Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kyle Vawter

Individual provider Internal Medicine Physician · NPI 1225590664

Kyle Vawter is an Internal Medicine in Hazleton, Pennsylvania. Graduated from Marian University College of Osteopathic Medicine in 2019, 7 years ago. Practices with Main Line Healthcare, a 1,153-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
7
Trained at
Marian University College of Osteopathic Medicine
Licensed in
PA
In the registry since
2019
Specialties on file
4

Practice location Address checks out

700 E Broad St
Hazleton, PA 18201-6835
Phone: (570) 501-4193
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 215 Brightwater Drive, Lillington, NC 27546-5156 — (910) 892-1000
  • 1068 W Baltimore Pike, Media, PA 19063-5104 — (484) 227-4280
  • 2601 Holme Ave, Philadelphia, PA 19152-2096 — (215) 335-6000

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence OS022658 (PA)
Internal Medicine Physician Taxonomy 207R00000X · Licence OS022658 (PA)
Hospitalist Physician Taxonomy 208M00000X · Licence OS022658 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence OS022658 (PA)

Record details

NPI number1225590664
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 4, 2019
Last updated in NPPESOctober 20, 2025
Certification dateOctober 20, 2025
Mailing address2100 Mack Blvd Fl 4, Allentown, PA 18103-5622

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesHOSPITALIST
Medical schoolMARIAN UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2019 (7 years in practice)
Group practice Main Line Healthcare — 1153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Hazleton