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DR. VLADIMIR PETORAK JR. MD
NPI 1871575134
Internal Medicine - Gastroenterology in Lewisburg, PA

Active since November 14, 2005
90 MEDICAL PARK DR, LEWISBURG, PA 17837(570) 524-2722(570) 524-0362 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 9, 2022, Sep 23, 2019, Sep 20, 2019 and 1 more (4 updates tracked since 2018).

About Dr. Vladimir Petorak Jr. Md NPPES

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

DR. VLADIMIR PETORAK JR. MD (NPI 1871575134) is an individual gastroenterology provider in Lewisburg, Pennsylvania, licensed in Pennsylvania (MD043726L) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1871575134
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. VLADIMIR PETORAK JR.Credential: MD
Location Address90 MEDICAL PARK DRLewisburg, PA 17837-6343
Mailing Address1 Hospital Dr Ste 306Lewisburg, PA 17837-9350 · (570) 522-4110 · Fax (570) 768-3911
Phone(570) 524-2722
Fax(570) 524-0362
Sole ProprietorNo
Enumeration DateNovember 14, 2005
Last NPPES UpdateJune 9, 20224 updates tracked since enumeration
NPPES CertifiedJune 9, 2022
✔ NPI 1871575134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in PA · MD043726L
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedSpecialistTaxonomy 174400000X · License MD043726L (PA)
90 MEDICAL PARK DR, Lewisburg, PA 17837
Open in Google Maps ↗

Other Identifiers 1

Medicaid0014277710004PA

Other Providers at the Same Location NPPES 3

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

EVANGELICAL COMMUNITY HOSPITAL
Clinic/Center (Ambulatory Surgical)
90 MEDICAL PARK DR
LEWISBURG, PA 17837
Union County (570) 524-1213
EILEEN JESSICA JERDON CRNA
Nurse Anesthetist, Certified Registered
90 MEDICAL PARK DR
LEWISBURG, PA 17837
Union County (570) 524-2722
MRS. REBECCA COSTA PA
Physician Assistant
90 MEDICAL PARK DR
LEWISBURG, PA 17837
Union County (570) 524-2722

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 Vladimir Petorak's NPI number?

The NPI number for Vladimir Petorak is 1871575134. It was assigned to this individual provider in the NPPES registry on November 14, 2005.

Where is Vladimir Petorak located?

Vladimir Petorak practices at 90 Medical Park Dr, Lewisburg, PA 17837. The listed phone number is (570) 524-2722.

What is Vladimir Petorak's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Vladimir Petorak was last updated on June 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.