Joel Dorman

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

OA004015 Issued in PA

Practice address

2795 Sullivans TRL
Falls, PA 18615-7949

Phone

(570) 704-4117

NPI assigned

Nov 28, 2016

Last updated

Jan 10, 2019By the provider in NPPES

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

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rural Health Corporation of Northeastern Pennsylvania

  • Federally Qualified Health Center (FQHC)
  • Wilkes Barre, PA
  • NPI 1265801112
  Medicare reassignment
• Rural Health Corporation of Northeastern Pennsylvania

  • Federally Qualified Health Center (FQHC)
  • Wilkes Barre, PA
  • NPI 1437351640
  NPD
• Rural Health Corporation of Northeastern Pennsylvania

  dba Shickshinny Health Center

  • Federally Qualified Health Center (FQHC)
  • Shickshinny, PA
  • NPI 1790887057
  NPD
• Pediatric Associates of Kingston, LLC

  • Pediatrics Physician
  • Kingston, PA
  • NPI 1831201276
  NPD (past)
• Rural Health Corporation of Northeastern Pennsylvania

  • Federally Qualified Health Center (FQHC)
  • Falls, PA
  • NPI 1205938578
  NPD (past)

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1972046738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 KOSSACK ST",
            "city": "SWOYERSVILLE",
            "state": "PA",
            "postal_code": "187042112",
            "telephone_number": "570-332-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2795 SULLIVANS TRL",
            "city": "FALLS",
            "state": "PA",
            "postal_code": "186157949",
            "telephone_number": "570-704-4117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "404 Ridge St",
            "address_purpose": "LOCATION",
            "city": "Freeland",
            "state": "PA",
            "postal_code": "182241805",
            "country_code": "US",
            "telephone_number": "570-636-1556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORMAN",
        "first_name": "JOEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-28",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA004015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucille Baloga, MA, MED
• Alexis Haines, LPC
• William Reynolds, PA-C
• Caden T Rozitski, PAC
• Rural Health Corporation of Northeastern Pennsylvania
• Mary Elizabeth Sokach, D.O.

• Physician Assistant in Falls, PA
• Providers in Falls, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.