MOUNT NITTANY MEDICAL CENTER


Address: 120 Radnor Rd, Mnmc - Orthotics, State College, PA 16801-7970
Phone: 8142317125

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335E00000X Prosthetic/Orthotic Supplier Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PA 100746655 0020 05

Other Provider/Organization Names

Other Name Type Code
Mount Nittany Medical Center Orthotics Supplier Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 120 RADNOR RD
MNMC - ORTHOTICS
City STATE COLLEGE
State PA
Zip Code 16801-7970

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 335E00000X
Grouping Suppliers
Classification Prosthetic/Orthotic Supplier

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City STATE COLLEGE
Zip Code 16801

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Dataset Information

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.

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