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NPI Code Detail

MEDICARE: DR. LINDA J THOMAS-HEMAK M.D.

MEDICARE: DR. LINDA J THOMAS-HEMAK M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RA0401XAddiction Medicine (Internal Medicine) PhysicianMD065507LPA
2208000000XPediatrics PhysicianMD065507LPA
32083B0002XObesity Medicine (Preventive Medicine) PhysicianMD065507LPA
4207R00000XInternal Medicine PhysicianMD065507LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154315059
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LINDA J THOMAS-HEMAK M.D.
Provider Business Mailing Address
First Line : 5 S WASHINGTON AVE
Second Line :
City : JERMYN
State : PA
Zip : 18433-1121
Country : US
Telephone Number : 570-383-9934
Fax Number : 570-383-6258
Provider Business Practice Location Address
First Line : 5 S WASHINGTON AVE
Second Line :
City : JERMYN
State : PA
Zip : 18433-1121
Country : US
Telephone Number : 570-383-9934
Fax Number : 570-383-6258
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2005
Last Update Date : 01/17/2022

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