INTERNISTS OF CENTRAL PA LTD (NPI# 1083946164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083946164 |
Entity Type | Organization |
Organization Name | INTERNISTS OF CENTRAL PA LTD |
Other Organization Name | INTERNISTS OF CENTRAL PA |
Practice Address |
108 Lowther St 2nd Flr Lemoyne PA 17043-2045 |
Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
Practice Telephone | 7177741366 |
Enumeration Date | 2010-02-01 |
Last Update Date | 2012-10-23 |
Authorized Official Name | KENNY HEINE (SR. DIRECTOR OF OPERATIONS) |
Authorized Official Telephone | 8586252990 |
Is Organization Subpart | Y |
Parent Organization Name | MEDVANTX, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332900000X | Non-Pharmacy Dispensing Site | MD064799L | PA | Suppliers |
Other Name | Type Code |
---|---|
Internists of Central PA | Doing Business As Name - Organization |
Street Address |
108 LOWTHER ST 2ND FLR |
City | LEMOYNE |
State | PA |
Zip Code | 17043-2045 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356332316 | Vinayshree Kumar | Physician Assistant | 108 Lowther St, Internists of Central Pa Ltd, Lemoyne, PA 17043-2045 | 2005-10-31 |
1811559610 | Melissa J Salter | Registered Nurse | 108 Lowther St, Lemoyne, PA 17043-2045 | 2019-07-01 |
1386003465 | Marina Pulimoottil Ninan | Nurse Practitioner | 108 Lowther St, Internists of Central Pa, Lemoyne, PA 17043-2045 | 2016-02-17 |
1275904559 | Margaret R Harvey | Physician Assistant | 108 Lowther St, Lemoyne, PA 17043-2045 | 2015-10-13 |
1861862591 | Internists of Central Pennsylvania | Physician Assistant | 108 Lowther St, Lemoyne, PA 17043-2045 | 2015-10-07 |
1811302920 | Sarah Elaine Hileman | Registered Nurse | 108 Lowther St, Internists of Central Pa, Lemoyne, PA 17043-2045 | 2014-06-26 |
1558774927 | Brittany Lyn Pataky | Physician Assistant | 108 Lowther St, Lemoyne, PA 17043-2045 | 2014-06-03 |
1427302967 | Hawar Aziz Sayed | Nurse Practitioner | 108 Lowther St, Lemoyne, PA 17043-2045 | 2012-11-06 |
1225365786 | Melissa Bendorf | Physician Assistant | 108 Lowther St, Lemoyne, PA 17043-2045 | 2009-11-04 |
1689720021 | Harry S Sahi | Internal Medicine | 108 Lowther St, Lemoyne, PA 17043-2045 | 2007-01-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821591025 | Verber Dental Group, PC | Dentist | 819 Market Street, Fox Dental, Lemoyne, PA 17043 | 2018-03-14 |
1386065209 | Stephanie A Depalmer | Counselor | 20 Erford Rd Ste 101, Lemoyne, PA 17043 | 2013-12-18 |
1467662130 | Blanc Counseling Services | Nursing Care | 1017 Mumma Road, Suit 200, Wormleysburg, PA 17043 | 2007-05-23 |
1265516546 | Carol A Flory | Social Worker | 20 Erford Road, Suite # 101, Lemoyne, PA 17043 | 2006-10-24 |
1881615219 | James D Herbst | Optometrist | 717 Market St., Suite 112, Lemoyne, PA 17043 | 2006-07-21 |
1285669341 | Brian Kirby Fogarty | Psychologist | 426 S Third St, Ste 201, Lemoyne, PA 17043 | 2006-07-11 |
1316998966 | Conforti Rehabilitation Services, Inc. | Physical Therapist | 110 North 7th Street, Lemoyne, PA 17043 | 2006-05-16 |
1780632430 | Thomas E Becker II | Chiropractor | 501 Market St, Lemoyne, PA 17043 | 2006-05-05 |
1790756542 | Jack Edward Wilson | Surgery | 3 Walnut St Ste 100, Lemoyne, PA 17043 | 2006-01-30 |
1891779088 | Shelby R Sieber | Optometrist | 717 Market Street, Suite 112, Lemoyne, PA 17043 | 2005-12-01 |
Find all providers in zip 17043 |
Taxonomy Code | 332900000X |
Grouping | Suppliers |
Classification | Non-Pharmacy Dispensing Site |
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780954248 | Holtgate Podiatry Pllc | Non-Pharmacy Dispensing Site | 717 Market St, Suite 101, Lemoyne, PA 17043-1581 | 2011-12-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932723806 | Cerner Health Connections, Inc | Non-Pharmacy Dispensing Site | 719 Dresher Rd Ste B, Horsham, PA 19044-2205 | 2020-06-05 |
1144844507 | Diamond Drugs, Inc. | Non-Pharmacy Dispensing Site | 665 Kolter Dr, Indiana, PA 15701-3570 | 2020-06-02 |
1023655602 | Dedicated Pennsylvania Holding, LLC | Non-Pharmacy Dispensing Site | 330 W Oregon Ave # 170, Philadelphia, PA 19148-4723 | 2019-12-03 |
1275193336 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 103 Nesbitt Rd, New Castle, PA 16105-3401 | 2019-06-19 |
1770141491 | R&r Eyewear Imports, Inc. | Non-Pharmacy Dispensing Site | 311 W Moreland Rd, Willow Grove, PA 19090-3107 | 2019-05-29 |
1174089858 | Centers for Advanced Urology, LLC | Non-Pharmacy Dispensing Site | 400 Davis Dr Ste 200a, Plymouth Meeting, PA 19462-1718 | 2019-02-18 |
1811469760 | Dermatology and Mohs Surgery Center PC | Non-Pharmacy Dispensing Site | 920 Lawn Ave Ste 6, Sellersville, PA 18960-1560 | 2018-12-17 |
1437624244 | Highpoint Pain & Rehabilitation Physicians | Non-Pharmacy Dispensing Site | 2 Village Road, Horsham, PA 19044 | 2018-10-08 |
1649768110 | Qpharma Inc | Non-Pharmacy Dispensing Site | 20 Highland Park Dr Ste 202, Uniontown, PA 15401-8968 | 2018-04-30 |
1215424536 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 1321 Fifth Ave Ste 1, Mckeesport, PA 15132-2403 | 2018-04-23 |
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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.