Schuylkill Medical Center-East Norwegian Street

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

Legal business name

SCHUYLKILL MEDICAL CENTER-EAST NORWEGIAN STREET

Doing business as

Schuylkill Medical Center-East Norwegian Street-Pathology

Practice address

700 E Norwegian St
Pottsville, PA 17901-2710

Phone

(570) 621-4686

NPI assigned

Jun 10, 2009

Last updated

Jun 29, 2009By 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

Ethel Dougherty

Title

Supervisor

Phone

(570) 621-4686

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Schuylkill Medical Center-East Norwegian Street-Pathology Doing business as

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.

• Dale R. Bortz Jr., DO

  • Emergency Medicine Physician
  • Pottsville, PA
  • NPI 1477596286
  NPD (past)
• Sajjad M Malik, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Allentown, PA
  • NPI 1487870978
  NPD (past)

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246233600000",
    "number": "1932335569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E NORWEGIAN ST",
            "address_2": "P.O. BOX 239",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E NORWEGIAN ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012710",
            "telephone_number": "570-621-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHUYLKILL MEDICAL CENTER-EAST NORWEGIAN STREET",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-06-29",
        "status": "A",
        "authorized_official_last_name": "DOUGHERTY",
        "authorized_official_first_name": "ETHEL",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "570-621-4686"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007604490042",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Schuylkill Medical Center-East Norwegian Street-Pathology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Schuylkill Medical Center - South Jackson Street (Lehigh Valley Hospital - Schuylkill S. Jackson Street)
• Schuylkill Medical Center - South Jackson Street (Schuylkill Medical Center - South Jackson Street Physician Group)
• Schuylkill Medical Center - South Jackson Street
• Schuylkill Medical Center - South Jackson Street (Schuylkill Medical Center - South Jackson Street Psychiatry Group)
• Schuylkill Medical Center - South Jackson Street Spu
• Schuylkill Medical Center-East Norwegian Street RMC
• Schuylkill Nursing Homes, Inc. (Schuylkill Center)
• Schuylkill Open MRI Inc (Open MRI of Allentown)
• Schuylkill Rehabilitation Center, Inc.
• Schwartz Chiropractic LLC

• Clinical Pathology/Laboratory Medicine Physician in Pottsville, PA
• Providers in Pottsville, PA by specialty
• Clinical Pathology/Laboratory Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.