DR. MICHAEL BENJAMIN KUCZMARSKI (NPI# 1205017092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205017092 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL BENJAMIN KUCZMARSKI |
| Credential | DO |
| Practice Address |
529 Terry Reiley Way Pottsville PA 17901-1774 |
| Practice Telephone | 5706244444 |
| Mailing Telephone | 5706244444 |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2008-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS014538 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
529 TERRY REILEY WAY |
| City | POTTSVILLE |
| State | PA |
| Zip Code | 17901-1774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720052533 | Thomas R. Beausang | Pediatrics | 529 Terry Reiley Way, Pottsville, PA 17901 | 2006-02-16 |
| 1821553835 | Corrine Ann Joy | Nurse Practitioner | 529 Terry Reiley Way, Pottsville, PA 17901-1774 | 2019-02-04 |
| 1538630439 | Mary Louise Hayes | Registered Nurse | 529 Terry Reiley Way, Pottsville, PA 17901-1774 | 2018-12-17 |
| 1487162699 | Joab Zephaniah Magara | Nurse Practitioner | 529 Terry Reiley Way, Pottsville, PA 17901-1774 | 2018-01-22 |
| 1669910873 | Lynanne Lee Przywara | Pharmacist | 529 Terry Reiley Way, Pottsville, PA 17901-1774 | 2017-02-08 |
| 1376092585 | Sarah Stern | Physician Assistant | 529 Terry Reiley Way, Pottsville, PA 17901-1774 | 2016-09-28 |
| 1043671175 | Cassandra Kessock | Pediatrics | 529 Terry Reiley Way, Pottsville, PA 17901-1774 | 2016-03-17 |
| 1699145037 | Laura Brehm | Counselor | 529 Terry Reiley Way, Pottsville, PA 17901-1774 | 2015-09-28 |
| 1902284821 | Christian Shuman | Family Medicine | 529 Terry Reiley Way, Pottsville, PA 17901 | 2015-05-12 |
| 1609200450 | Monika Parikh | Psychologist | 529 Terry Reiley Way, Pottsville, PA 17901-1774 | 2013-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013409762 | Culture2culture, Inc. | Community/Behavioral Health | 110 E Arch St Fl 1, Pottsville, PA 17901 | 2018-05-30 |
| 1376059444 | Stacie Marie Herring | Registered Nurse | 1400 Laurel Boulevard, Pottsville, PA 17901 | 2017-12-27 |
| 1477092567 | Dr. Scott Rosenthal, P.C. | Pain Medicine | 48 Tunnel Rd Ste 202, Pottsville, PA 17901 | 2017-02-22 |
| 1932573268 | Allied Health Care Services | Community/Behavioral Health | 320 N Second St, Pottsville, PA 17901 | 2015-11-24 |
| 1417344862 | Megan Heffron-foose | Behavioral Analyst | 221 Mahantongo Street, Pottsville, PA 17901 | 2015-04-23 |
| 1326443417 | Richard Adam Haycock | Psychiatry & Neurology | 16 South Centre St, Pottsville, PA 17901 | 2014-10-31 |
| 1245647296 | Maria Gustis | Counselor | 100 Greenbriar Road, Pottsville, PA 17901 | 2014-07-22 |
| 1790198398 | Michelle Chilinskas | Pharmacist | 500 N Claude Lord Blvd, Pottsville, PA 17901 | 2014-06-11 |
| 1952720153 | Darcie Nan Roeder | Physical Therapy Assistant | 700 E Norwegian St., Pottsville, PA 17901 | 2014-04-15 |
| 1205180858 | Rocky Mountain Holdings LLC | Ambulance | 1394 Cedar St, Pottsville, PA 17901 | 2012-11-05 |
| Find all providers in zip 17901 | ||||
| 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 |
|---|---|---|---|---|
| 1083641260 | Stephen Evans | Family Medicine | 200 Schuylkill Medical Plz, Pottsville, PA 17901-3660 | 2006-06-26 |
| 1073583332 | Carl J Forster | Family Medicine | 13 S Centre St, Pottsville, PA 17901-3003 | 2006-01-26 |
| 1144843897 | Img Nursing Home Care, P.C. | Family Medicine | 82 Tunnel Rd, Pottsville, PA 17901-3869 | 2020-05-28 |
| 1063073823 | Schuylkill Health System Medical Group, Inc. | Family Medicine | 200 Schuylkill Medical Plz, Pottsville, PA 17901-3660 | 2019-06-24 |
| 1124583570 | Mei Ling Zheng | Family Medicine | 205 E Laurel Blvd, Pottsville, PA 17901-2534 | 2019-02-08 |
| 1811446206 | Conway Regional Medical Center Inc. | Family Medicine | 5395 W Ash St, Suite 2, Pottsville, AR 72858-9170 | 2016-09-26 |
| 1902284821 | Christian Shuman | Family Medicine | 529 Terry Reiley Way, Pottsville, PA 17901 | 2015-05-12 |
| 1851731061 | Anthony Tri Le | Family Medicine | 529 Terry Reiley Way, Pottsville, PA 17901-6022 | 2013-07-02 |
| 1184935934 | Erwin Jinho Choi | Family Medicine | 529 Terry Reiley Way, Pottsville, PA 17901-1774 | 2010-06-27 |
| 1306089222 | Manish Kumar Mishra | Family Medicine | 700 Schuylkill Manor Rd, Suuite 5a, Pottsville, PA 17901-3849 | 2009-04-07 |
| Find all providers in POTTSVILLE | ||||
| City | POTTSVILLE |
| Zip Code | 17901 |
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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.