TYLERDALE FAMILY MEDICINE PC (NPI# 1194794057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194794057 |
| Entity Type | Organization |
| Organization Name | TYLERDALE FAMILY MEDICINE PC |
| Practice Address |
151 N Franklin St Washington PA 15301-4307 |
| Practice Telephone | 7242227240 |
| Mailing Telephone | 7242227240 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2009-10-27 |
| Authorized Official Name | DENNIS KITSKO (PRESIDENT) |
| Authorized Official Telephone | 7242227240 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK BS/KHPW | 124474 | 01 |
| PA | 0009402480001 | 05 |
| Street Address |
151 N FRANKLIN ST |
| City | WASHINGTON |
| State | PA |
| Zip Code | 15301-4307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841649126 | William Sharpnack | Family Medicine | 151 N Franklin St, Washington, PA 15301-4378 | 2016-06-08 |
| 1912372525 | Preferred Primary Care Physicians | Internal Medicine | 151 N Franklin St, Washington, PA 15301-4378 | 2015-12-08 |
| 1396023099 | Katie E Uram | Nurse Practitioner | 151 N Franklin St, Washington, PA 15301 | 2011-07-28 |
| 1538318233 | Joshua Goodrum | Family Medicine | 151 N Franklin St, Washington, PA 15301-4307 | 2008-09-17 |
| 1174592760 | Sean R Kelly | Internal Medicine | 151 N Franklin St, Washington, PA 15301-4307 | 2006-03-16 |
| 1548239429 | Nicholas E Fuerst | Family Medicine | 151 N Franklin St, Washington, PA 15301-4307 | 2006-03-14 |
| 1134198021 | Dennis Kitsko | Family Medicine | 151 N Franklin St, Washington, PA 15301-4307 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629601208 | Tammi Kathleen Hanak | Speech-Language Pathologist | 2212 Shawnee Drive, Address Line 2, Washington, PA 15301 | 2020-02-21 |
| 1922652460 | Shannon Rouse | Nurse Practitioner | 95 Leonard Avenue Building 2 2nd Floor, Washington, PA 15301 | 2019-08-01 |
| 1700352291 | Heather Mcvay PC | Clinic/Center | 2112 North Franklin Dr, Suite 3, Washington, PA 15301 | 2018-10-23 |
| 1689169880 | Oper King | Counselor | 8 Oliver Rd, Oliver Square Suite 116, Uniontown, PA 15301 | 2018-06-29 |
| 1609374701 | Centerville Clinics Inc | Social Worker | 201 Allison Ave, Washington High School, Washington, PA 15301 | 2018-01-24 |
| 1902304009 | Centerville Clinics, Inc. | Social Worker | 50 Scenic Drive, Trinity Middle School, Washington, PA 15301 | 2018-01-24 |
| 1780182873 | Centerville Clinics, Inc | Social Worker | 252 Cameron Road, Trinity East Elementary School, Washington, PA 15301 | 2018-01-24 |
| 1700384807 | Centerville Clinics Inc | Social Worker | 801 East Wheeling St., Washington Park Elementary, Washington, PA 15301 | 2018-01-24 |
| 1992203095 | Centerville Clinics Inc | Social Worker | 2500 South Main St Ext., Trinity South Elementary School, Washington, PA 15301 | 2018-01-24 |
| 1578061784 | Centerville Clinics, Inc. | Social Worker | 225 Midland Drive, Trinity North Elelmentary School, Washington, PA 15301 | 2018-01-23 |
| Find all providers in zip 15301 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598314908 | Centerville Clinics Inc | Family Medicine | Centerville Clinics - City Mission Site, 84 W Wheeling Street, Washington, PA 15301-6918 | 2019-09-09 |
| 1912487380 | James Elwood Richardson | Family Medicine | 270 Shady Ln, Washington, PA 15301-2536 | 2018-08-15 |
| 1851829709 | Jason Snavely | Family Medicine | 95 Leonard Ave Bldg 22nd, Washington, PA 15301-3368 | 2017-05-23 |
| 1760923361 | Natasha Khawaja | Family Medicine | Upper Cardozo Community Health Center, 320 14th Street Nw, Washington, DC 20009 | 2017-03-15 |
| 1992158364 | Ok Hee Rhee | Family Medicine | 6 Club House Dr Ste 102, Washington, NJ 07882-2213 | 2016-07-20 |
| 1154738193 | Presidential Healthcare Center | Family Medicine | 5215 Loughboro Road Nw, Suite 470, Washington, DC 20016 | 2014-07-22 |
| 1174936686 | Andrew Moss | Family Medicine | 6121 32nd St Nw, Washington, DC 20015-2459 | 2014-06-03 |
| 1417367814 | Fri Awasum | Family Medicine | 2041 Georgia Ave Nw Faclty Practice Plan Suite 3200, Washington, DC 20060-7232 | 2014-05-07 |
| 1982024378 | Robert Latham Baillieu | Family Medicine | 1400 I (eye) Street Nw, Suite 825, Washington, DC 20005 | 2014-04-24 |
| 1003233453 | Jennifer Carlton | Family Medicine | 64580 Van Dyke Rd Ste C, Washington, MI 48095-2811 | 2014-03-24 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 15301 |
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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.