Joseph D Paz, D.O.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

OS006388E Issued in PA

Practice address

1177 Highway 315 Blvd
Dolphin Plaza
Wilkes Barre, PA 18702-6928

Phone

(570) 270-5713

Fax

(570) 270-5719

NPI assigned

Jul 29, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Comprehensive Pain Management Specialists , LLC

  • Interventional Pain Medicine Physician
  • Wilkes Barre, PA
  • NPI 1841591211
  Medicare reassignment NPD
• Advanced Pain Management Specialists, PC

  • Interventional Pain Medicine Physician
  • Plains, PA
  • NPI 1265432637
  NPD (past)

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1912907130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 HIGHWAY 315 BLVD",
            "address_2": "DOLPHIN PLAZA",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187026928",
            "telephone_number": "570-270-5713",
            "fax_number": "570-270-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 HIGHWAY 315 BLVD",
            "address_2": "DOLPHIN PLAZA",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187026928",
            "telephone_number": "570-270-5713",
            "fax_number": "570-270-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAZ",
        "first_name": "JOSEPH",
        "middle_name": "D",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "PA",
            "license": "OS006388E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012537990015",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "826759",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER",
            "identifier": "8749",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Patrick Paulish
• Brittany Paulson, CRNP
• Lora Denise Paulukonis, PA-C
• Alycia Dorrine Pavlick, PA-C
• Beth Ellen Pavon, RN LON
• Caitlin Peacock
• Pearle Vision Inc
• Mark A Pearlman, M.D.
• Erik Brett Pearson, MSPT
• Jacqueline Pearson

• Interventional Pain Medicine Physician in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Interventional Pain Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.

Verify at the official NPI Registry.