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ANWAR NAKKOUL MD, PC
NPI 1053444018
Internal Medicine in Ashland, PA

Active since March 13, 2007CLIA 39D2177017 · Waiver
1023 CENTRE ST, ASHLAND, PA 17921(570) 875-3665(570) 875-2012 Get Directions Write a Review

NPPES record last updated: June 29, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anwar Nakkoul Md, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANWAR NAKKOUL MD, PC (NPI 1053444018) is a healthcare organization registered as an internal medicine in Ashland, Pennsylvania and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through January 1, 2028 and lists Nicole Blase, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1053444018
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameANWAR NAKKOUL MD, PC
Location Address1023 CENTRE STAshland, PA 17921-1204
Mailing Address1023 Centre StAshland, PA 17921-1204 · (570) 875-3665 · Fax (570) 875-2012
Phone(570) 875-3665
Fax(570) 875-2012
Organization SubpartNo
Authorized OfficialNicole BlaseOffice Manager · (570) 875-3665
Enumeration DateMarch 13, 2007
Last NPPES UpdateJune 29, 2010
✔ NPI 1053444018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD059146L
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1023 CENTRE ST, Ashland, PA 17921
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Other Identifiers 1

Medicare UPING03491PA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2177017

Anwar Nakkoul, MD · Ashland, PA
Active · expires Jan 1, 2028
CLIA Number39D2177017
Laboratory TypePhysician Office
Certificate Effective DateJanuary 2, 2026
Certificate Expiration DateJanuary 1, 2028
Laboratory DirectorDr. Anwar Nakkoul
Laboratory Phone(570) 875-3665
Laboratory LocationAnwar Nakkoul, MD1023 Centre Street, Ashland, PA 17921
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANWAR NAKKOUL MD
Internal Medicine
1023 CENTRE ST
ASHLAND, PA 17921
Schuylkill County (570) 875-3665

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anwar Nakkoul MD, PC's NPI number?

The NPI number for Anwar Nakkoul MD, PC is 1053444018. It was assigned to this organization in the NPPES registry on March 13, 2007.

Where is Anwar Nakkoul MD, PC located?

Anwar Nakkoul MD, PC is located at 1023 Centre St, Ashland, PA 17921. The listed phone number is (570) 875-3665.

What is Anwar Nakkoul MD, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Anwar Nakkoul MD, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2177017) is associated with this NPI, valid through January 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Anwar Nakkoul MD, PC was last updated on June 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.