Shamokin Dam Family Medical Center LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD437841 Issued in PA

Legal business name

SHAMOKIN DAM FAMILY MEDICAL CENTER LLC

Practice address

99 Baldwin Blvd
Shamokin Dam, PA 17876-9514

Phone

(570) 743-6191

Fax

(570) 743-6191

NPI assigned

Oct 8, 2009

Organization subpart

No

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

Authorized official

Name

Nalan Reibschied, MD

Title

President

Phone

(570) 743-6191

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254960000000",
    "number": "1871828830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 BALDWIN BLVD",
            "city": "SHAMOKIN DAM",
            "state": "PA",
            "postal_code": "178769514",
            "telephone_number": "570-743-6191",
            "fax_number": "570-743-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 BALDWIN BLVD",
            "city": "SHAMOKIN DAM",
            "state": "PA",
            "postal_code": "178769514",
            "telephone_number": "570-743-6191",
            "fax_number": "570-743-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAMOKIN DAM FAMILY MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-08",
        "last_updated": "2009-10-08",
        "status": "A",
        "authorized_official_last_name": "REIBSCHIED",
        "authorized_official_first_name": "NALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-743-6191",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD437841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory E Robinson, MA, LPC, BCBS, LBS
• Christina Rodriguez
• Emily Salmon
• Mohammad Abdul Samad, MD
• James Patrick Satteson, PA-C
• Shamokin Dam Health Center
• Shamokin Dam Health Center
• Shamokin Dam Health Center PC
• Margaret Linn Smith
• Katelynn Sola

• Family Medicine Physician in Shamokin Dam, PA
• Providers in Shamokin Dam, 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 Oct 8, 2009; 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.