COMMUNITY MEDICAL CENTER (NPI# 1154594687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154594687 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEDICAL CENTER |
| Other Organization Name | PHYSICIAN PROVIDERS |
| Practice Address |
1822 Mulberry St Scranton PA 18510-2369 |
| Practice Telephone | 5705583500 |
| Practice Fax Number | 5705583513 |
| Mailing Telephone | 5705583500 |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2008-04-04 |
| Authorized Official Name | ELLEN Z PERIN (FINANCIAL DIRECTOR) |
| Authorized Official Telephone | 5705583500 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY MEDICAL CENTER HEALTHCARE SYSTEM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007456760027 | 05 |
| Other Name | Type Code |
|---|---|
| PHYSICIAN PROVIDERS | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750411211 | Community Medical Center | Case Management | 607 Sw Higgins Ave, Missoula, MT 59803-1468 | 2007-03-06 |
| 1568544591 | Community Medical Center | Pharmacy | 10278 Old #6 Highway, Vance, SC 29163 | 2006-10-19 |
| 1194734913 | Community Medical Center | Pediatrics | 92 W Ratliff Street, Lucedale, MS 39452-6537 | 2006-08-08 |
| 1679544118 | Community Medical Center | Nurse Anesthetist, Certified Registered | 1822 Mulberry Street, Scranton, PA 18501-0934 | 2006-02-01 |
| 1366444507 | Community Medical Center | General Acute Care Hospital | 1800 Mulberry St, Scranton, PA 18510-2369 | 2005-06-01 |
| 1003209818 | Community Medical Center | General Practice | 920 S Main St, Blackstone, VA 23824-2600 | 2015-03-18 |
| 1285032128 | Community Medical Center | Internal Medicine | 475 Morgan Hwy, Scranton, PA 18508-2605 | 2014-12-09 |
| 1326446253 | Community Medical Center | Internal Medicine | 141 Salem Ave, Carbondale, PA 18407-2574 | 2014-12-09 |
| 1689015489 | Community Medical Center | Clinic/Center | 1360 Wyoming Ave, Ste 101, Scranton, PA 18509-2803 | 2013-07-10 |
| 1841547338 | Community Medical Center | Clinic/Center | 1000 Meade St, Suite 204, Dunmore, PA 18512-3195 | 2012-08-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY MEDICAL CENTER | 11226 S Wilcrest Dr, Houston, TX 77099-4313 |
| Iowa Business Entities | COMMUNITY MEDICAL CENTER | 1603 Morgan St, Keokuk, IA 52632 |
| Virginia Business Entities | Community Medical Center Inc. | 306 A Custis Street, Crewe, Virginia 23930 |
| System for Award Management (SAM) Entities | COMMUNITY MEDICAL CENTER LAB | 3307 Barada St, Falls City, NE 68355-1546 |
| Iowa Business Entities | COMMUNITY MEDICAL CENTER OF PISGAH, IOWA, INC. | 1010 Skyline Dr, Logan, IA 51546 |
| Colorado Business Entities | COMMUNITY MEDICAL CENTER PHARMACY, INC. | 1000 W South Boulder Rd, Lafayette, CO 80026 |
| North Carolina Corporations | Community Medical Center, Inc. | 7257 Lansdowne Place, Thomasville, NC 27360 |
| System for Award Management (SAM) Entities | COMMUNITY MEDICAL CENTERS, INC. | 7210 Murray Dr, Stockton, CA 95210-3339 |
| Street Address |
1822 MULBERRY ST |
| City | SCRANTON |
| State | PA |
| Zip Code | 18510-2369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134100449 | Anesthesiological Group of Nepa | Anesthesiology | 1822 Mulberry St, Scranton, PA 18510-2369 | 2005-11-14 |
| 1164962593 | Lindsey Uhrin | Pharmacist | 1822 Mulberry St, Mc 68-58, Scranton, PA 18510-2369 | 2017-03-04 |
| 1093264186 | Joseph Runco | Pharmacist | 1822 Mulberry St, Scranton, PA 18510-2369 | 2016-09-29 |
| 1851840060 | Mark Bernard Ludwikowski | Pharmacist | 1822 Mulberry St, Pharmacy Dept, Scranton, PA 18510-2369 | 2016-09-28 |
| 1336693167 | Mariah Deibert | Pharmacist | 1822 Mulberry St, Scranton, PA 18510-2369 | 2016-08-10 |
| 1720532542 | David Rowlands | Pharmacist | 1822 Mulberry St, Scranton, PA 18510-2369 | 2016-08-10 |
| 1235339755 | Deepak P Keswani | Internal Medicine | 1822 Mulberry St, Scranton, PA 18510-2369 | 2007-07-23 |
| 1255540647 | Community Medical Center | Clinic/Center | 1822 Mulberry St, Scranton, PA 18510-2369 | 2007-05-22 |
| 1942249701 | Community Medical Center | Obstetrics & Gynecology | 1822 Mulberry St, Scranton, PA 18510-2369 | 2006-06-06 |
| 1093752479 | Radiology Associates of Scranton, LLC | Radiology | 1822 Mulberry St, Scranton, PA 18510-2369 | 2006-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427432335 | Marla Osborne Dempsey | Family Medicine | 1141 Clay Ave Ste 1, Dunmore, PA 18510 | 2015-07-10 |
| 1669620043 | Mary Jane Miskovsky | Nurse Practitioner | 800 Linden Street, University of Scranton Student Health Service, Scranton, PA 18510 | 2008-08-28 |
| 1427174739 | Cheryl Friedman | Registered Nurse | 1710 Mulberry Street, Scranton, PA 18510 | 2007-03-21 |
| 1619092970 | Susan Rudalavage | Dietitian, Registered | 640 Madison Avenue, Scranton, PA 18510 | 2007-03-19 |
| 1851469738 | Lackawanna Surgery Center LLC | Clinic/Center | 415 Adams Avenue, Scranton, PA 18510 | 2006-12-01 |
| 1679666150 | Nicholas M. Rocco | Nurse Anesthetist, Certified Registered | 700 Quincy Ave., Scranton, PA 18510 | 2006-10-02 |
| 1710927587 | Care Plus Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Jefferson Ave, Scranton, PA 18510 | 2006-06-08 |
| 1619934189 | James M Haggerty | Podiatrist | 521 Ash Street, Dunmore, PA 18510 | 2006-04-28 |
| 1962461145 | Kevin G Madden | Psychiatry & Neurology | 802 Jefferson Avenue, Scranton, PA 18510 | 2006-03-17 |
| 1720058795 | Mark Trently | Nurse Anesthetist, Certified Registered | 1822 Jmulberry St, Scranton, PA 18510 | 2006-01-24 |
| Find all providers in zip 18510 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598156275 | Tara Lynn Mcgraw | Surgery | 743 Jefferson Ave Ste 303, Scranton, PA 18510-1639 | 2015-02-16 |
| 1942300363 | William S Auriemma | Surgery | 381 N 9th Ave, Scranton, PA 18504-2005 | 2006-09-25 |
| 1902807282 | Charles Hughes | Surgery | 743 Jefferson Ave Ste 104, Scranton, PA 18510-1636 | 2005-08-09 |
| 1528541083 | Elizabeth Ann Gillow | Surgery | 1800 Mulberry St, Scranton, PA 18510-2369 | 2018-09-11 |
| 1316470453 | Joshua Cole | Surgery | 520 Clay Ave, Apt. 302, Scranton, PA 18510-2174 | 2017-04-05 |
| 1588075485 | David Joshua Deisher | Surgery | 1800 Mulberry St, Scranton, PA 18510-2369 | 2014-05-13 |
| 1083034706 | Alexandra Falvo | Surgery | 1800 Mulberry St, Scranton, PA 18510-2369 | 2014-04-21 |
| 1326381179 | Nina Neuhaus | Surgery | 1800 Mulberry St, Scranton, PA 18510-2369 | 2013-03-30 |
| 1558656298 | Ricky P. Clay Jr. | Surgery | 1800 Mulberry St, Scranton, PA 18510-2369 | 2011-06-10 |
| 1215247515 | Monty Littlejohn | Surgery | 1800 Mulberry St, Scranton, PA 18510-2369 | 2010-10-20 |
| Find all providers in SCRANTON | ||||
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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.