Provider Demographics
NPI:1942288212
Name:LEVINSON, NAT ELLIOT (MD)
Entity Type:Individual
Prefix:DR
First Name:NAT
Middle Name:ELLIOT
Last Name:LEVINSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:435 SCRANTON CARBONDALE HWY
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18508-1115
Mailing Address - Country:US
Mailing Address - Phone:570-346-8620
Mailing Address - Fax:570-207-9394
Practice Address - Street 1:432 SCRANTON CARBONDALE HWY
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18508
Practice Address - Country:US
Practice Address - Phone:570-346-8620
Practice Address - Fax:570-207-9394
Is Sole Proprietor?:No
Enumeration Date:2006-01-05
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD022766E207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1122859Medicaid
PAC30741Medicare UPIN
PA1122859Medicaid