| Greater Hazleton Gastroenterology, P.c. | |
|
10 Park Pl Hazle Township PA 18202-2885 | |
| (570) 617-6224 | |
| (570) 454-2144 |
| Full Name | Greater Hazleton Gastroenterology, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 10 Park Pl, Hazle Township, Pennsylvania |
| Authorized Official Name and Position | Joseph Yoo (PRESIDENT) |
| Authorized Official Contact | 5704541400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Hazleton Gastroenterology, P.c. 10 Park Pl Hazle Township PA 18202-2885 Ph: (570) 617-6224 | Greater Hazleton Gastroenterology, P.c. 10 Park Pl Hazle Township PA 18202-2885 Ph: (570) 617-6224 |
| NPI Number | 1427683580 |
|---|---|
| Provider Enumeration Date | 03/10/2020 |
| Last Update Date | 03/10/2020 |
| Medicare PECOS PAC ID | 4082038625 |
|---|---|
| Medicare Enrollment ID | O20200716000041 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427683580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Michael A Yoder |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1346206752 PECOS PAC ID: 9032271580 Enrollment ID: I20090504000422 |
| Provider Name | Charles T Ladoulis |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538321609 PECOS PAC ID: 9436296563 Enrollment ID: I20091022000416 |
| Provider Name | Alan J Shienbaum |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1811967904 PECOS PAC ID: 1557406568 Enrollment ID: I20180906003271 |
| Provider Name | Corrine Ann Joy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821553835 PECOS PAC ID: 1759621725 Enrollment ID: I20190329000893 |
| Provider Name | Joseph Yoo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336568609 PECOS PAC ID: 2163645649 Enrollment ID: I20200716000085 |
| Provider Name | Ryan M Cristelli |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1356811939 PECOS PAC ID: 5092116830 Enrollment ID: I20210630001437 |
| Provider Name | Linda Honglian Yan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437544467 PECOS PAC ID: 6709105703 Enrollment ID: I20210907000856 |
| Provider Name | Jeanine Chiaffarano |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164810156 PECOS PAC ID: 4789952870 Enrollment ID: I20220602000986 |
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