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NPI 1487105912ActiveOrganization· Family Medicine· Jermyn, PA

Family Medicine in Jermyn, Pennsylvania, registered in NPPES in October 2016. The authorized official on file is Richard Hager, FACHE, Vp For Administrative Affairs.

Overview

NPI1487105912
StatusActive
Entity typeOrganization
NPI issuedOct 19, 2016
Last updated in NPPESOct 19, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Family Medicine providers in Jermyn

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