FAMILY CARE CENTERS, INC. (NPI# 1174907364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174907364 |
| Entity Type | Organization |
| Organization Name | FAMILY CARE CENTERS, INC. |
| Other Organization Name | PMC PHYSICIAN ASSOCIATES CARDIOLOGY |
| Practice Address |
120 Burrus Blvd Brodheadsville PA 18322-7812 |
| Mailing Address |
206 E Brown St Pocono Healthcare Management - Professional Center East Stroudsburg PA 18301-3006 |
| Practice Telephone | 5704249970 |
| Practice Fax Number | 5704242899 |
| Mailing Telephone | 5704204951 |
| Mailing Fax Number | 5704262643 |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2015-07-17 |
| Authorized Official Name | MICHAEL WILK (VP/CFO) |
| Authorized Official Telephone | 5704763620 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MEDICARE PTAN | 160995 | 01 |
| Other Name | Type Code |
|---|---|
| PMC Physician Associates Cardiology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851664809 | Family Care Centers, Inc. | Internal Medicine | 11 Kevin Ln, Brodheadsville, PA 18322-9731 | 2012-02-21 |
| 1578831012 | Family Care Centers, Inc. | Internal Medicine | Route 611 & Frantz Road, Bartonsville Plaza Suite7, Stroudsburg, PA 18360 | 2011-12-13 |
| 1689942260 | Family Care Centers, Inc. | Internal Medicine | 100 Community Drive, Suite 102, Tobyhanna, PA 18466 | 2011-12-09 |
| 1205119054 | Family Care Centers, Inc. | Family Medicine | 600 Commerce Blvd., Stroudsburg, PA 18360 | 2011-09-27 |
| 1649474107 | Family Care Centers, Inc. | Internal Medicine | 205 East Brown Street, East Stroudsburg, PA 18301-8262 | 2007-06-11 |
| 1265801351 | Family Care Centers, Inc. | Family Medicine | 1089 Route 390, Cresco, PA 18326-7907 | 2015-09-18 |
| 1811372352 | Family Care Centers, Inc. | Psychiatry & Neurology | 175 E Brown St, Suite 201a, East Stroudsburg, PA 18301-3098 | 2015-07-27 |
| 1962886507 | Family Care Centers, Inc. | Psychologist | 120 Burrus Blvd, Brodheadsville, PA 18322-7812 | 2015-07-14 |
| 1558745182 | Family Care Centers, Inc. | Psychologist | 600 Commerce Blvd, Stroudsburg, PA 18360-6214 | 2015-07-14 |
| 1538559471 | Family Care Centers, Inc. | Family Medicine | 206 E Brown St, Pocono Healthcare Management-professional Center, East Stroudsburg, PA 18301-3006 | 2015-01-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FAMILY CARE CENTERS, INC | 206 E Brown St, East Stroudsburg, PA 18301-3006 |
| Street Address |
120 BURRUS BLVD |
| City | BRODHEADSVILLE |
| State | PA |
| Zip Code | 18322-7812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659358992 | Kenneth J Varano | Family Medicine | 120 Burrus Blvd, Ste 200, Brodheadsville, PA 18322-7812 | 2005-12-28 |
| 1790253946 | Ardeana Y Kirkland | Nurse Practitioner | 120 Burrus Blvd, Brodheadsville, PA 18322-7812 | 2018-11-06 |
| 1568818714 | Rebecca Rotz | Occupational Therapy Assistant | 120 Burrus Blvd, Brodheadsville, PA 18322-7812 | 2016-05-06 |
| 1962886507 | Family Care Centers, Inc. | Psychologist | 120 Burrus Blvd, Brodheadsville, PA 18322-7812 | 2015-07-14 |
| 1750523692 | Arif Shahzad | Internal Medicine | 120 Burrus Blvd, Brodheadsville, PA 18322-7812 | 2009-03-24 |
| 1598904054 | Heather Renee Kromer | Social Worker | 120 Burrus Blvd, Brodheadsville, PA 18322-7812 | 2009-02-06 |
| 1083876015 | Aparna Uday Tamaskar | Family Medicine | 120 Burrus Blvd, Suite 200, Brodheadsville, PA 18322-7812 | 2008-07-01 |
| 1285813881 | Syed Arif Zia | Family Medicine | 120 Burrus Blvd, Brodheadsville, PA 18322-7812 | 2007-10-31 |
| 1669651717 | Traci Stahl | Nurse Practitioner | 120 Burrus Blvd, Suite 100, Brodheadsville, PA 18322-7812 | 2007-10-25 |
| 1235321084 | Family Care Centers, Inc. | Family Medicine | 120 Burrus Blvd, Suite 200, Brodheadsville, PA 18322-7812 | 2007-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355341 | Julia Majewicz Wilson | Physician Assistant | 111 Pa-715, #102, Brodheadsville, PA 18322 | 2020-10-29 |
| 1275165136 | Jennifer Pagan | Specialist/Technologist | 575 Marion Lane, Brodheadsville, PA 18322 | 2020-02-09 |
| 1922577634 | Kristen Rudelitch | Pharmacist | 924 Weir Lake Rd, Brodheadsville, PA 18322 | 2018-11-26 |
| 1295204915 | Dale A. Mcfarland | Pharmacist | Rt 209 & Weir Lake Road, Brodheadsville, PA 18322 | 2018-11-26 |
| 1831640770 | Marina Ann Reggetto-irizarry | Physician Assistant | 111 Route 715 Ste 102, Brodheadsville, PA 18322 | 2016-10-15 |
| 1144770033 | Joseph Keglovits IIi | Pharmacist | 1707 Route 209, Brodheadsville, PA 18322 | 2016-10-04 |
| 1629454624 | Katherine Sparrow | Chiropractor | 1807 Route 209, Brodheadsville, PA 18322 | 2015-08-03 |
| 1740548049 | Catherine A Chincola | Health Educator | Route 209 and Weir Lake Road, Brodheadsville, PA 18322 | 2012-04-25 |
| 1396036679 | Doris M Lane | Pharmacist | Rt S 209 & 115, Brodheadsville, PA 18322 | 2011-04-21 |
| 1982995361 | Richard C Quigley | Pharmacist | Routes 209/115, Brodheadsville, PA 18322 | 2011-04-20 |
| Find all providers in zip 18322 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851664809 | Family Care Centers, Inc. | Internal Medicine | 11 Kevin Ln, Brodheadsville, PA 18322-9731 | 2012-02-21 |
| 1801964432 | Pocono Heart & Vascular P.C. | Internal Medicine | Pleasant Valley Drive, Hc 2 Box 2029, Brodheadsville, PA 18322-9709 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811507445 | St. Clair Medical Services, Inc. | Internal Medicine | 363 Vanadium Rd Ste 300, Pittsburgh, PA 15243-1477 | 2020-08-07 |
| 1336772490 | Gslpg Inc | Internal Medicine | 1165 Centre Tpke, Orwigsburg, PA 17961-9343 | 2020-02-18 |
| 1215560503 | Alliance Cardiology PC | Internal Medicine | 21 Yost Blvd Ste 216, Pittsburgh, PA 15221-5283 | 2020-02-15 |
| 1366007478 | Certified Cardiology of Roxborough PC | Internal Medicine | 640 Anthony Rd, Elkins Park, PA 19027-1702 | 2019-05-03 |
| 1023576436 | Mark J. Geller, Md, LLC | Internal Medicine | 121 Freeport Rd Ste 200, Blawnox, PA 15238-3411 | 2019-03-05 |
| 1215437173 | Walter Herman | Internal Medicine | 275 N Latches Ln, Merion Station, PA 19066-1726 | 2018-02-17 |
| 1780198754 | William Sigmund | Internal Medicine | 608 Spruce St, Philadelphia, PA 19106-4114 | 2017-11-28 |
| 1982128690 | Mercy Management of Sepa | Internal Medicine | 501 S 54th St Ste 186, Philadelphia, PA 19143-1900 | 2017-08-03 |
| 1538681457 | Rahul Gupta | Internal Medicine | Lehigh Valley Physicians Practice, 1250 S. Cedar Crest Blvd, Ste. 300, Allentown, PA 18103 | 2017-07-12 |
| 1831637263 | Your Travel Health LLC | Internal Medicine | 847 Youngs Ford Rd, Gladwyne, PA 19035-1610 | 2017-02-06 |
| Find all providers with the same taxonomy | ||||
| City | BRODHEADSVILLE |
| Zip Code | 18322 |
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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.