GEISINGER WYOMING VALLEY MEDICAL CENTER (NPI# 1104292960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104292960 |
| Entity Type | Organization |
| Organization Name | GEISINGER WYOMING VALLEY MEDICAL CENTER |
| Other Organization Name | GEISINGER PITTSTON RADIOLOGY, A SERVICE OF GWV |
| Practice Address |
42 North Main St Pittston PA 18640 |
| Mailing Address |
100 North Academy Avenue Danville PA 17822-4903 |
| Practice Telephone | 5706540880 |
| Mailing Telephone | 5702715555 |
| Mailing Fax Number | 5702716578 |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2015-10-02 |
| Authorized Official Name | CINDY L MULL (DIRECTOR CREDENTIALING/ENROLLMENTS) |
| Authorized Official Telephone | 5702716603 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Geisinger Pittston Radiology, a Service of GWV | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770953994 | Geisinger Wyoming Valley Medical Center | General Acute Care Hospital | 35 South Mountain Blvd, Mountain Top, PA 18707 | 2015-09-30 |
| 1205197894 | Geisinger Wyoming Valley Medical Center | Durable Medical Equipment & Medical Supplies | 1175 East Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2012-05-31 |
| 1447538640 | Geisinger Wyoming Valley Medical Center | Clinic/Center | 620 Baltimore Dr, Wilkes Barre, PA 18702-7959 | 2011-07-22 |
| 1093001653 | Geisinger Wyoming Valley Medical Center | Clinic/Center | 270 S River St, Plains, PA 18705-1191 | 2011-06-22 |
| 1942769393 | Geisinger Wyoming Valley Medical Center | Pharmacy | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2019-03-15 |
| 1437551868 | Geisinger Wyoming Valley Medical Center | Durable Medical Equipment & Medical Supplies | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2014-09-17 |
| 1649568403 | Geisinger Wyoming Valley Medical Center | Clinic/Center | 114 Lt Michael Cleary Dr, Dallas, PA 18612-1649 | 2011-07-14 |
| 1881980803 | Geisinger Wyoming Valley Medical Center | Clinic/Center | 675 Baltimore Dr, Wilkes Barre, PA 18702-7900 | 2011-06-28 |
| 1669768214 | Geisinger Wyoming Valley Medical Center | Clinic/Center | 110 Trieble Rd, Tunkhannock, PA 18657-3816 | 2011-06-22 |
| 1265728810 | Geisinger Wyoming Valley Medical Center | Clinic/Center | 1130 Highway 315, Wilkes Barre, PA 18702-6952 | 2011-06-22 |
| Street Address |
42 NORTH MAIN ST |
| City | PITTSTON |
| State | PA |
| Zip Code | 18640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225557176 | Terrana Counseling | Counselor | 2 Berkeley Street, Pittston, PA 18640 | 2017-09-12 |
| 1932647898 | Latona Home Health Services LLC | Home Health | 41 South Main St, Pittston, PA 18640 | 2017-02-10 |
| 1225412398 | Cara Capozucca | Specialist/Technologist | 450 Broad Street, Pittston Twp., PA 18640 | 2015-07-17 |
| 1548676463 | Dominick Ardo IIi | Pharmacist | 189 Johnson St, Pittston, PA 18640 | 2014-07-11 |
| 1518308691 | Katelyn Hopkins | Speech-Language Pathologist | 69 Market St, Pittston, PA 18640 | 2013-07-17 |
| 1467895300 | Nocerini-warshal P.C. | Dentist | 34 South Main St., Pittston, PA 18640 | 2013-04-10 |
| 1164767851 | Nancy Larralde | Physical Therapist | 209 Roberts Road, United Methodist Home Wesley Village, Pittston, PA 18640 | 2012-12-06 |
| 1285877399 | Brenda Ann Pavill | Nurse Practitioner | 37 Williams St, The Care and Concern Free Clinic, Pittston, PA 18640 | 2009-04-20 |
| 1558532671 | Wyoming Valley Alcohol & Drug Services, Inc | Counselor | 49 South Main St., Pittston, PA 18640 | 2008-03-17 |
| 1760503064 | Family Dental and Hygiene Center | Dentist | 457 North Main St., Suite 100, Pittson, PA 18640 | 2007-04-03 |
| Find all providers in zip 18640 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972565521 | Bruno & Orlando Med Assoc | Radiology | 1099 South Township Blvd, Suite B, Pittston, PA 18640-3247 | 2006-04-06 |
| 1649236126 | Joseph Dominick Orlando | Radiology | 1099 South Township Blvd, Ste B, Pittston, PA 18640-3247 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396359014 | Kimberly Ann Nulph-laseck | Radiology | 65 Market St, Albion, PA 16401-1131 | 2020-08-31 |
| 1407478878 | Bridget Podbielski | Radiology | 1301 Summit Dr, Royersford, PA 19468-2873 | 2020-05-08 |
| 1063067635 | Jefferson University Radiology Associates, LLC | Radiology | 3 Crescent Dr Ste 1002, Philadelphia, PA 19112-1016 | 2019-08-09 |
| 1518522770 | Michael Anthony Branco | Radiology | 340 Wellslee Dr, Chambersburg, PA 17201-8289 | 2019-05-03 |
| 1700369535 | Tower Health Medical Group | Radiology | 301 S 7th Ave Ste 135, West Reading, PA 19611-1442 | 2018-09-07 |
| 1841784899 | Kyle Rives | Radiology | 200 Lothrop Street Upmc Presbyterian, South Tower 2nd Floor Suite 200, Pittsburgh, PA 15213 | 2018-06-21 |
| 1285128892 | Solomon Amemasor | Radiology | 200 Lothrop St Ste 200, Pittsburgh, PA 15213-2536 | 2018-06-18 |
| 1326545898 | Lehigh Valley Hospital | Radiology | 320 W Pumping Station Rd Ste 2, Quakertown, PA 18951-2345 | 2018-04-10 |
| 1376054874 | Irad Services, Inc. | Radiology | 1811 Golden Mile Hwy Ste B, Pittsburgh, PA 15239-2847 | 2017-10-24 |
| 1639689482 | Anna Maria Polizio | Radiology | 496 Cherry Ct, Pittsburgh, PA 15237-2608 | 2017-10-06 |
| Find all providers with the same taxonomy | ||||
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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.