Basic Information
Provider Information
NPI: 1194994459
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOPKINS
FirstName: EUGENIA
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: PHYSICIAN ASSISTANT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1000 EAST MOUNTAIN BLVD
Address2: GEISINGER WYOMING VALLEY CARDIOLOGY DEPARTMENT
City: WILKES BARRE
State: PA
PostalCode: 18711
CountryCode: US
TelephoneNumber: 5708086020
FaxNumber:  
Practice Location
Address1: 1000 EAST MOUNTAIN BLVD
Address2: GEISINGER WYOMING VALLEY CARDIOLOGY DEPARTMENT
City: WILKES BARRE
State: PA
PostalCode: 18711
CountryCode: US
TelephoneNumber: 5708086020
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/20/2008
LastUpdateDate: 08/07/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/07/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363AM0700XMA054337PAY Physician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical

No ID Information.


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