Mt Bethel Medical Center LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD053686L Issued in PA

Legal business name

MT BETHEL MEDICAL CENTER LLC

Practice address

10 Mount Bethel PLZ
Mount Bethel, PA 18343-5212

Phone

(570) 897-7559

Fax

(570) 897-7567

NPI assigned

Jul 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jon A Raso, MD

Title

Ceo Mount Bethel Medical Center LLC

Phone

(570) 897-7559

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1992729503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43",
            "address_2": "10 MOUNT BETHEL PLAZA",
            "city": "MOUNT BETHEL",
            "state": "PA",
            "postal_code": "183430043",
            "telephone_number": "570-897-7559",
            "fax_number": "570-897-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MOUNT BETHEL PLZ",
            "city": "MOUNT BETHEL",
            "state": "PA",
            "postal_code": "183435212",
            "telephone_number": "570-897-7559",
            "fax_number": "570-897-7567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT BETHEL MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "RASO",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO MOUNT BETHEL MEDICAL CENTER LLC",
        "authorized_official_telephone_number": "570-897-7559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD053686L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA - RAILROAD MEDICARE",
            "identifier": "110130795",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50017380",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1512446",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5843921",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jon A Raso, M.D.
• Eileen P Reuter
• Joseph Schwartz

• Internal Medicine Physician in Mount Bethel, PA
• Providers in Mount Bethel, 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 Feb 19, 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.