CRAWFORD COUNTY SUB-SPECIALISTS GROUP (NPI# 1255585691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255585691 |
| Entity Type | Organization |
| Organization Name | CRAWFORD COUNTY SUB-SPECIALISTS GROUP |
| Practice Address |
765 Liberty St., Suite 204 Meadville Women's Care Meadville PA 16335 |
| Practice Telephone | 8143335697 |
| Mailing Telephone | 8143335697 |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2008-12-05 |
| Authorized Official Name | DAVID A POLAND (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 8143335031 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962729830 | Crawford County Sub-specialists Group | Surgery | 765 Liberty Street, Suite 203 Liberty Street Surgery, Meadville, PA 16335 | 2010-04-30 |
| 1558537308 | Crawford County Sub-specialists Group | Clinic/Center | 764 Kennedy St Suite 303, Infectious Disease and Travel Health of Meadville, Meadville, PA 16335 | 2008-05-01 |
| 1699077669 | Crawford County Sub-specialists Group | Family Medicine | 1009 Water St, Meadville, PA 16335-3465 | 2010-11-24 |
| 1225047335 | Crawford County Sub-specialists Group | Orthopaedic Surgery | 640 Alden St, Meadville, PA 16335-2348 | 2006-08-07 |
| Street Address |
765 LIBERTY ST., SUITE 204 MEADVILLE WOMEN'S CARE |
| City | MEADVILLE |
| State | PA |
| Zip Code | 16335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811533508 | Stacey Lynette Lantz | Physical Therapy Assistant | 11277 Vernon Place Road, Meadville, PA 16335 | 2019-11-18 |
| 1952874794 | Amy Lynn Weaver | Social Worker | Parkside Psychological Associates, 435 Chestnut Street, Meadville, PA 16335 | 2019-01-04 |
| 1013437789 | Raymond Walter Keller Jr. | Family Medicine | 735 Liberty St, Meadville, PA 16335 | 2017-06-23 |
| 1750735742 | Nicole Fies | Counselor | 201 Chestnut Street, Floor 2, Meadville, PA 16335 | 2016-04-16 |
| 1760894422 | Amie S Coffman | Psychiatry & Neurology | 765 Liberty St Ste 303, Meadville, PA 16335 | 2014-05-28 |
| 1649609710 | Gina Marie Michalak | Pharmacist | 379 North Street, Meadville, PA 16335 | 2013-11-08 |
| 1518396704 | Cassandra Lynn Ketler | Physician Assistant | 847 North Main Street, Meadville, PA 16335 | 2013-11-07 |
| 1194159913 | Judy Mcelwain | Speech-Language Pathologist | 31 N Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1649604463 | Jonelle Elizabeth Taylor | Occupational Therapist | 31 North Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1699046961 | James Richard Mclamb | Orthopaedic Surgery | 6060 Ehrgott Rd, Meadville, PA 16335 | 2012-01-19 |
| Find all providers in zip 16335 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902165970 | Meadville Physician Services | Obstetrics & Gynecology | 765 Liberty St, Suite 204, Meadville, PA 16335-2566 | 2012-05-11 |
| 1558649681 | Nimalie Rodrigo | Obstetrics & Gynecology | 765 Liberty St, Suite 204, Meadville, PA 16335-2566 | 2011-07-22 |
| 1225270796 | Jessica Anne Kriston | Obstetrics & Gynecology | 765 Liberty St, Suite 202, Meadville, PA 16335-2566 | 2009-03-30 |
| 1710141775 | Sarah Ann Barco | Obstetrics & Gynecology | 765 Liberty Street, Suite 202, Meadville, PA 16335-2568 | 2008-07-17 |
| 1932366226 | Sara Beth Guzick | Obstetrics & Gynecology | 765 Liberty St, Suite 202, Meadville, PA 16335-2566 | 2008-05-22 |
| 1346253846 | Denise Audrey Johnson | Obstetrics & Gynecology | 751 Liberty St, Meadville, PA 16335-2559 | 2006-08-14 |
| 1760405823 | Anand Hasmukhlal Noticewala | Obstetrics & Gynecology | 765 Liberty St, Suite 204, Meadville, PA 16335-2566 | 2006-07-26 |
| 1598781437 | Sidney Kwok-yin King | Obstetrics & Gynecology | 765 Liberty Street, Suite 202, Meadville, PA 16335-2568 | 2006-07-14 |
| 1922023894 | Jodi P Maxfield | Obstetrics & Gynecology | 765 Liberty Street, Suite 202, Meadville, PA 16335-2568 | 2006-07-13 |
| 1598728024 | Meadville Obstetrics and Gynecology Associates | Obstetrics & Gynecology | 765 Liberty Street, Suite 202, Meadville, PA 16335 | 2006-04-07 |
| Find all providers in MEADVILLE | ||||
Please comment or provide details below to improve the information on CRAWFORD COUNTY SUB-SPECIALISTS GROUP.
| 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.