDOR#0000004047",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC FOR YOU",
            "identifier": "112076401",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000626144",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1016662",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USHC",
            "identifier": "77498",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Kay Kovalchick, LPC
• Edward Ralph Morgan, D.M.D.
• Elizabeth Ann Naggy, RPH
• Matthew Louis Oleyar, PA-C
• Kelly Ann Perkins, PHARMD
• Karen P Ridilla, RPH
• Rite Aid of Pennsylvania LLC (Rite Aid Pharmacy 01628)
• Samantha Thompson, MA, NCC, LPC
• Prakash K Vin, MD
• Westmoreland Arc Proserv

• Internal Medicine Physician in Derry, PA
• Providers in Derry, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; 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.