MEADVILLE MEDICAL CENTER


Address: 1034 Grove St, Meadville, PA 16335-2945
Phone: 8143335736

MEADVILLE MEDICAL CENTER (NPI# 1174067458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174067458
Entity Type Organization
Organization Name MEADVILLE MEDICAL CENTER
Other Organization Name CLINIC FOR SPECIALTY PAIN SERVICES
Practice Address 1034 Grove St
Meadville
PA 16335-2945
Practice Telephone 8143335736
Practice Fax Number 8143335819
Mailing Telephone 8143335736
Mailing Fax Number 8143335819
Enumeration Date 2016-12-06
Last Update Date 2016-12-06
Authorized Official Name MR. RENATO J SUNTAY (CFO)
Authorized Official Telephone 8143335031
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207LP2900X Anesthesiology
Specialization: Pain Medicine
MD421359 PA Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Clinic for Specialty Pain Services Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1659780039 Meadville Medical Center Clinic/Center 11277 Vernon Pl Ste 101, Meadville, PA 16335-3718 2014-08-11
1366596488 Meadville Medical Center Psychiatric Unit 1034 Grove St., Psychiatric Unit, Meadville, PA 16335-2945 2007-01-23
1629633573 Meadville Medical Center Internal Medicine 751 Liberty St, Meadville, PA 16335-2591 2019-05-07
1841782869 Meadville Medical Center Urology 765 Liberty St Ste 207a, Meadville, PA 16335 2018-06-05
1942797303 Meadville Medical Center Family Medicine 640 Alden St, Meadville, PA 16335-2348 2018-04-20
1235593898 Meadville Medical Center Clinic/Center 906 Washington St, Conneautville, PA 16406-7138 2016-04-11
1730570573 Meadville Medical Center Clinic/Center 640 Alden St, Meadville, PA 16335-2348 2015-02-16
1649661471 Meadville Medical Center Clinic/Center 118 Railroad St, Cambridge Springs, PA 16403-1060 2015-02-16
1760873707 Meadville Medical Center Podiatrist 747 Terrace St, Podiatry, Meadville, PA 16335-1737 2015-02-12
1972994283 Meadville Medical Center Psychiatry & Neurology 747 Terrace St, B.h., Meadville, PA 16335-1737 2015-02-09

Office Location

Street Address 1034 GROVE ST
City MEADVILLE
State PA
Zip Code 16335-2945

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083612519 Diane Margaret Horneman Nurse Practitioner 1034 Grove St, Department of Comprehensive Pain Care, Meadville, PA 16335-2945 2005-07-08
1063030781 Jamie Lee Salvatore Counselor 1034 Grove St, Meadville, PA 16335-2945 2020-07-09
1366078982 Leslie Elizabeth Hofer Counselor 1034 Grove St, Meadville, PA 16335-2945 2020-03-15
1023656709 Carolyn Boughner Physical Therapist 1034 Grove St, Meadville, PA 16335-2945 2019-12-13
1689217663 Nicholas Bancroft Physical Therapist 1034 Grove St, Meadville, PA 16335-2945 2019-10-23
1912540899 Kristen Harrington Physical Therapist 1034 Grove St, Meadville, PA 16335-2945 2019-10-23
1982246567 Jerod Scott Northcott Nurse Anesthetist, Certified Registered 1034 Grove St, Meadville, PA 16335-2945 2019-10-15
1225566698 Amy Lynn Brennan Nurse Anesthetist, Certified Registered 1034 Grove St, Meadville, PA 16335-2945 2017-05-31
1497107593 Kenlo Ann Mcgowan Counselor 1034 Grove St, C/o Stepping Stones Mmc, Meadville, PA 16335-2945 2016-07-13
1306218326 Stalwart Emergency Physicians, Pplc Physician Assistant 1034 Grove St, Meadville, PA 16335-2945 2015-10-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811533508 Stacey Lynette Lantz Physical Therapy Assistant 11277 Vernon Place Road, Meadville, PA 16335 2019-11-18
1952874794 Amy Lynn Weaver Social Worker Parkside Psychological Associates, 435 Chestnut Street, Meadville, PA 16335 2019-01-04
1013437789 Raymond Walter Keller Jr. Family Medicine 735 Liberty St, Meadville, PA 16335 2017-06-23
1750735742 Nicole Fies Counselor 201 Chestnut Street, Floor 2, Meadville, PA 16335 2016-04-16
1760894422 Amie S Coffman Psychiatry & Neurology 765 Liberty St Ste 303, Meadville, PA 16335 2014-05-28
1649609710 Gina Marie Michalak Pharmacist 379 North Street, Meadville, PA 16335 2013-11-08
1518396704 Cassandra Lynn Ketler Physician Assistant 847 North Main Street, Meadville, PA 16335 2013-11-07
1194159913 Judy Mcelwain Speech-Language Pathologist 31 N Park Ave, Meadville, PA 16335 2013-08-28
1649604463 Jonelle Elizabeth Taylor Occupational Therapist 31 North Park Ave, Meadville, PA 16335 2013-08-28
1699046961 James Richard Mclamb Orthopaedic Surgery 6060 Ehrgott Rd, Meadville, PA 16335 2012-01-19
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Taxonomy Information

Taxonomy Code 207LP2900X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology
Specialization Pain Medicine

Taxonomy Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174564504 Anthony James Colantonio Anesthesiology 1034 Grove Street, Meadville, PA 16335-2945 2006-06-09
1295084044 Meadville Medical Center Anesthesiology 1015 Grove St, Meadville, PA 16335-2905 2012-09-06
1356653364 Meadville Pain Management, LLC Anesthesiology 1034 Grove St, Meadville, PA 16335-2945 2010-07-07
1104852375 French Creek Pain Management,pc Anesthesiology 1034 Grove St, Meadville, PA 16335-2945 2006-06-22
1194760231 Comprehensive Pain Care Physicians Anesthesiology 1034 Grove St, Meadville, PA 16335-2945 2006-06-20
1467496273 Robert R Concilus Anesthesiology 1034 Grove St, Meadville, PA 16335-2945 2006-06-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1629630504 Bac Medical, Pllc Anesthesiology 3070 Bristol Pike # 2-130, Bensalem, PA 19020-5364 2019-07-01
1285294983 Thomas Falasca Anesthesiology 411 Sybil Dr, Erie, PA 16505-2152 2019-06-17
1144711235 Amy L. Croushore Anesthesiology 5750 Centre Ave Ste 400, Pittsburgh, PA 15206-3761 2018-05-23
1023521598 Michaela R Lewis Anesthesiology 333 State St Ste 104, Erie, PA 16507-1463 2017-11-07
1457704652 Guthrie Medical Group, P.C. Anesthesiology 37 Pratt Avenue, Towanda, PA 18848 2016-07-22
1932518669 Pharo Pain Management Asociates, P.C. Anesthesiology 829 Spruce St Ste 308, Philadelphia, PA 19107-5752 2014-08-06
1457786253 Lighthouse Medical, LLC Anesthesiology 507 Tire Hill Rd, Suite 100, Johnstown, PA 15905-7311 2013-09-11
1992137103 Anish Sethi Anesthesiology 834 Chestnut St Ste T150, Philadelphia, PA 19107 2013-07-30
1528407392 Soon Yong Jung Anesthesiology 1240 S Cedar Crest Blvd Ste 307, Allentown, PA 18103-6263 2013-06-14
1316381155 Beacon Medical, LLC Anesthesiology 136 Jaycee Dr, Suite 10, Johnstown, PA 15904-3650 2013-04-23
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Competitor

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City MEADVILLE
Zip Code 16335

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Dataset Information

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.

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