MOUNT NITTANY MEDICAL CENTER (NPI# 1235339243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235339243 |
Entity Type | Organization |
Organization Name | MOUNT NITTANY MEDICAL CENTER |
Other Organization Name | MOUNT NITTANY MEDICAL CENTER ORTHOTICS SUPPLIER |
Practice Address |
120 Radnor Rd Mnmc - Orthotics State College PA 16801-7970 |
Mailing Address |
1800 E Park Ave State College PA 16803-6701 |
Practice Telephone | 8142317125 |
Practice Fax Number | 8142384167 |
Enumeration Date | 2007-07-19 |
Last Update Date | 2008-07-11 |
Authorized Official Name | MR. RICHARD WISNIEWSKI (SR. V.P. OF FINANCE AND CFO) |
Authorized Official Telephone | 8142346148 |
Authorized Official Credential | CPA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 100746655 0020 | 05 |
Other Name | Type Code |
---|---|
Mount Nittany Medical Center Orthotics Supplier | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528321015 | Mount Nittany Medical Center | Anesthesiology | 1800 E Park Ave, State College, PA 16803-6709 | 2012-06-19 |
1215102355 | Mount Nittany Medical Center | General Acute Care Hospital | 120 Radnor Rd, State College, PA 16801-7970 | 2008-04-29 |
1598930638 | Mount Nittany Medical Center | General Acute Care Hospital | 120 Radnor Rd, State College, PA 16801-7970 | 2008-04-29 |
1346371507 | Mount Nittany Medical Center | General Acute Care Hospital | 1800 E Park Ave, State College, PA 16803-6701 | 2007-03-08 |
1780752378 | Mount Nittany Medical Center | Clinic/Center | 1800 E Park Ave, State College, PA 16803-6701 | 2006-12-01 |
1780750620 | Mount Nittany Medical Center | Clinic/Center | 1850 E Park Ave, State College, PA 16803-6706 | 2006-11-24 |
1104991801 | Mount Nittany Medical Center | Clinic/Center | 911 University Dr, State College, PA 16801-6626 | 2006-11-21 |
1710958251 | Mount Nittany Medical Center | Psychiatric Unit | 1800 E Park Ave, State College, PA 16803-6701 | 2006-02-01 |
1730173154 | Mount Nittany Medical Center | General Acute Care Hospital | 1800 E Park Ave, State College, PA 16803-6701 | 2005-08-31 |
1912906207 | Mount Nittany Medical Center | Ambulance | 1800 E Park Ave, State College, PA 16803-6701 | 2005-07-19 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | MOUNT NITTANY MEDICAL CENTER | 1800 E Park Ave, State College, PA 16803-6709 |
Street Address |
120 RADNOR RD MNMC - ORTHOTICS |
City | STATE COLLEGE |
State | PA |
Zip Code | 16801-7970 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689608127 | Mark R Shaw | Emergency Medicine | 120 Radnor Rd, Ste 100, State College, PA 16801 | 2006-07-10 |
1215102355 | Mount Nittany Medical Center | General Acute Care Hospital | 120 Radnor Rd, State College, PA 16801-7970 | 2008-04-29 |
1598930638 | Mount Nittany Medical Center | General Acute Care Hospital | 120 Radnor Rd, State College, PA 16801-7970 | 2008-04-29 |
1245418334 | Mount Nittany Medical Center Health Services Inc | Clinic/Center | 120 Radnor Rd, State College, PA 16801-7970 | 2008-01-31 |
1437230414 | Stacy Merrow | Physician Assistant | 120 Radnor Rd, Ste 100, State College, PA 16801-7970 | 2006-10-18 |
1215944160 | Christine Louise Tichansky | Emergency Medicine | 120 Radnor Rd, Ste 100, State College, PA 16801-7970 | 2006-08-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851880975 | Creative Reflections Counseling, LLC | Counselor | 315 S Allen St Ste 124b, State College, PA 16801 | 2018-05-03 |
1679097901 | Michelle L Grove | Home Health Aide | 2100 E College Ave Ste B, State College, PA 16801 | 2017-07-28 |
1740702034 | Matthew Ishler | Counselor | 315 S. Allen Street Ste 326, State College, PA 16801 | 2017-07-09 |
1699206300 | Emily Lauer | Specialist/Technologist | 102a Multisport Indoor Facility, State College, PA 16801 | 2017-03-23 |
1740721075 | Luk Devorski | Student in an Organized Health Care Education/Training Program | Rec Hall University Park, Penn State University, State College, PA 16801 | 2017-03-20 |
1013465764 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 201 West Beaver Avenue, State College, PA 16801 | 2016-09-12 |
1740685858 | Mallory L. Miller | Physician Assistant | 100 Radnor Rd Ste 101, State College, PA 16801 | 2014-10-31 |
1386053981 | Christopher Hippenmeyer | Specialist/Technologist | 102a East Area Locker Building, Pennsylvania State University, University Park, PA 16801 | 2014-08-07 |
1982022059 | Christy Sharer | Counselor | 301 S Allen St Ste 106, State College, PA 16801 | 2014-04-04 |
1912250523 | Eva M Letwin | Counselor | 2011 Cato Ave Ste 201, State College, PA 16801 | 2012-10-19 |
Find all providers in zip 16801 |
Taxonomy Code | 335E00000X |
Grouping | Suppliers |
Classification | Prosthetic/Orthotic Supplier |
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902039381 | Janise L. Crow | Prosthetic/Orthotic Supplier | 2518 Sleepy Hollow Dr, State College, PA 16803-2226 | 2009-09-01 |
1003199084 | Easter Seals Central Pa | Prosthetic/Orthotic Supplier | 383 Rolling Ridge Dr, State College, PA 16801-7679 | 2011-09-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366041030 | Lawall At Hershey, Inc | Prosthetic/Orthotic Supplier | 2020 Good Hope Rd Lawall At Hershey Inc, Suite 220, 2nd Floor, Enola, PA 17025-1237 | 2020-10-22 |
1518573435 | Harry J. Lawall & Son, Inc. | Prosthetic/Orthotic Supplier | 21 N Main St,harry J. Lawall & Son, Inc, Suite 3, Coopersburg, PA 18036-1561 | 2020-09-16 |
1386257871 | Shi Shi Collection | Prosthetic/Orthotic Supplier | 6128 W Jefferson St, Philadelphia, PA 19151-3902 | 2020-08-25 |
1003438177 | Tosi's Hair Replacement Clinic, Inc. | Prosthetic/Orthotic Supplier | 390 Slocum Ave, Exeter, PA 18643-1194 | 2020-05-12 |
1750900114 | Experience Lemieux | Prosthetic/Orthotic Supplier | 900 N 19th St Unit 3247, Philadelphia, PA 19130-1561 | 2020-04-15 |
1164055620 | Hanger Prosthetics & Orthotics Inc | Prosthetic/Orthotic Supplier | 20421 Route 19 Ste 100, Cranberry Township, PA 16066-7514 | 2020-02-12 |
1730711193 | Lvhn Scranton Orthopedic Specialists | Prosthetic/Orthotic Supplier | 334 Main St Ste 2, Dickson City, PA 18519-1668 | 2020-02-04 |
1528607223 | Agape Traders | Prosthetic/Orthotic Supplier | 562 Independence Rd Ste 142, East Stroudsburg, PA 18301-9702 | 2019-12-27 |
1891337051 | Pamela Howard | Prosthetic/Orthotic Supplier | 5805 Germantown Ave Fl 2, Philadelphia, PA 19144-2138 | 2019-10-09 |
1174172647 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 250 Cetronia Rd Ste 306, Allentown, PA 18104-9168 | 2019-09-08 |
Find all providers with the same taxonomy |
City | STATE COLLEGE |
Zip Code | 16801 |
Please comment or provide details below to improve the information on MOUNT NITTANY MEDICAL CENTER.
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.