Internal Medicine Assoc of Hazelton Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

INTERNAL MEDICINE ASSOC OF HAZELTON INC

Practice address

1090 N Church St
Hazleton, PA 18202-1446

Phone

(570) 459-1485

Fax

(570) 459-6354

NPI assigned

Aug 21, 2006

Last updated

Aug 22, 2020By 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

Dr. Francisco A Gazek, MDNPI 1063480820

Title

President

Phone

(570) 459-1485

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 10

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.

• Leocadia T Prawdzik, MD

  • Internal Medicine Physician
  • Hazleton, PA
  • NPI 1346218104
  Medicare reassignment Care Compare group NPD
• Lennie Romero, CRNP

  • Family Nurse Practitioner
  • Hazle Township, PA
  • NPI 1467968545
  Medicare reassignment Care Compare group NPD
• Julia Rose Shellhamer, CRNP

  • Family Nurse Practitioner
  • Hazle Township, PA
  • NPI 1104716331
  Medicare reassignment Care Compare group NPD
• Hameed Ahmad Butt, MD

  • Surgery Physician
  • Hazleton, PA
  • NPI 1932136934
  Medicare reassignment NPD
• Alva D Smith, MD

  • Cardiovascular Disease Physician
  • Berwick, PA
  • NPI 1124010608
  Medicare reassignment NPD
• Demetrios Carellas, PA-C

  • Physician Assistant
  • Shrewsbury, MA
  • NPI 1568133072

  PA

  Medicare reassignment
• Francisco A Gazek, MD

  • Internal Medicine Physician
  • Hazleton, PA
  • NPI 1063480820
  Authorized official Same address or phone
• Jessica Lynne Beck, FNP-C

  • Family Nurse Practitioner
  • Pottsville, PA
  • NPI 1184318693
  NPD (past)
• Roseline Riaz, M.D.

  • Family Medicine Physician
  • Freeland, PA
  • NPI 1376509471
  NPD (past)
• Steven M Sopkie, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Hazleton, PA
  • NPI 1134239916
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922114248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 N CHURCH ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182021446",
            "telephone_number": "570-459-1485",
            "fax_number": "570-459-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 N CHURCH ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182021446",
            "telephone_number": "570-459-1485",
            "fax_number": "570-459-6354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE ASSOC OF HAZELTON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAZEK",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-459-1485",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016935350003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gina Huntsinger, COTA/L
• Philip Hynek
• Caroline Illuzzi, DO
• Imaging Associates of Hazleton PC
• Institute of Healing and Psychotherapy
• James P. McAvoy, O.D.,P.C. (Eye World)
• Russell James, MD
• Jang Jang
• Minkyung Jeon
• John Capparell & Connie Mallozzi

• Internal Medicine Physician in Hazleton, PA
• Providers in Hazleton, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.