Active NPI
Gary Nothstein, D.O.
- Family Medicine Physician
- Shavertown, PA
National Provider Identifier
1982647756
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Mar 20, 2025.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS006281L
- Practice address
- 176 N Main St
Shavertown, PA 18708-1121 - Phone
- (570) 675-0900
- Fax
- (570) 674-8912
- NPI assigned
- Jun 13, 2006
- Last updated
- Sep 13, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS006281L | PA | Primary |
Addresses
Primary practice location
176 N Main St
Shavertown, PA 18708-1121
Mailing address
610 Wyoming Ave
Kingston, PA 18704-3702
Phone (570) 288-5441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001121299 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 84.71 of 100
- Quality
- 73.34
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 78.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347494400000",
"number": "1982647756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 WYOMING AVE",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187043702",
"telephone_number": "570-288-5441",
"fax_number": "570-288-5842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 N MAIN ST",
"city": "SHAVERTOWN",
"state": "PA",
"postal_code": "187081121",
"telephone_number": "570-675-0900",
"fax_number": "570-674-8912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOTHSTEIN",
"first_name": "GARY",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2012-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS006281L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001121299",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shavertown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- 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.