BOSCO E NORONHA MD,PC (NPI# 1184071854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184071854 |
| Entity Type | Organization |
| Organization Name | BOSCO E NORONHA MD,PC |
| Practice Address |
1265 Wayne Ave Suite 100 Indiana PA 15701-3501 |
| Practice Telephone | 7243495440 |
| Practice Fax Number | 7243497445 |
| Mailing Telephone | 7243495440 |
| Mailing Fax Number | 7243497445 |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-11-04 |
| Authorized Official Name | TRACIE WHETSEL (EMPLOYEE) |
| Authorized Official Telephone | 7245495764 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | MD072191L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MEDICAL LICENSE | MD072191L | 01 |
| Street Address |
1265 WAYNE AVE SUITE 100 |
| City | INDIANA |
| State | PA |
| Zip Code | 15701-3501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790782555 | Andrew David Cash | Internal Medicine | 1265 Wayne Ave, Suite 207, Indiana, PA 15701-3501 | 2005-07-07 |
| 1538413026 | Matthew N Klain Md PC | Non-Pharmacy Dispensing Site | 1265 Wayne Ave, 102, Indiana, PA 15701-3501 | 2012-11-05 |
| 1851648117 | Chelsea Ann Lizik | Optometrist | 1265 Wayne Ave, 119 Professional Center, Suite 203, Indiana, PA 15701-3501 | 2012-08-06 |
| 1952609513 | Upmc Community Medicine Inc | Internal Medicine | 1265 Wayne Ave, Suite 306, Indiana, PA 15701-3501 | 2011-03-07 |
| 1518262740 | Penn Neuromuscular Diagnostics, LLC | Clinic/Center | 1265 Wayne Ave, Suite 312, 119 Professional Center, Indiana, PA 15701-3501 | 2011-01-19 |
| 1134423809 | Thomas W Zaucha | Physical Therapist | 1265 Wayne Ave, 119 Professional Center, Suite 312, Indiana, PA 15701-3501 | 2011-01-10 |
| 1285863522 | Kayla Marie Lazor | Physical Therapist | 1265 Wayne Ave, Suite 312, Indiana, PA 15701-3501 | 2009-07-08 |
| 1457597619 | Jessica Kelly | Audiologist-Hearing Aid Fitter | 1265 Wayne Ave, Ste 100, Indiana, PA 15701-3578 | 2008-12-18 |
| 1801071469 | Vijaya G Seshadri P C | Pediatrics | 1265 Wayne Ave, 119 Professional Center, Suite 306, Indiana, PA 15701-3501 | 2008-01-02 |
| 1437208170 | Sharad B Ghate | Obstetrics & Gynecology | 1265 Wayne Ave, Suite 104, Indiana, PA 15701-3501 | 2007-01-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518508811 | Paula A. Smulik | Pharmacist | 280 Indian Springs Rd Ste 125, Indiana, PA 15701 | 2019-10-08 |
| 1588143713 | William Aden Bendgen IIi | Counselor | 470 N 4th Street, Indiana, PA 15701 | 2018-08-08 |
| 1699266452 | Shiela Ikasilon Otwane | Nurse Practitioner | 1 Regency Square, 1524 Oakland Avenue, Indiana, PA 15701 | 2018-05-28 |
| 1881184745 | Samantha Nichcol Bennett | Social Worker | 793 Old Rte 119 Hwy U, Indiana, PA 15701 | 2018-05-16 |
| 1780193896 | Abbey Mae Hill | Counselor | 793 Old Rotue 119 Hwy N, Indiana, PA 15701 | 2017-09-21 |
| 1568819456 | Karissa Wess Angleson | Physician Assistant | Indiana Regional Medical Center Emergency Department, 835 Hospital Rd, Indiana, PA 15701 | 2016-05-20 |
| 1588020721 | Forefront Dermatology, S.c. | Dermatology | 120 I.r.m.c. Drive, Suite 130, Indiana, PA 15701 | 2016-01-04 |
| 1881069201 | Amanda J Orvosh | Counselor | 1163 Water St, Indiana, PA 15701 | 2015-12-10 |
| 1245602887 | Susan Marie Marchezak | Nurse Practitioner | 2128 Oakland Avenue, Indiana, PA 15701 | 2015-10-22 |
| 1538546353 | Hillary Beth Stitt | Counselor | 793 Old Rt 119 Hwy N, Community Guidance Center, Indiana, PA 15701 | 2015-04-30 |
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| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659844264 | David C Hughes | Otolaryngology | 1047 Lilac St, Indiana, PA 15701-2459 | 2019-01-07 |
| 1790722171 | Bosco Edric Noronha | Otolaryngology | 1265 Wayne Avenue, Suite 100, Indiana, PA 15701-3578 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043877319 | Health Services of Clarion, Inc. | Otolaryngology | 30 Pinnacle Dr Ste 301, Clarion, PA 16214-3800 | 2019-05-22 |
| 1134680747 | Providence Ear Nose & Throat Associates Inc | Otolaryngology | Riddle Mem. Hosp.- Outpt. Pav., 1098 W. Baltimore Pk. Ste 3406, Media, PA 19063-5139 | 2019-03-27 |
| 1619437654 | Providence Ear Nose & Throat Associates Inc | Otolaryngology | 500 Evergreen Dr Ste 18, Glen Mills, PA 19342-1032 | 2019-03-25 |
| 1790278372 | Vishaal Patel | Otolaryngology | 3440 N Broad St # 300, Philadelphia, PA 19140-5104 | 2018-06-08 |
| 1710409594 | Philippe Lavigne | Otolaryngology | 200 Lothrop St Ste 300, Pittsburgh, PA 15213-2536 | 2017-07-12 |
| 1033630892 | Jessica Anne Tang | Otolaryngology | 3440 North Broad Street, Kresge West #300, Philadelphia, PA 19140 | 2017-07-03 |
| 1417313255 | Robert Guelcher | Otolaryngology | 521 Montmarc Blvd, Erie, PA 16504-2611 | 2016-01-09 |
| 1689057804 | Rui Jun Lin | Otolaryngology | 2533b Wharton St, Pittsburgh, PA 15203-5103 | 2015-07-07 |
| 1861870511 | Giuseppe V Staltari | Otolaryngology | 203 Lothrup Street, Eye and Ear Building, Suite 500, Pittsburgh, PA 15213-2536 | 2015-05-14 |
| 1912313792 | Julie Paige Shtraks | Otolaryngology | 205 N Broad St Ste 401, Philadelphia, PA 19107-1553 | 2014-07-01 |
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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.