SOUTHSIDE INTERNAL MEDICINE-PEDIATRICS LLC


Address: 204 Central Ave, Oil City, PA 16301-2738
Phone: 8146774045

SOUTHSIDE INTERNAL MEDICINE-PEDIATRICS LLC (NPI# 1184729071) 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) 1184729071
Entity Type Organization
Organization Name SOUTHSIDE INTERNAL MEDICINE-PEDIATRICS LLC
Practice Address 204 Central Ave
Oil City
PA 16301-2738
Practice Telephone 8146774045
Practice Fax Number 8146762364
Mailing Telephone 8146774045
Mailing Fax Number 8146762364
Enumeration Date 2006-09-14
Last Update Date 2009-11-19
Authorized Official Name DONNA M ANDERSON (OWNER)
Authorized Official Telephone 8146774045
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics MD072420L PA Allopathic & Osteopathic Physicians
Y 207R00000X Internal Medicine MD072420L PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA 0018239070003 05

Office Location

Street Address 204 CENTRAL AVE
City OIL CITY
State PA
Zip Code 16301-2738

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780239855 Darling Apothecary, LLC Pharmacy 811 Grandview Rd, Ste 200, Oil City, PA 16301 2019-08-06
1861859753 Michael Hopwood Counselor 815 Grandview Road, Oil City, PA 16301 2016-01-22
1639544430 Doni Nicholson Speech-Language Pathologist 10 Votech Dr., Oil City, PA 16301 2015-12-04
1083086672 Golden Living Oil City Skilled Nursing Facility 1293 Grandview Road, Oil City, PA 16301 2015-10-22
1235505157 Mary Radaker Counselor 370 North Seneca St, Oil City, PA 16301 2015-08-14
1063797025 June Marie Rice Counselor 337 Old Kahle Rd, Oil City, PA 16301 2011-10-20
1881982056 Daniel James Hughes Physical Therapist 10 Vo-tech Drive, Oil City, PA 16301 2011-07-21
1376789214 Thomas Organization, LLC Foster Care Agency 302 Seneca Street, Seneca Centre 2nd Floor, Oil City, PA 16301 2008-12-24
1013035161 Family Service and Children's Aid Society of Venango County Community/Behavioral Health 29 Pearl Avenue, Oil City, PA 16301 2007-03-27
1013074426 Leon S Kulinski Dentist 207 Center Street, Oil City, PA 16301 2007-01-03
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184751968 Upmc Community Medicine Inc Internal Medicine 1 Memorial Dr, Oil City, PA 16301-1341 2007-02-27
1629144217 Saiqua A Waien Internal Medicine 1 Memorial Drive, Oil City, PA 16301-1341 2006-11-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1558976092 Upmc Community Medicine, Inc Internal Medicine 5215 Centre Ave Ste 100, Pittsburgh, PA 15232-1303 2020-09-11
1386256881 Vpa PC Internal Medicine 1055 Westlakes Dr Ste 3152, Berwyn, PA 19312-2410 2020-08-18
1609485168 Allegheny Clinic Internal Medicine 1748 Jancey Street, Pittsburgh, PA 15206-1100 2020-07-30
1720696099 Sai Charan Vedula Internal Medicine Einstein Medical Center Montgomery, 559 West Germantown Pike, East Norriton, PA 19403 2020-07-22
1942818703 Abraham Attah Internal Medicine 307 Federal Street, Suite B300, Pittsburgh, PA 15212 2020-07-17
1881212199 Mobile Doctors Internal Medicine 925 E Butter Rd, York, PA 17406-6019 2020-07-13
1528685492 Shilpa Salpekar Internal Medicine St. Lukes Internal Medicine (easton), 400 S Greenwood Ave, Easton, PA 18045 2020-06-26
1427674407 Jun Song Internal Medicine 3401 N Broad St Ste 801, Philadelphia, PA 19140-5103 2020-06-24
1932725264 Aaron Leo Yazdian Internal Medicine 1335 South St Apt A, Philadelphia, PA 19147-1841 2020-06-23
1144846387 Rishabh Khatri Internal Medicine 322 N Broad St Apt 1523, Philadelphia, PA 19102-1122 2020-06-23
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Competitor

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City OIL CITY
Zip Code 16301

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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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