Robin J Bohanan (NPI# 1205069390, PAC ID# 3678629045) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1205069390 |
| PAC ID by PECOS | 3678629045 |
| Professional Enrollment ID | I20090928000004 |
| Full Name | Robin J Bohanan |
| Organization Legal Name | HAZLETON PROFESSIONAL SERVICES |
| Address |
642 State Route 93 Hwy Suite 1 Sugarloaf PA 18249-3127 |
| Phone Number | 5707081505 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8022110402 |
| Number of Group Practice Members | 85 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390185 | LEHIGH VALLEY HOSPITAL - HAZLETON |
| Address | Phone | Organization |
|---|---|---|
| 642 State Route 93 Hwy, Suite 1, Sugarloaf, PA 18249-3127 | 5707081505 | HAZLETON PROFESSIONAL SERVICES |
| Organization Legal Name | HAZLETON PROFESSIONAL SERVICES |
| Physicians | 56 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard L Canlas | Family Medicine | Hazleton Professional Services | 50 Moisey Dr, Suite 202, Hazle Township, PA 18202-9297 |
| Jillian M Mcardle | Nurse Practitioner | Hazleton Professional Services | 241 Claremont Ave, Tamaqua, PA 18252-4302 |
| Candice Widuch-mert | Family Medicine | Hazleton Professional Services | 149 N Vine St, Hazleton, PA 18201-5852 |
| Adrian Secheresiu | Internal Medicine | Hazleton Professional Services | 500 1st St, Weatherly, PA 18255-1506 |
| Thomas J Ciotola | Cardiovascular Disease (cardiology) | Hazleton Professional Services | 141 N Vine St, Hazleton, PA 18201-5852 |
| Eugene D Gorski | Family Medicine | Hazleton Professional Services | 102 Banks Ave, Sugarloaf, PA 18249-3709 |
| Robert Yamulla | Internal Medicine | Hazleton Professional Services | 128 W 14th St, Hazleton, PA 18201-3266 |
| Philip J Benyo | Internal Medicine | Hazleton Professional Services | 144 S Old Turnpike Rd, Drums, PA 18222-1720 |
| Harvey J Hotchner | Hematology/oncology | Hazleton Professional Services | 384 Airport Rd, Hazle Township, PA 18202-3325 |
| Vadim Loshakov | Obstetrics/gynecology | Hazleton Professional Services | 1000 Alliance Dr, Suite 10, Hazleton, PA 18202-3234 |
| Street Address |
642 STATE ROUTE 93 HWY SUITE 1 |
| City | SUGARLOAF |
| State | PA |
| Zip | 18249-3127 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maxwell Eric Tolan | Family Medicine | Berwick Clinic Company LLC | 1 Brookhill S Sq, Sugarloaf, PA 18249-1016 |
| Roslon Johnson | Nurse Practitioner | Berwick Clinic Company LLC | 1 Brookhill S Sq, Sugarloaf, PA 18249-1016 |
| Anton Georgiev | General Surgery | Berwick Clinic Company LLC | 1 Brookhill S Sq, Sugarloaf, PA 18249-1016 |
| Ronald Makuta | Podiatry | 2 Brookhill Rd, Sugarloaf, PA 18249-1045 | |
| Joseph V Bafile Jr. | Chiropractic | 715 W Butler Dr, Sugarloaf, PA 18249-3003 | |
| Scott D Ungemach | Chiropractic | De Jesus Wellness Group PC | 298 Rock Glen Rd, Sugarloaf, PA 18249-3211 |
| Rowena M De Jesus | Chiropractic | De Jesus Wellness Group PC | 298 Rock Glen Rd, Sugarloaf, PA 18249-3211 |
| Saura A Rohrbach | Chiropractic | 8 N Main St, Sugarloaf, PA 18249-3238 | |
| Eugene D Gorski | Family Medicine | Hazleton Professional Services | 102 Banks Ave, Sugarloaf, PA 18249-3709 |
| City | SUGARLOAF |
| Zip Code | 18249 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SUGARLOAF + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Robin J Bohanan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.