TIMOTHY JOHN MAKATCHE (NPI# 1265497259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265497259 |
| Entity Type | Individual |
| Full Name | TIMOTHY JOHN MAKATCHE |
| Credential | DO |
| Practice Address |
5 S Centre Ave A3 Leesport PA 19533-8653 |
| Mailing Address |
Po Box 448 East Petersburg PA 17520-0448 |
| Practice Telephone | 6109265707 |
| Practice Fax Number | 6109268352 |
| Mailing Telephone | 7179477021 |
| Mailing Fax Number | 7173910793 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2018-12-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS005190L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0019296480001 | 05 | |
| PA | CAPITAL BLUE CROSS | 01148101 | 01 |
| PA | AMERIHEALTH MERCY | 100278B | 01 |
| PA | PALMETTO RR MEDICARE | 080025913 | 01 |
| PA | AETNA | 0039 | 01 |
| PA | UNISON AB | 000000143853 | 01 |
| PA | HIGHMARK BLUE SHIELD | 410647 | 01 |
| PA | OXFORD HEALTH PLAN | P3171383 | 01 |
| Street Address |
5 S CENTRE AVE A3 |
| City | LEESPORT |
| State | PA |
| Zip Code | 19533-8653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770047359 | Lifegrowth Marriage and Family Center | Counselor | 5 S Centre Ave, Leesport, PA 19533-8653 | 2019-01-28 |
| 1023583903 | Giannina K. Reyes | Counselor | 5 S Centre Ave, Leesport, PA 19533-8653 | 2018-10-08 |
| 1952897738 | Penn State Health Community Medical Group, LLC | Family Medicine | 5 S Centre Ave, Leesport, PA 19533 | 2018-07-05 |
| 1265892376 | Cori White | Counselor | 5 S Centre Ave, Leesport, PA 19533 | 2016-03-02 |
| 1548654866 | Megan Levan | Counselor | 5 S Centre Ave, Leesport, PA 19533-8653 | 2015-03-25 |
| 1659611945 | Kristina Kreiser | Counselor | 5 S Centre Ave, Suite A5, Leesport, PA 19533-8653 | 2013-02-22 |
| 1215203146 | Berks Hypnosis and Counseling Services LLC | Counselor | 5 S Centre Ave, Suite A5, Leesport, PA 19533-8653 | 2012-03-26 |
| 1851665715 | Lori Konitsky Chaplick | Counselor | 5 S Centre Ave, Suite A5, Leesport, PA 19533-8653 | 2012-02-23 |
| 1922308162 | David Adam Arena | Counselor | 5 S Centre Ave, Suite A5, Leesport, PA 19533-8653 | 2010-10-21 |
| 1033284047 | Mary Anna Namiotka | Social Worker | 5 S Centre Ave, Suite 203, Leesport, PA 19533-8653 | 2006-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235788878 | Integrated Surgical Institute, LLC | Clinic/Center | West Ridge Business Campus, 1001 James Drive, Leesport, PA 19533 | 2019-09-06 |
| 1386825420 | Med Calls | Health Maintenance Organization | 5 South Center Ave., 204, Leesport, PA 19533 | 2007-11-16 |
| 1851416598 | Sarah K Snyder | Physical Therapy Assistant | 1011 Berks Rd, Leesport, PA 19533 | 2007-03-20 |
| 1114042801 | Jacqueline Rosello | Occupational Therapy Assistant | 1011 Berks Road, Leesport, PA 19533 | 2007-03-20 |
| 1952465460 | John Stephen Hottenstein | Dentist | First & Peach Sts, Leesports, PA 19533 | 2006-12-20 |
| 1336200153 | Darren T Koch | Chiropractor | Schoolside Plaza, Suite 102, Leesport, PA 19533 | 2006-12-13 |
| 1386741882 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 906 W Leesport Rd, Leesport, PA 19533 | 2006-09-20 |
| 1750346441 | Schuylkill Valley Family Practice PC | Family Medicine | 5 S Centre Avenue, Leesport, PA 19533 | 2006-04-18 |
| 1386646875 | Juliet Cook | Nurse Practitioner | 700 Admiral Nelson Dr., Malvern, PA 19533 | 2005-08-15 |
| 1902020282 | Genevieve Beetham Pallas | Physical Therapist | 1011 Berks Rd, Leesport, PA 19533 | 2007-04-11 |
| Find all providers in zip 19533 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073900270 | Joanna Grzadziel | Family Medicine | 5 S Centre Ave Ste A3, Leesport, PA 19533-8661 | 2015-04-25 |
| 1881754711 | David W Bowers | Family Medicine | 5471b Pottsville Pike, Leesport, PA 19533-8633 | 2006-12-11 |
| 1750346441 | Schuylkill Valley Family Practice PC | Family Medicine | 5 S Centre Avenue, Leesport, PA 19533 | 2006-04-18 |
| 1417918301 | Kenneth J. Lord | Family Medicine | 111 Robby Dr, Leesport, PA 19533-9435 | 2006-03-30 |
| 1952897738 | Penn State Health Community Medical Group, LLC | Family Medicine | 5 S Centre Ave, Leesport, PA 19533 | 2018-07-05 |
| 1891750899 | Gregory Charles Tuke | Family Medicine | 5 S Centre Ave, A3, Leesport, PA 19533-8653 | 2006-04-20 |
| 1760460463 | David C Brock | Family Medicine | 1011 Berk Rd, Leesport, PA 19533-8705 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442878 | Hallie Szymanski | Family Medicine | 3481 Frye Ave, Finleyville, PA 15332-1305 | 2020-09-19 |
| 1124633672 | Upmc Community Medicine, Inc | Family Medicine | 3140 Highland Rd Ste 102, Hermitage, PA 16148-4514 | 2020-09-11 |
| 1275147647 | Rebecca Diane Yeater | Family Medicine | Wellspan Family Medicine - Fairfield, 4910 Fairfield Rd, Fairfield, PA 17320 | 2020-09-03 |
| 1497369813 | Christina Socash | Family Medicine | 11335 Neiger Rd, Girard, PA 16417-9130 | 2020-09-02 |
| 1902410673 | Geisinger Clinic | Family Medicine | 20 Diana Ln, West Hazleton, PA 18202-1210 | 2020-09-01 |
| 1457964603 | Cynthia Rainey Raposas | Family Medicine | 3552 Woodside Rd, Hollidaysburg, PA 16648-5258 | 2020-08-27 |
| 1841802592 | Community Health and Wellness Services, Inc. | Family Medicine | 312 Memorial Park Dr, Springfield, PA 19064-1714 | 2020-08-22 |
| 1649882275 | Blair Regenerative Medicine LLC | Family Medicine | 201 Hospital Dr Ste 2, Everett, PA 15537-7019 | 2020-08-17 |
| 1447861521 | Mature Resources Foundation | Family Medicine | 28944 Frenchville Karthaus Hwy, Frenchville, PA 16836-8834 | 2020-08-12 |
| 1619587227 | Cmp Medical LLC | Family Medicine | 3626 Sears St, Philadelphia, PA 19146-3217 | 2020-08-07 |
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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.