MR. MARK CRUCIANI (NPI# 1235171646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235171646 |
| Entity Type | Individual |
| Full Name | MR. MARK CRUCIANI |
| Credential | MD |
| Practice Address |
1418 Wyoming Ave Scranton PA 18509 |
| Practice Telephone | 5703419730 |
| Practice Fax Number | 5703419731 |
| Mailing Telephone | 5703419730 |
| Mailing Fax Number | 5703419731 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2008-04-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
MD041260L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GEISINGER | 18787 | 01 | |
| PA | CHAMPUS | PC0196 | 01 |
| 1ST PRIORITY | 077077 | 01 | |
| PA | GEISINGER HEALTH | 12093 200 | 01 |
| PA | FEDERAL BLUE SHIELD | 614715 | 01 |
| PA | MEDPLUS | 73790 | 01 |
| HLTH NET | 2Y8654 | 01 | |
| AETNA | 505461 | 01 | |
| PA | AETNA | 505471 | 01 |
| PA | PA BLUE SHIELD | 614715 | 01 |
| PA | STERLING | E55838 | 01 |
| PA | FIRST PRIORITY LIFE | 614715 | 01 |
| Street Address |
1418 WYOMING AVE |
| City | SCRANTON |
| State | PA |
| Zip Code | 18509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700345279 | Michael Joseph Aronica | Physical Medicine & Rehabilitation | 1609 Jefferson Ave, Dunmore, PA 18509 | 2019-03-14 |
| 1467942888 | Mikayla Dynel Attwood | Specialist/Technologist | 2300 Adam's Ave, Scranton, PA 18509 | 2018-05-10 |
| 1497294417 | Brandt Chiropractic and Wellness, Pllc | Chiropractor | 1400 Monroe Ave, Suite 5, Dunmore, PA 18509 | 2017-02-23 |
| 1285088096 | Sara Talarico | Specialist/Technologist | 501 Vine Street, Scranton, PA 18509 | 2016-04-18 |
| 1700256906 | Thadeus Brandt | Chiropractor | 1439 Monroe Ave, Suite 5, Dunmore, PA 18509 | 2015-09-30 |
| 1164762209 | Andrew Joseph Voinski | Dentist | 2326 Boulevard Ave, Scranton, PA 18509 | 2013-02-27 |
| 1386991727 | Paul James Mcdonough Jr. | Counselor | 118 Monahan Avenue, Dunmore, PA 18509 | 2012-08-03 |
| 1639403611 | Primary Care Medical Associates, P.C. | Internal Medicine | 1416 Monroe Avenue, Suite 201, Dunmore, PA 18509 | 2009-09-24 |
| 1316131360 | Marywood University | Emergency Medicine | 2300 Adams Avenue, Oneill Center for Healthy Families, Scranton, PA 18509 | 2007-09-04 |
| 1831214535 | Kurt Paul Moran | Internal Medicine | 10 Greenridge Street, Suite#2, Scranton, PA 18509 | 2007-03-20 |
| Find all providers in zip 18509 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275519530 | Julio A Ramos | Internal Medicine | 501 Madison Ave, Scranton, PA 18510-2401 | 2005-12-19 |
| 1750358214 | Professional Orthopaedic Associates Ltd | Internal Medicine | 3 W Olive St, Ste 118, Scranton, PA 18508-2572 | 2006-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215570916 | Tower Drexel Academic Medical Group LLC | Internal Medicine | 219 N Broad St Fl 6, Philadelphia, PA 19107-1519 | 2019-10-25 |
| 1154980878 | Heritage Valley Medical Group, Inc. | Internal Medicine | 27 Heckel Rd Ste 207, Mc Kees Rocks, PA 15136-1673 | 2019-06-06 |
| 1730609991 | Pinnacle Health Regional Physicians | Internal Medicine | 1725 Oregon Pike Ste B107, Lancaster, PA 17601-4290 | 2017-06-20 |
| 1295268050 | Peter Callegari | Internal Medicine | 1803 Hawkweed Way, Malvern, PA 19355-8723 | 2017-04-09 |
| 1841652740 | Carole Dorsch | Internal Medicine | 2021 Garnet Rd, York, PA 17403-4205 | 2016-03-22 |
| 1144687336 | Rheumatology Care Center Pllc | Internal Medicine | 3551 Rhoads Ave, Newtown Square, PA 19073-3629 | 2016-01-20 |
| 1811372022 | Lancaster Medical Group, LLC | Internal Medicine | 1725 Oregon Pike Ste 107, Lancaster, PA 17601-4206 | 2015-07-29 |
| 1134527666 | Noble Medical Care | Internal Medicine | 6760 Market Street, 1st Floor, Upper Darby, PA 19082 | 2014-12-16 |
| 1962847772 | Philip J Dunn | Internal Medicine | 3615 Woodhaven Dr, Erie, PA 16506 | 2013-05-07 |
| 1093058877 | Kanchana Nilupul Herath | Internal Medicine | 1261 Division Highway, Ste 2, Philadelphia, PA 17522-8822 | 2013-03-31 |
| 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.