MR. FRED D KOVALCHICK (NPI# 1134189905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134189905 |
| Entity Type | Individual |
| Full Name | MR. FRED D KOVALCHICK |
| Credential | PA C |
| Practice Address |
110 Trieble Rd Tunkhannock PA 18657 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-3034 |
| Practice Telephone | 5709962700 |
| Practice Fax Number | 5709962711 |
| Mailing Telephone | 5702716144 |
| Mailing Fax Number | 5702716578 |
| Enumeration Date | 2006-03-25 |
| Last Update Date | 2008-05-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA002483L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
110 TRIEBLE RD |
| City | TUNKHANNOCK |
| State | PA |
| Zip Code | 18657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811964901 | Ann E. Feeney | Nurse Practitioner | 110 Trieble Rd, Tunkhannock, PA 18657-7023 | 2006-03-07 |
| 1669768214 | Geisinger Wyoming Valley Medical Center | Clinic/Center | 110 Trieble Rd, Tunkhannock, PA 18657-3816 | 2011-06-22 |
| 1699723718 | Patricia A Snyder | Physician Assistant | 110 Trieble Rd, Tunkhannock, PA 18657 | 2006-05-04 |
| 1386603298 | Donald F Hull IIi | Surgery | 110 Trieble Rd, Tunkhannock, PA 18657 | 2006-03-20 |
| 1972571818 | John C. Gardner | Family Medicine | 110 Trieble Rd, Tunkhannock, PA 18657 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194092114 | Michael Francis Lynch | Physical Therapist | 821 N Eaton Rd, Tunkhannock, PA 18657 | 2011-11-18 |
| 1013200690 | Elizabeth Lynn Shook | Pharmacist | 600 Hunter Highway, Tunkhannock, PA 18657 | 2011-05-16 |
| 1649561044 | William Zupko | Pharmacist | 420 Tioga West Plaza, Tunkhannock, PA 18657 | 2011-04-20 |
| 1659681138 | Eihab Human Services, Inc. | Psychiatric Residential Treatment Facility | 1200 State Route 92 South, Tunkhannock, NY 18657 | 2010-10-18 |
| 1780992230 | Mallory Kay Racoski | Physician Assistant | 5950 Sr 6 Fl 4, Tunkhannock, PA 18657 | 2010-09-17 |
| 1912154279 | Maya W Noble | Acupuncturist | 134 E Tioga Street, Four Winds Acupuncture Clinic, Tunkhannock, PA 18657 | 2008-08-19 |
| 1023282506 | Four Winds Acupuncture Clinic and Integrative Therapies, PC | Social Worker | 6 Sunnyside Rd, Tunkhannock, PA 18657 | 2008-04-16 |
| 1871708040 | Robin Bolinder Pinches | Physical Therapist | 880 Sr6w, Tyler Memorial Hospital, Tunkhannock, PA 18657 | 2007-05-11 |
| 1972729028 | Eugene John Geeza | Physical Therapist | Tyler Memorial Hospital, 880 Sr 6 W, Tunkhannock, PA 18657 | 2007-04-17 |
| 1104981018 | Williams Primary Care PC | Internal Medicine | 71 Hollowcrest Drive, Suite 3, Tunkhannock, PA 18657 | 2006-12-22 |
| Find all providers in zip 18657 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841697554 | Elizabeth Kathryn Perhacs | Physician Assistant | 4 Dogwood Dr, Tunkhannock, PA 18657-7038 | 2014-11-24 |
| 1992757561 | Geisinger Clinic | Physician Assistant | 886 Sr 6 W, Tunkhannock, PA 18657-6149 | 2006-05-16 |
| 1174517551 | Colleen Tempest Newswanger | Physician Assistant | 1 Kim Ave, Tunkhannock, PA 18657-9103 | 2005-08-31 |
| 1770738239 | Michelle B Moffitt | Physician Assistant | 5950 Sr 6, 4th Floor, Tunkhannock, PA 18657-7905 | 2008-11-25 |
| 1164616132 | Laurie T Miller | Physician Assistant | 71 Hollowcrest Drive, Suite 3, Tunkhannock, PA 18657-5701 | 2007-08-31 |
| 1790807022 | David Robert Jones | Physician Assistant | 1 Kim Ave Ste 1, Tunkhannock, PA 18657-9101 | 2007-04-06 |
| 1699723718 | Patricia A Snyder | Physician Assistant | 110 Trieble Rd, Tunkhannock, PA 18657 | 2006-05-04 |
| 1457314668 | Leslie A Mulhern | Physician Assistant | 10 Trieble Dr, Tunkhannock, PA 18657-7054 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316762 | Alyssa Ann Mikes | Physician Assistant | 6 New Countryside Dr, West Chester, PA 19382-6456 | 2020-11-08 |
| 1720689011 | Marissa Dawn Lamary | Physician Assistant | 1500 Fifth Ave Bldg Leveld, Mckeesport, PA 15132-2422 | 2020-11-04 |
| 1013517796 | Kifany M Gower | Physician Assistant | 1158 Wyoming Ave, Exeter, PA 18643-1815 | 2020-10-30 |
| 1922608645 | Meghan Michelle Allen | Physician Assistant | 4800 Friendship Ave Ste 439, Pittsburgh, PA 15224-1722 | 2020-10-30 |
| 1912507807 | Rachel Nye | Physician Assistant | 124 Home Depot Dr Ste D, Franklin, PA 16323-8030 | 2020-10-29 |
| 1487254306 | Zane T Mcguire | Physician Assistant | 378 W Chestnut St Ste 103, Washington, PA 15301-4661 | 2020-10-29 |
| 1740889443 | Tricia Harenza | Physician Assistant | 27 Sandy Ln Ste 250, Lewistown, PA 17044-1372 | 2020-10-22 |
| 1336748425 | Alexis Marie Ivosevic | Physician Assistant | 98 Deer Park Ln, Hawley, PA 18428-8223 | 2020-10-20 |
| 1780283986 | Margaret Ann Malloy | Physician Assistant | 3223 N Broad St Fl 1, Philadelphia, PA 19140-5007 | 2020-10-20 |
| 1851990170 | Jessica Marie Giordano | Physician Assistant | 201 Penn Valley Ter, Yardley, PA 19067-1028 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
| City | TUNKHANNOCK |
| Zip Code | 18657 |
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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.