KINGSTON OPHTHALMOLOGY ASC LLC (NPI# 1245203405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245203405 |
| Entity Type | Organization |
| Organization Name | KINGSTON OPHTHALMOLOGY ASC LLC |
| Other Organization Name | KINGSTON SURGERY CENTER |
| Practice Address |
601 Wyoming Ave Kingston PA 18704-3701 |
| Practice Telephone | 5702887405 |
| Practice Fax Number | 5707140419 |
| Mailing Telephone | 5702887405 |
| Mailing Fax Number | 5707140419 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2014-04-03 |
| Authorized Official Name | MR. PHILLIP A CLENDENIN (PRESIDENT) |
| Authorized Official Telephone | 6156651283 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
94941500 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | BLUE CROSS | 999035 | 01 |
| PA | MEDICAL ASSISTANCE | 001696312001 | 01 |
| PA | 01835908 | 05 | |
| PA | FIRST PRIORITY HEALTH | 804568 | 01 |
| PA | RAILROAD MEDICARE | 490003620 | 01 |
| Other Name | Type Code |
|---|---|
| Kingston Surgery Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396919825 | Kingston Ophthalmology Asc LLC | Anesthesiology | 601 Wyoming Ave, Kingston, PA 18704-3701 | 2008-04-16 |
| Street Address |
601 WYOMING AVE |
| City | KINGSTON |
| State | PA |
| Zip Code | 18704-3701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912906090 | Renee A. Monahan | Audiologist | 601 Wyoming Ave, Kingston, PA 18704-3701 | 2005-07-20 |
| 1356966840 | John Giampietro | Physical Therapist | 601 Wyoming Ave, Kingston, PA 18704-3701 | 2020-06-10 |
| 1356799274 | Joseph Motzko | Audiologist | 601 Wyoming Ave, Kingston, PA 18704-3701 | 2016-06-01 |
| 1619323516 | Celtic Healthcare of Ne Pa, Inc. | Nurse Practitioner | 601 Wyoming Ave, Kingston, PA 18704-3701 | 2016-05-10 |
| 1487955290 | Celtic Healthcare of Ne Pa, Inc. | Hospice Care, Community Based | 601 Wyoming Ave, Kingston, PA 18704-3701 | 2010-11-10 |
| 1215238548 | Celtic Healthcare of Ne Pa, Inc. | Home Health | 601 Wyoming Ave, Kingston, PA 18704-3701 | 2010-11-03 |
| 1396919825 | Kingston Ophthalmology Asc LLC | Anesthesiology | 601 Wyoming Ave, Kingston, PA 18704-3701 | 2008-04-16 |
| 1386812923 | The Hearing Center of Northeast Pennsylvania LLC | Audiologist-Hearing Aid Fitter | 601 Wyoming Ave, Kingston, PA 18704-3701 | 2008-02-18 |
| 1871701870 | Louis R Sieminski | Audiologist | 601 Wyoming Ave, Kingston, PA 18704-3701 | 2007-05-21 |
| 1528286663 | William J Scott Jr Ms | Psychologist | 601 Wyoming Ave, Kingston, PA 18704-3701 | 2007-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013557552 | Millmark Health Inc. | Psychiatry & Neurology | 511 Pierce Street, Kingston, PA 18704 | 2020-01-13 |
| 1427550334 | Michael Anthony Waltich | Military Health Care Provider | 82 Cooper Street, Pringle, PA 18704 | 2018-03-06 |
| 1376088435 | Jae LLC | Massage Therapist | 512 Northhampton Street, Edwardsville, PA 18704 | 2016-12-28 |
| 1306278288 | Mohammad Khaled Tashkandi | Internal Medicine | 490 Northampton St Ste 1, Edwardsville, PA 18704 | 2013-08-02 |
| 1396180014 | Sammie Craven IIi | Pharmacist | 96 1st Avenue, Kingston, PA 18704 | 2013-05-08 |
| 1447693114 | Catherine Mary Harding | Nurse Practitioner | 141 South Maple Ave, Kingston, PA 18704 | 2013-04-12 |
| 1861781403 | Jennifer Ann Richards | Pharmacist | 22 West Side Mall, Edwardsville, PA 18704 | 2011-04-05 |
| 1558512772 | Jolon Theresa Sherin | Speech-Language Pathologist | 1825 Sans Souci Highway, Hanover, PA 18704 | 2008-10-07 |
| 1932361102 | Kari Ann Pietralczyk | Audiologist | 190 Welles Street, Forty-fort, PA 18704 | 2008-06-30 |
| 1467584151 | John Christopher Storti | Chiropractor | 180 United Penn Plaza, Kingston, PA 18704 | 2007-03-09 |
| Find all providers in zip 18704 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487891016 | Foxhall Ambulatory Surgery Center | Clinic/Center | 64 Jansen Ave, Kingston, NY 12401-9989 | 2009-01-20 |
| 1831259795 | Grand Street Gastroenterology, Inc. | Clinic/Center | 33 Grand St, Kingston, NY 12401-3933 | 2006-12-11 |
| 1871729111 | Riverview Ambulatory Surgical Center, LLC | Clinic/Center | 423 3rd Ave, Suite D, Kingston, PA 18704-5809 | 2009-06-01 |
| 1568471852 | Kingston Ambulatory Surgical Center | Clinic/Center | 40 Hurley Ave, Suite 13, Kingston, NY 12401-3739 | 2006-08-05 |
| 1811981145 | Riverview Ambulatory Surgical Center LLC | Clinic/Center | 423 3rd Ave, Suite D, Kingston, PA 18704 | 2005-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871108068 | Tilden Ambulatory Surgery Center, LLC | Clinic/Center | 61 Industrial Dr, Hamburg, PA 19526-8768 | 2020-09-14 |
| 1447862834 | Us Cardio Washington LLC | Clinic/Center | 1000 Park Place Dr Ste 201, Washington, PA 15301-2064 | 2020-08-18 |
| 1518575778 | Eye Surgery of The Main Line, LLC | Clinic/Center | 333 E City Avenue, Two Bala Plaza, Bala Cynwyd, PA 19004-1501 | 2020-07-14 |
| 1053934919 | Doylestown Surgery Center, LLC | Clinic/Center | 593 West State Street, Doylestown, PA 18901 | 2020-05-26 |
| 1811534555 | Midlantic Urology Surgery Center, LLC | Clinic/Center | Valley Forge Office Center, Suite 100, 676-656 East Swedesford Road, Wayne, PA 19087 | 2019-12-02 |
| 1750927190 | Hermitage Endoscopy Center Inc | Clinic/Center | 949 N Hermitage Road, Hermitage, PA 16148 | 2019-11-20 |
| 1508400920 | Nazareth Endoscopy Center, LLC | Clinic/Center | 2401 Northampton St Ste 220, Easton, PA 18045-2764 | 2019-10-29 |
| 1235788878 | Integrated Surgical Institute, LLC | Clinic/Center | West Ridge Business Campus, 1001 James Drive, Leesport, PA 19533 | 2019-09-06 |
| 1841759040 | Beaver Valley Ambulatory Surgery Center, LLC | Clinic/Center | 79 Wagner Road, Suite 101, Monaca, PA 15061-2489 | 2019-03-18 |
| 1669931861 | Urology Health Surgery Center, LLC | Clinic/Center | 1974 Sproul Rd Ste 104, Broomall, PA 19008-3402 | 2019-03-18 |
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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.