SKILLED MEDPROS (NPI# 1215339601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215339601 |
| Entity Type | Organization |
| Organization Name | SKILLED MEDPROS |
| Practice Address |
222 Fallen Timber Dr Du Bois PA 15801-5808 |
| Practice Telephone | 8145912495 |
| Practice Fax Number | 8668321744 |
| Mailing Telephone | 8145912495 |
| Mailing Fax Number | 8668321744 |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2014-09-17 |
| Authorized Official Name | TIMOTHY CLARK SIMPSON (M.D.) |
| Authorized Official Telephone | 8145912495 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD074428-L | PA | Allopathic & Osteopathic Physicians |
| Street Address |
222 FALLEN TIMBER DR |
| City | DU BOIS |
| State | PA |
| Zip Code | 15801-5808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215551452 | Grace Polohonki | Counselor | 490 Jefers Street, Dubois, PA 15801 | 2020-06-03 |
| 1144869231 | Richard Lee Kerstetter II | Hearing Instrument Specialist | 124 San Juan Rd, Du Bois, PA 15801 | 2020-01-06 |
| 1700368487 | Holly Noel Knoll | Counselor | 490 Jeffers Street, Dubois, PA 15801 | 2018-08-30 |
| 1992298160 | Dubois Regional Medical Center | Family Medicine | 145 Hospital Ave Ste 315, Du Bois, PA 15801 | 2018-06-12 |
| 1154814846 | Sara Beth Stone | Dietitian, Registered | 16288 Treasure Lk, Du Bois, PA 15801 | 2018-06-07 |
| 1942790779 | Wendi Dawn Wenzel | Counselor | 490 Jeffers St., Dubois, PA 15801 | 2018-05-17 |
| 1144748443 | Nancy Foradora | Massage Therapist | 200 Narrows Creek Park Road, Dubois, PA 15801 | 2017-09-07 |
| 1679098891 | Deborah Jean Mitchell | Hearing Instrument Specialist | 900 Beaver Drive, Dubois, PA 15801 | 2017-08-09 |
| 1861937757 | Shaun M Kanouff | Counselor | 100 Caldwell Dr., Dubois, PA 15801 | 2016-12-30 |
| 1164897740 | Drayer Physical Therapy Institute LLC | Physical Therapist | 873 Beaver Drive, Dubois, PA 15801 | 2015-12-08 |
| Find all providers in zip 15801 | ||||
| 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 |
|---|---|---|---|---|
| 1992298160 | Dubois Regional Medical Center | Family Medicine | 145 Hospital Ave Ste 315, Du Bois, PA 15801 | 2018-06-12 |
| 1346546090 | Ulrike Shaon Donahue | Family Medicine | 51 Delaware St, Ste 1, Du Bois, PA 15801-2764 | 2011-01-28 |
| 1053562207 | Dubois Regional Medical Center | Family Medicine | 145 Hospital Ave Ste 205, Du Bois, PA 15801-1464 | 2008-10-07 |
| 1104991777 | Rene L Wells | Family Medicine | 90 Beaver Dr Bldg C, Du Bois, PA 15801-2440 | 2006-11-21 |
| 1356459770 | Shirish N Shah | Family Medicine | 1383 Treasure Lk, Du Bois, PA 15801-9033 | 2006-08-27 |
| 1780614511 | Renee M. Allenbaugh | Family Medicine | 100 Meadow Ln, Suite 4, Du Bois, PA 15801-2460 | 2006-07-04 |
| 1780688366 | Michael M Hall | Family Medicine | 145 Hospital Ave, Ste 104, Du Bois, PA 15801-1463 | 2005-06-10 |
| 1821509050 | Sonja Venter | Family Medicine | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2017-10-16 |
| 1043736341 | Chun-yu Lee | Family Medicine | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2017-08-17 |
| 1730624164 | Healthy Living Family Medicine Pllc | Family Medicine | 51 Delaware St, Ste 1, Du Bois, PA 15801-2764 | 2016-12-20 |
| Find all providers in DU BOIS | ||||
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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.