JAMES T KINCEL JR. (NPI# 1174602478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174602478 |
| Entity Type | Individual |
| Full Name | JAMES T KINCEL JR. |
| Credential | PA-C |
| Practice Address |
100 Community Dr Suite 203 Tobyhanna PA 18466-8985 |
| Mailing Address |
1105 Rundle St Scranton PA 18504-2908 |
| Practice Telephone | 5708398754 |
| Practice Fax Number | 5708390893 |
| Mailing Telephone | 5702413816 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2011-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA052803 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 111433PZP | 05 |
| Street Address |
100 COMMUNITY DR SUITE 203 |
| City | TOBYHANNA |
| State | PA |
| Zip Code | 18466-8985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407838055 | Health Poconos, Inc | Clinic/Center | 100 Community Dr, 105, Tobyhanna, PA 18466-8985 | 2005-11-18 |
| 1386294684 | John Rafferty | Registered Nurse | 100 Community Dr, Tobyhanna, PA 18466-8985 | 2019-09-18 |
| 1962995589 | Joy Naomi Richardson | Social Worker | 100 Community Dr, Tobyhanna, PA 18466-8985 | 2018-06-08 |
| 1831546829 | Victoria Gunther | Counselor | 100 Community Dr, Suite 208, Tobyhanna, PA 18466-8985 | 2016-05-19 |
| 1063868958 | Leah Michelle Arlequin | Family Medicine | 100 Community Dr, Tobyhanna, PA 18466 | 2016-05-10 |
| 1659747814 | Leah Arcuri | Nurse Practitioner | 100 Community Dr, Suite 102, Tobyhanna, PA 18466-8985 | 2015-08-11 |
| 1013309582 | Jonathan Brown | Physical Therapist | 100 Community Dr, Suite 105, Tobyhanna, PA 18466-8985 | 2015-02-20 |
| 1902227960 | Sonia E Sandhaus | Nurse Practitioner | 100 Community Dr, Ste 102, Tobyhanna, PA 18466-8985 | 2013-12-18 |
| 1134556301 | Rachael Seese | Nurse Practitioner | 100 Community Dr, Ste 102, Tobyhanna, PA 18466-8985 | 2013-10-03 |
| 1457787285 | Vera Filipovska | Nurse Practitioner | 100 Community Dr, Ste 102, Tobyhanna, PA 18466-8985 | 2013-09-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718061 | Katelyn Mckillop | Physician Assistant | 5074 Seneca Way, Tobyhanna, PA 18466 | 2020-07-24 |
| 1508330663 | Devereux Foundation | Day Training, Developmentally Disabled Services | 11 Carriage Square, Tobyhanna, PA 18466 | 2019-01-11 |
| 1144743873 | Luisa Tieso | Psychologist | 6167 Somers Terr, Tobyhanna, PA 18466 | 2017-07-25 |
| 1982087797 | Patricia Detrick | Physical Therapy Assistant | 100 Communtiy Drive, Suite 105, Tobyhanna, PA 18466 | 2015-06-30 |
| 1376959569 | Mountain Valley Orthopedics PC | Pharmacy | 100 Community Drive Stuite 210, Tobyhanna, PA 18466 | 2014-07-08 |
| 1346674975 | Michelle Backus | Social Worker | 633 Lakeside Drive, Tobyhanna, PA 18466 | 2013-08-30 |
| 1205107067 | Sharon and Cynthia | Home Health | 9249 Westwood Dr, Tobyhanna, PA 18466 | 2012-01-25 |
| 1689942260 | Family Care Centers, Inc. | Internal Medicine | 100 Community Drive, Suite 102, Tobyhanna, PA 18466 | 2011-12-09 |
| 1942599063 | Diane Latosek | Pharmacist | 12 Carriage Square, Tobyhanna, PA 18466 | 2011-03-29 |
| 1588763841 | Keller Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 11 Hap Amold Blvd, Tobyhanna, PA 18466 | 2006-09-22 |
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| 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 |
|---|---|---|---|---|
| 1932718061 | Katelyn Mckillop | Physician Assistant | 5074 Seneca Way, Tobyhanna, PA 18466 | 2020-07-24 |
| 1629433925 | Raymond Machak | Physician Assistant | 7327 Meadowlark Dr, Tobyhanna, PA 18466-3302 | 2015-12-31 |
| 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 |
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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.