PENN NORTH CENTERS FOR ADVANCED WOUND CARE INC (NPI# 1275729469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275729469 |
| Entity Type | Organization |
| Organization Name | PENN NORTH CENTERS FOR ADVANCED WOUND CARE INC |
| Practice Address |
2 W Crescent Park Warren PA 16365-2111 |
| Practice Telephone | 8147234973 |
| Mailing Telephone | 8147234973 |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2008-01-10 |
| Authorized Official Name | DR. THOMAS E SERENA (CEO) |
| Authorized Official Telephone | 8144527878 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881880151 | Penn North Centers for Advanced Wound Care Inc | Durable Medical Equipment & Medical Supplies | 174 E Bissell Ave, Oil City, PA 16301-1957 | 2007-09-20 |
| 1740476019 | Penn North Centers for Advanced Wound Care Inc | Durable Medical Equipment & Medical Supplies | 110 N Main St, Greenville, PA 16125-1726 | 2007-09-20 |
| 1922294289 | Penn North Centers for Advanced Wound Care Inc | Durable Medical Equipment & Medical Supplies | 1 Nolte Dr, Kittanning, PA 16201-7111 | 2007-09-20 |
| 1801082144 | Penn North Centers for Advanced Wound Care Inc | Durable Medical Equipment & Medical Supplies | 130 N Main St, Union City, PA 16438-1068 | 2007-09-20 |
| 1396931580 | Penn North Centers for Advanced Wound Care Inc | Durable Medical Equipment & Medical Supplies | 232 W 25th St, Erie, PA 16544-0002 | 2007-09-20 |
| 1184810350 | Penn North Centers for Advanced Wound Care Inc | Durable Medical Equipment & Medical Supplies | 2200 Memorial Dr, Farrell, PA 16121-1357 | 2007-09-20 |
| 1942496369 | Penn North Centers for Advanced Wound Care Inc | Durable Medical Equipment & Medical Supplies | 185 E Main St, Westfield, NY 14787-1104 | 2007-09-19 |
| 1760678171 | Penn North Centers for Advanced Wound Care Inc | Durable Medical Equipment & Medical Supplies | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2007-09-19 |
| 1326234741 | Penn North Centers for Advanced Wound Care Inc | Durable Medical Equipment & Medical Supplies | 4372 Route 6, Kane, PA 16735-3060 | 2007-09-19 |
| 1598951907 | Penn North Centers for Advanced Wound Care Inc | Durable Medical Equipment & Medical Supplies | 763 Johnsonburg Rd, Saint Marys, PA 15857-3417 | 2007-09-19 |
| Street Address |
2 W CRESCENT PARK |
| City | WARREN |
| State | PA |
| Zip Code | 16365-2111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811990229 | Lee E Denlinger | Specialist | 2 W Crescent Park, Warren, PA 16365-2111 | 2005-05-31 |
| 1700423209 | Jennifer Thrift | Registered Nurse | 2 W Crescent Park, Warren, PA 16365-2111 | 2019-12-03 |
| 1972079184 | Warren General Hospital | Registered Nurse | 2 W Crescent Park, Warren, PA 16365-2111 | 2018-10-16 |
| 1558846584 | Nathan Zigler | Physician Assistant | 2 W Crescent Park, Warren, PA 16365-2111 | 2018-09-25 |
| 1720570021 | Erin Wilcox | Dental Hygienist | 2 W Crescent Park, Warren, PA 16365-2111 | 2018-06-01 |
| 1801388269 | Tracy Marie Leichtenberger | Dental Hygienist | 2 W Crescent Park, Warren, PA 16365-2111 | 2018-06-01 |
| 1891228136 | Primary Health Network | Clinic/Center | 2 W Crescent Park, Warren, PA 16365-2111 | 2017-04-04 |
| 1053863191 | Melissa Eckman | Nurse Practitioner | 2 W Crescent Park, Warren, PA 16365 | 2016-10-25 |
| 1174984116 | Regan Nicole Olsen | Nurse Practitioner | 2 W Crescent Park, Warren, PA 16365-2111 | 2016-03-18 |
| 1114392735 | Kelly Sullivan | Nurse Practitioner | 2 W Crescent Park, Warren, PA 16365-2111 | 2015-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712759 | James Hickey | Dentist | 94 Egypt Hollow Rd, Warren, PA 16365 | 2020-08-31 |
| 1437674579 | Theresa Elizabeth Cook | Speech-Language Pathologist | Rehabworks At Warren General Hospital, Two Crescent Park West, Warren, PA 16365 | 2017-08-10 |
| 1891160982 | Vanessa Frank Humphrey | Occupational Therapy Assistant | 682 Pleasant Drive, Warren, PA 16365 | 2015-12-01 |
| 1740651967 | John L. Harrington | Psychiatry & Neurology | 4 Second Ave. Apt. #2, Warren, PA 16365 | 2015-10-14 |
| 1992046569 | Carrie Lynn Vaughn | Physical Therapy Assistant | 1048 Pennslvania Ave West, Warren, PA 16365 | 2013-03-07 |
| 1750664488 | William Frederick Menz | Pharmacist | 2901 Market Street, (walmart), Warren, PA 16365 | 2011-09-20 |
| 1669617296 | Donald Nicholas Vandamia | Family Medicine | 64 Leda Lane, Warren, PA 16365 | 2008-12-11 |
| 1013187558 | Chad Michael Ristau | Nurse Anesthetist, Certified Registered | 2 Crescent Park West., Warren General Hospital, Warren, PA 16365 | 2008-03-11 |
| 1407072473 | Family Physical Therapy | Physical Therapist | 218 Liberty St, Warren, PA 16365 | 2007-04-18 |
| 1801927330 | Wal-mart Stores East, L.p. | Technician/Technologist | 2901 Market St., Warren, PA 16365 | 2007-03-08 |
| Find all providers in zip 16365 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538715636 | 3 Dove Medical Supplies | Durable Medical Equipment & Medical Supplies | 31201 Chicago Rd S Ste C101, Warren, MI 48093 | 2019-08-14 |
| 1831689405 | Rivana Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 4208 E 14 Mile Rd, Warren, MI 48092-4325 | 2018-05-18 |
| 1508367111 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 25225 Schoenherr Rd, Warren, MI 48089 | 2018-02-28 |
| 1134629496 | Homepro Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 3200 E 12 Mile Rd Ste 203b, Warren, MI 48092-5621 | 2018-02-13 |
| 1538668272 | American Home Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 3200 E 12 Mile Rd Ste 200, Warren, MI 48092-5621 | 2018-02-08 |
| 1053834762 | Befitting You, LLC | Durable Medical Equipment & Medical Supplies | 28800 Ryan Rd Ste 325, Warren, MI 48092-4283 | 2017-07-25 |
| 1255737235 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 150 E Market St Ste 100, Warren, OH 44481-1141 | 2014-11-18 |
| 1801226063 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 29176 Van Dyke Ave, Warren, MI 48093-6764 | 2013-11-25 |
| 1780019463 | J M Clemente Co | Durable Medical Equipment & Medical Supplies | 180 N Park Ave, Warren, OH 44481-1126 | 2013-09-12 |
| 1770837296 | Michigan Home Exteriors | Durable Medical Equipment & Medical Supplies | 11444 Kaltz Ave, Warren, MI 48089 | 2012-11-06 |
| Find all providers in WARREN | ||||
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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.