Provider Demographics
NPI:1548275035
Name:JURTA LAPINSKI ASSOCIATES PC
Entity type:Organization
Organization Name:JURTA LAPINSKI ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:P
Authorized Official - Last Name:JURTA
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:570-735-8002
Mailing Address - Street 1:33 EAST GREEN ST
Mailing Address - Street 2:
Mailing Address - City:NANTICOKE
Mailing Address - State:PA
Mailing Address - Zip Code:18634-2414
Mailing Address - Country:US
Mailing Address - Phone:570-735-8002
Mailing Address - Fax:570-735-8036
Practice Address - Street 1:33 EAST GREEN ST
Practice Address - Street 2:
Practice Address - City:NANTICOKE
Practice Address - State:PA
Practice Address - Zip Code:18634-2414
Practice Address - Country:US
Practice Address - Phone:570-735-8002
Practice Address - Fax:570-735-8036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC002862L213E00000X
PASC002870L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101215226001Medicaid
PDWE8OtherEMPIRE BCBS
PA335279OtherHEALTH ASSURANCE
PAQ73380OtherAMERIHEALTH
PA080539Other1ST PRIORITY HEALTH
PA1673380OtherHIGHMARK BLUE SHIELD
PA4689OtherGEISINGER
PA1079047OtherAETNA
PDWE8OtherEMPIRE BCBS
DC6985Medicare PIN