DR. LIDA EATEDALI (NPI# 1003838103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003838103 |
| Entity Type | Individual |
| Full Name | DR. LIDA EATEDALI |
| Credential | MD |
| Practice Address |
1111 East End Blvd Vamc. Wilkes Barre PA 18711 |
| Mailing Address |
306 Indian Creek Dr Wilkes Wood Wilkes Barre PA 18702-7826 |
| Practice Telephone | 5708243521 |
| Mailing Telephone | 5708200465 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 4301084937 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MD LICENSE | 4301084937 | 01 |
| Street Address |
1111 EAST END BLVD VAMC. |
| City | WILKES BARRE |
| State | PA |
| Zip Code | 18711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225086895 | Atul Odhavji Dalsania | Internal Medicine | 1111 East End Blvd, Va Hospital, Wilkes Barre, PA 18711-0030 | 2006-05-05 |
| 1861787897 | Kathryn S Ndzana | Family Medicine | 1111 East End Blvd, Va Medical Center, Wilkes Barre, PA 18711 | 2011-06-17 |
| 1558549006 | Wilkes Barre Veteran's Hospital | General Acute Care Hospital | 1111 East End Blvd, Wilkes Barre, PA 18702 | 2008-02-07 |
| 1245248244 | Mary Babcock | Dietitian, Registered | 1111 East End Blvd, Wilkes Barre, PA 18711 | 2006-08-04 |
| 1154339166 | Paola Ciaravino Montross | Dietitian, Registered | 1111 East End Blvd, Wilkes Barre, PA 18711 | 2006-08-04 |
| 1790793792 | Beth Ellen Pavon | Dietitian, Registered | 1111 East End Blvd, Wilkes Barre, PA 18711 | 2006-08-04 |
| 1518975515 | Rose Anne Margaret Wincek | Dietitian, Registered | 1111 East End Blvd, Wilkes Barre, PA 18711 | 2006-08-04 |
| 1790793701 | Deborah Ann Kuchenba | Dietitian, Registered | 1111 East End Blvd, Va Medical Center, Wilkes Barre, PA 18711 | 2006-08-04 |
| 1295753226 | David I Ulkoski | Social Worker | 1111 East End Blvd, Wilkes Barre, PA 18711 | 2006-07-17 |
| 1942247119 | Kevin Paul Creegan | Psychologist | 1111 East End Blvd, Department of Veterans Affairs Medical Center, Wilkes Barre, PA 18701 | 2006-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467924274 | Leeann Kayal | Nurse Practitioner | 111 East End Boulevard, Wilkes Barre, PA 18711 | 2018-12-19 |
| 1336661701 | Patricia Dworak | Occupational Therapist | 1175 East Mountain Boulevard, Wilkes-barre, PA 18711 | 2017-07-07 |
| 1992160352 | Hope Danishanko | Social Worker | 111 East End Blvd, Wilkes Barre, PA 18711 | 2015-12-29 |
| 1477962785 | Jennifer L. Heck | Physical Therapist | 1140 Route 315, Suite 207, Wilkes-barre, PA 18711 | 2014-08-12 |
| 1821338807 | Melinda Flaim | Physical Therapist | 1555 East End Blvd, Wilkes Barre, PA 18711 | 2013-02-27 |
| 1598900953 | Elizabeth Patricia Keating | Pharmacist | 1000 East Mountain Drive, Wilkes Barre, PA 18711 | 2008-12-12 |
| 1457433294 | Christopher William O'brien | Specialist/Technologist | King's College, 133 North River Street, Wilkes-barre, PA 18711 | 2006-10-20 |
| 1821197450 | Louis Jay Freedman | Obstetrics & Gynecology | Valley Medical Building, 3rd Floor, 1010 East Mountain Boulevard, Wilkes-barre, PA 18711 | 2006-09-21 |
| 1730282625 | Natalia N Belikova | Internal Medicine | 1111 East End Boulvard, Wilkesbarre, PA 18711 | 2006-09-06 |
| 1609883628 | Va Medical Center | General Acute Care Hospital | 1111 East End Blvd., Wilkes-barre, PA 18711 | 2006-08-02 |
| Find all providers in zip 18711 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710210166 | Oliver T Finch | Internal Medicine | 177 S Grant St, Wilkes Barre, PA 18702-5853 | 2009-09-16 |
| 1972752301 | Alison M Brodginski | Internal Medicine | 675 Baltimore Dr., Wilkes Barre, PA 18702-3317 | 2008-09-10 |
| 1346304847 | Waseem Butt | Internal Medicine | 675 Baltimore Drive, Wilkes Barre, PA 18702-2111 | 2006-12-20 |
| 1427118454 | Maria Ann Mera | Internal Medicine | 8 Church St Ste 216, Wilkes Barre, PA 18702-3539 | 2006-12-11 |
| 1437173580 | Richard Harvey Blum | Internal Medicine | 545 N. River Street, Suite 230, Wilkes Barre, PA 18702-2643 | 2006-07-26 |
| 1558399766 | Thomas J Barry Jr. | Internal Medicine | 268 Highland Park Blvd, Wilkes Barre, PA 18702-6768 | 2006-06-28 |
| 1972539807 | Leonard Kuchemba | Internal Medicine | 480 Scott St, Wilkes Barre, PA 18702-5511 | 2006-06-23 |
| 1225086895 | Atul Odhavji Dalsania | Internal Medicine | 1111 East End Blvd, Va Hospital, Wilkes Barre, PA 18711-0030 | 2006-05-05 |
| 1457333262 | Raymond Joseph | Internal Medicine | 165 Carey Ave, Wilkes Barre, PA 18702-2112 | 2005-11-17 |
| 1518961374 | Sreehari Cherukuri | Internal Medicine | 1000 East Mountain Blvd, Wilkes Barre, PA 18711 | 2005-06-09 |
| Find all providers in WILKES BARRE | ||||
| City | WILKES BARRE |
| Zip Code | 18711 |
Please comment or provide details below to improve the information on DR. LIDA EATEDALI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.