DR. MARCEL M FAVETTA (NPI# 1114994472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114994472 |
| Entity Type | Individual |
| Full Name | DR. MARCEL M FAVETTA |
| Credential | M.D. |
| Practice Address |
1155 East Moutain Blvd Wilkes Barre PA 18711-7906 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-9800 |
| Practice Telephone | 5708087916 |
| Practice Fax Number | 5708086006 |
| Mailing Telephone | 5702716211 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2020-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD038271 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
1155 EAST MOUTAIN BLVD |
| City | WILKES BARRE |
| State | PA |
| Zip Code | 18711-7906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356585517 | Lucia Nguyen | Podiatrist | 1155 East Moutain Blvd, Wilkes Barre, PA 18711-7906 | 2009-04-30 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922290824 | Hyungbae Kim | Obstetrics & Gynecology | 545 N Main St, Suite 210, Wilkes Barre, PA 18702-2643 | 2007-08-14 |
| 1346234200 | Juan Manuel Arreguin | Obstetrics & Gynecology | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2005-09-07 |
| 1336685585 | Annie Masterson | Obstetrics & Gynecology | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2017-01-12 |
| 1992159420 | Benoit Mapa | Obstetrics & Gynecology | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2016-04-21 |
| 1710349188 | Waqarun Nisa Rashid | Obstetrics & Gynecology | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2016-03-24 |
| 1164817185 | Preeyanka Nagar | Obstetrics & Gynecology | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2015-04-06 |
| 1770988214 | Kaitlen A. Jones | Obstetrics & Gynecology | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2014-10-27 |
| 1376958306 | Khalil Mehdi | Obstetrics & Gynecology | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2014-06-28 |
| 1053721597 | Shivani Shah | Obstetrics & Gynecology | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2014-05-06 |
| 1144649286 | Akhila Mohan Rajaram | Obstetrics & Gynecology | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2014-04-15 |
| Find all providers in WILKES BARRE | ||||
| City | WILKES BARRE |
| Zip Code | 18711 |
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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.