MAINLINE MEDICAL ASSOCIATES, INC. (NPI# 1205977642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205977642 |
| Entity Type | Organization |
| Organization Name | MAINLINE MEDICAL ASSOCIATES, INC. |
| Practice Address |
792 Gallitzin Rd Cresson PA 16630-2213 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 8148868161 |
| Mailing Telephone | 8586252990 |
| Mailing Fax Number | 8586252999 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2012-10-17 |
| Authorized Official Name | KENNY HEINE (DIR. OF OPERATIONS) |
| Authorized Official Telephone | 8586252990 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | MD023791E | PA | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366583700 | Mainline Medical Associates, Inc. | Non-Pharmacy Dispensing Site | 1400 9th Ave, Altoona, PA 16602-2415 | 2007-02-09 |
| Street Address |
792 GALLITZIN RD |
| City | CRESSON |
| State | PA |
| Zip Code | 16630-2213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285604561 | Stephanie S Young | Family Medicine | 792 Gallitzin Rd, Cresson, PA 16630-2213 | 2006-01-26 |
| 1346693736 | Corey Millward | Physical Therapy Assistant | 792 Gallitzin Rd, Cresson, PA 16630-2213 | 2016-07-20 |
| 1316394604 | Lindsay Marie Brescia | Family Medicine | 792 Gallitzin Rd, Cresson, PA 16630-2213 | 2016-05-17 |
| 1033353552 | Billie Lynn Lewis | Physician Assistant | 792 Gallitzin Rd, Cresson, PA 16630-2213 | 2009-04-28 |
| 1083879860 | Christopher Lynn Aaron | Family Medicine | 792 Gallitzin Rd, Cresson, PA 16630-2213 | 2008-07-22 |
| 1962515932 | Christopher L George | Physician Assistant | 792 Gallitzin Rd, Cresson, PA 16630-2213 | 2006-08-16 |
| 1023121076 | Tony Drummond | Physician Assistant | 792 Gallitzin Rd, Cresson, PA 16630-2213 | 2006-08-16 |
| 1609989771 | Liva R Marasco | Physician Assistant | 792 Gallitzin Rd, Cresson, PA 16630-2213 | 2006-08-15 |
| 1710957097 | Dawn M Repko | Family Medicine | 792 Gallitzin Rd, Cresson, PA 16630-2213 | 2006-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740490291 | Heide Sedwick | Psychologist | 511 C Front Street, Cresson, PA 16630 | 2007-05-23 |
| 1639178437 | Patrick K. Lenz | Family Medicine | 792 Gallitzin Road, Cresson, PA 16630 | 2005-07-14 |
| 1275816001 | Danette George | Physician Assistant | 792 Gallitzin Road, Cresson, PA 16630 | 2011-09-28 |
| 1225008519 | Lawrence R. Stem | Family Medicine | 792 Gallitzin Road, Cresson, PA 16630 | 2006-01-26 |
| 1760452023 | Mitchell W Joseph | Family Medicine | 792 Gallitzin Road, Cresson, PA 16630 | 2006-01-26 |
| 1962813170 | Stephen Tomlinson | Behavioral Analyst | 310 North Ave, Cresson, PA 16630-1000 | 2014-05-12 |
| 1811291081 | Jesika Sue Leleck | Counselor | 1518 W 2nd St Apt 3, Cresson, PA 16630-1022 | 2011-01-03 |
| 1275148363 | Alicia Jean Shedlock | Nurse Practitioner | 530 Gwinn Ave, Cresson, PA 16630-1056 | 2020-09-15 |
| 1316347941 | Mainline Vision and Eye Wear LLC | Eyewear Supplier (Equipment, not the service) | 701 Front St, Cresson, PA 16630-1114 | 2014-09-02 |
| 1639465164 | Ashley Marie Mastrine | Optometrist | 701 Front St, Cresson, PA 16630-1114 | 2011-06-23 |
| Find all providers in zip 16630 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245372895 | Conemaugh Health Initiatives, Inc. | Non-Pharmacy Dispensing Site | 225 Keystone Ave, Cresson, PA 16630-1214 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932723806 | Cerner Health Connections, Inc | Non-Pharmacy Dispensing Site | 719 Dresher Rd Ste B, Horsham, PA 19044-2205 | 2020-06-05 |
| 1144844507 | Diamond Drugs, Inc. | Non-Pharmacy Dispensing Site | 665 Kolter Dr, Indiana, PA 15701-3570 | 2020-06-02 |
| 1023655602 | Dedicated Pennsylvania Holding, LLC | Non-Pharmacy Dispensing Site | 330 W Oregon Ave # 170, Philadelphia, PA 19148-4723 | 2019-12-03 |
| 1275193336 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 103 Nesbitt Rd, New Castle, PA 16105-3401 | 2019-06-19 |
| 1770141491 | R&r Eyewear Imports, Inc. | Non-Pharmacy Dispensing Site | 311 W Moreland Rd, Willow Grove, PA 19090-3107 | 2019-05-29 |
| 1174089858 | Centers for Advanced Urology, LLC | Non-Pharmacy Dispensing Site | 400 Davis Dr Ste 200a, Plymouth Meeting, PA 19462-1718 | 2019-02-18 |
| 1811469760 | Dermatology and Mohs Surgery Center PC | Non-Pharmacy Dispensing Site | 920 Lawn Ave Ste 6, Sellersville, PA 18960-1560 | 2018-12-17 |
| 1437624244 | Highpoint Pain & Rehabilitation Physicians | Non-Pharmacy Dispensing Site | 2 Village Road, Horsham, PA 19044 | 2018-10-08 |
| 1649768110 | Qpharma Inc | Non-Pharmacy Dispensing Site | 20 Highland Park Dr Ste 202, Uniontown, PA 15401-8968 | 2018-04-30 |
| 1215424536 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 1321 Fifth Ave Ste 1, Mckeesport, PA 15132-2403 | 2018-04-23 |
| Find all providers with the same taxonomy | ||||
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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.