ELZBIETA EWA JACEK (NPI# 1265968796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265968796 |
| Entity Type | Individual |
| Full Name | ELZBIETA EWA JACEK |
| Practice Address |
5649 Wynnewood Dr Ste 203 Laurys Station PA 18059-1124 |
| Mailing Address |
2100 Mack Blvd Allentown PA 18103-5622 |
| Practice Telephone | 6102611123 |
| Practice Fax Number | 6102621739 |
| Mailing Telephone | 4848840617 |
| Mailing Fax Number | 4848840628 |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2020-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD471194 | PA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 271782 | MA | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 195 Canal St, Malden, MA 021486701 | 7813380500 |
| Street Address |
5649 WYNNEWOOD DR STE 203 |
| City | LAURYS STATION |
| State | PA |
| Zip Code | 18059-1124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093898827 | Jeffrey Alan Mcauliffe | Dentist | 5649 Wynnewood Dr, Suite 201, Laurys Station, PA 18059 | 2006-10-23 |
| 1487647673 | Terry J. Robbins | Specialist | 5649 Wynnewood Dr, Suite 202, Laurys Station, PA 18059-1138 | 2005-08-24 |
| 1376975433 | Natalia Doni | Family Medicine | 5649 Wynnewood Dr, Suite 203, Laurys Station, PA 18059-1138 | 2013-07-31 |
| 1861786006 | Quynh H Nguyen | Pediatrics | 5649 Wynnewood Dr, Suite 104, Laurys Station, PA 18059-1138 | 2011-06-06 |
| 1841514866 | Chin Chan Chu | Family Medicine | 5649 Wynnewood Dr, Suite 203, Laurys Station, PA 18059-1138 | 2010-03-19 |
| 1154522266 | Colleen Mccamant Fitzpatrick | Pediatrics | 5649 Wynnewood Dr, Suite 104, Laurys Station, PA 18059-1138 | 2007-05-29 |
| 1194897595 | Lehigh Valley Physician Group | Family Medicine | 5649 Wynnewood Dr, #203, Laurys Station, PA 18059-1138 | 2006-11-14 |
| 1497850101 | Thomas Paul Harakal | Family Medicine | 5649 Wynnewood Dr, Suite 202, Laurys Station, PA 18059-1138 | 2006-09-14 |
| 1134152952 | Gina Fitzsimmons | Family Medicine | 5649 Wynnewood Dr, Suite 203, Laurys Station, PA 18059-1138 | 2006-07-07 |
| 1790714350 | Lori Erschen | Family Medicine | 5649 Wynnewood Dr, Suite 203, Laurys Station, PA 18059-1138 | 2006-07-03 |
| Find all providers in zip 18059 | ||||
| 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 |
|---|---|---|---|---|
| 1376975433 | Natalia Doni | Family Medicine | 5649 Wynnewood Dr, Suite 203, Laurys Station, PA 18059-1138 | 2013-07-31 |
| 1841514866 | Chin Chan Chu | Family Medicine | 5649 Wynnewood Dr, Suite 203, Laurys Station, PA 18059-1138 | 2010-03-19 |
| 1194897595 | Lehigh Valley Physician Group | Family Medicine | 5649 Wynnewood Dr, #203, Laurys Station, PA 18059-1138 | 2006-11-14 |
| 1497850101 | Thomas Paul Harakal | Family Medicine | 5649 Wynnewood Dr, Suite 202, Laurys Station, PA 18059-1138 | 2006-09-14 |
| 1134152952 | Gina Fitzsimmons | Family Medicine | 5649 Wynnewood Dr, Suite 203, Laurys Station, PA 18059-1138 | 2006-07-07 |
| 1790714350 | Lori Erschen | Family Medicine | 5649 Wynnewood Dr, Suite 203, Laurys Station, PA 18059-1138 | 2006-07-03 |
| 1700872553 | Daniel M Spatz | Family Medicine | 5649 Wynnewood Dr, Suite 203, Laurys Station, PA 18059-1138 | 2005-09-26 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | LAURYS STATION |
| Zip Code | 18059 |
Please comment or provide details below to improve the information on ELZBIETA EWA JACEK.
| 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.