Organization Active NPI

Eugene D Harasym

  • Family Medicine Physician
  • Covington Township, PA
National Provider Identifier
1982891495
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EUGENE D HARASYM
Practice address
921 Drinker Turnpike
Covington Township, PA 18444-7948
Phone
(570) 842-0945
Fax
(570) 842-6135
NPI assigned
Sep 28, 2007
Last updated
Mar 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Authorized official

Name
Johnna Jalowiec
Title
Credentialing Coordinator
Phone
(570) 961-9947

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

921 Drinker Turnpike
Covington Township, PA 18444-7948

Mailing address

RR 6 Box 6239
Moscow, PA 18444-9400
Phone (570) 945-7347

National Provider Directory

National Provider Directory

Locations

921 Drinker Tpke
Covington Township, PA 18444
Phone (570) 842-0945

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1982891495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 6 BOX 6239",
            "city": "MOSCOW",
            "state": "PA",
            "postal_code": "184449400",
            "telephone_number": "570-945-7347",
            "fax_number": "570-945-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 DRINKER TURNPIKE",
            "city": "COVINGTON TOWNSHIP",
            "state": "PA",
            "postal_code": "184447948",
            "telephone_number": "570-842-0945",
            "fax_number": "570-842-6135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE D HARASYM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "JALOWIEC",
        "authorized_official_first_name": "JOHNNA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "570-961-9947"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.