Organization Active NPI

Pagana & Pagana-Defazio Family Practice LLC

  • Family Medicine Physician
  • Sunbury, PA
National Provider Identifier
1922083518
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PAGANA & PAGANA-DEFAZIO FAMILY PRACTICE LLC
Practice address
1072 Market St
Sunbury, PA 17801-2403
Phone
(570) 286-8521
Fax
(570) 286-6197
NPI assigned
Dec 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John P. Pagana, M.D.
Title
Family Practitioner
Phone
(570) 286-8521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1072 Market St
Sunbury, PA 17801-2403

Mailing address

1072 Market St
Sunbury, PA 17801-2403
Phone (570) 286-8521

Other identifiers 5

IdentifierTypeStateIssuer
50015382OtherPACAPITAL BLUE CROSS
212152OtherPAHEALTH AMER/HEALTH ASSUR
1485124OtherPAKEYSTONE
DA4198OtherPAPALMETTO
1485124OtherPABLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1072 Market St
Sunbury, PA 17801
Phone (570) 286-8521

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922083518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1072 MARKET ST",
            "city": "SUNBURY",
            "state": "PA",
            "postal_code": "178012403",
            "telephone_number": "570-286-8521",
            "fax_number": "570-286-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 MARKET ST",
            "city": "SUNBURY",
            "state": "PA",
            "postal_code": "178012403",
            "telephone_number": "570-286-8521",
            "fax_number": "570-286-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAGANA & PAGANA-DEFAZIO FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAGANA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "FAMILY PRACTITIONER",
        "authorized_official_telephone_number": "570-286-8521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50015382",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMER/HEALTH ASSUR",
            "identifier": "212152",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "1485124",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "DA4198",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1485124",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunbury, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.