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

Individual provider Physician Assistant · NPI 1750005575

Odalys Vieda is a Physician Assistant in Scranton, Pennsylvania. Qualified in 2022, 4 years ago. Practices with University Medical Service Association Inc, a 824-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
4
Licensed in
PA
In the registry since
2022
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Practice location Address checks out

1800 Mulberry St
Scranton, PA 18510-2369
Phone: (570) 703-8231
Fax: (570) 703-8250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA067794 (PA)

Record details

NPI number1750005575
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 27, 2022
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026
Mailing address100 N Academy Ave, Danville, PA 17822-4903

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice University Medical Service Association Inc — 824 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Scranton