MEADVILLE MEDICAL CENTER (NPI# 1295084044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295084044 |
| Entity Type | Organization |
| Organization Name | MEADVILLE MEDICAL CENTER |
| Other Organization Name | MEADVILLE PAIN MANAGEMENT |
| Practice Address |
1015 Grove St Meadville PA 16335-2905 |
| Mailing Address |
1034 Grove St Meadville PA 16335-2945 |
| Practice Telephone | 8143733472 |
| Practice Fax Number | 8143737082 |
| Mailing Telephone | 8143733472 |
| Mailing Fax Number | 8143737082 |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2020-02-03 |
| Authorized Official Name | MR. RENATO SUNTAY (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 8143335030 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Meadville Pain Management | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659780039 | Meadville Medical Center | Clinic/Center | 11277 Vernon Pl Ste 101, Meadville, PA 16335-3718 | 2014-08-11 |
| 1366596488 | Meadville Medical Center | Psychiatric Unit | 1034 Grove St., Psychiatric Unit, Meadville, PA 16335-2945 | 2007-01-23 |
| 1629633573 | Meadville Medical Center | Internal Medicine | 751 Liberty St, Meadville, PA 16335-2591 | 2019-05-07 |
| 1841782869 | Meadville Medical Center | Urology | 765 Liberty St Ste 207a, Meadville, PA 16335 | 2018-06-05 |
| 1942797303 | Meadville Medical Center | Family Medicine | 640 Alden St, Meadville, PA 16335-2348 | 2018-04-20 |
| 1174067458 | Meadville Medical Center | Anesthesiology | 1034 Grove St, Meadville, PA 16335-2945 | 2016-12-06 |
| 1235593898 | Meadville Medical Center | Clinic/Center | 906 Washington St, Conneautville, PA 16406-7138 | 2016-04-11 |
| 1730570573 | Meadville Medical Center | Clinic/Center | 640 Alden St, Meadville, PA 16335-2348 | 2015-02-16 |
| 1649661471 | Meadville Medical Center | Clinic/Center | 118 Railroad St, Cambridge Springs, PA 16403-1060 | 2015-02-16 |
| 1760873707 | Meadville Medical Center | Podiatrist | 747 Terrace St, Podiatry, Meadville, PA 16335-1737 | 2015-02-12 |
| Street Address |
1015 GROVE ST |
| City | MEADVILLE |
| State | PA |
| Zip Code | 16335-2905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932189941 | Beth Wimer | Nurse Practitioner | 1015 Grove St, Meadville, PA 16335-2905 | 2006-01-18 |
| 1942798046 | Amber M Crawford | Nurse Practitioner | 1015 Grove St, Meadville, PA 16335-2905 | 2018-04-25 |
| 1346782059 | Lisa Srnka | Nurse Practitioner | 1015 Grove St, Meadville, PA 16335 | 2016-11-11 |
| 1063817039 | Kaleigh Nicole Simcoe | Physician Assistant | 1015 Grove St, Meadville, PA 16335-2905 | 2014-11-03 |
| 1013209592 | Karandeep Maur | Internal Medicine | 1015 Grove St, Meadville, PA 16335-2905 | 2011-05-03 |
| 1336323989 | Nitin Arvind Patel | Internal Medicine | 1015 Grove St, Meadville, PA 16335-2905 | 2007-12-18 |
| 1013112184 | Haibin Wang | Anesthesiology | 1015 Grove St, Meadville, PA 16335-2905 | 2007-06-19 |
| 1023138336 | Damian J Derlink | Dentist | 1015 Grove St, Meadville, PA 16335-2905 | 2007-03-30 |
| 1871613497 | Alexander L Bournias | Dentist | 1015 Grove St, Meadville, PA 16335-2905 | 2007-03-29 |
| 1225175896 | Joseph F. Cervone | Dentist | 1015 Grove St, Meadville, PA 16335-2905 | 2007-01-31 |
| Find all providers in the same location | ||||
| 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 | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174564504 | Anthony James Colantonio | Anesthesiology | 1034 Grove Street, Meadville, PA 16335-2945 | 2006-06-09 |
| 1174067458 | Meadville Medical Center | Anesthesiology | 1034 Grove St, Meadville, PA 16335-2945 | 2016-12-06 |
| 1356653364 | Meadville Pain Management, LLC | Anesthesiology | 1034 Grove St, Meadville, PA 16335-2945 | 2010-07-07 |
| 1104852375 | French Creek Pain Management,pc | Anesthesiology | 1034 Grove St, Meadville, PA 16335-2945 | 2006-06-22 |
| 1194760231 | Comprehensive Pain Care Physicians | Anesthesiology | 1034 Grove St, Meadville, PA 16335-2945 | 2006-06-20 |
| 1467496273 | Robert R Concilus | Anesthesiology | 1034 Grove St, Meadville, PA 16335-2945 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629630504 | Bac Medical, Pllc | Anesthesiology | 3070 Bristol Pike # 2-130, Bensalem, PA 19020-5364 | 2019-07-01 |
| 1285294983 | Thomas Falasca | Anesthesiology | 411 Sybil Dr, Erie, PA 16505-2152 | 2019-06-17 |
| 1144711235 | Amy L. Croushore | Anesthesiology | 5750 Centre Ave Ste 400, Pittsburgh, PA 15206-3761 | 2018-05-23 |
| 1023521598 | Michaela R Lewis | Anesthesiology | 333 State St Ste 104, Erie, PA 16507-1463 | 2017-11-07 |
| 1457704652 | Guthrie Medical Group, P.C. | Anesthesiology | 37 Pratt Avenue, Towanda, PA 18848 | 2016-07-22 |
| 1932518669 | Pharo Pain Management Asociates, P.C. | Anesthesiology | 829 Spruce St Ste 308, Philadelphia, PA 19107-5752 | 2014-08-06 |
| 1457786253 | Lighthouse Medical, LLC | Anesthesiology | 507 Tire Hill Rd, Suite 100, Johnstown, PA 15905-7311 | 2013-09-11 |
| 1992137103 | Anish Sethi | Anesthesiology | 834 Chestnut St Ste T150, Philadelphia, PA 19107 | 2013-07-30 |
| 1528407392 | Soon Yong Jung | Anesthesiology | 1240 S Cedar Crest Blvd Ste 307, Allentown, PA 18103-6263 | 2013-06-14 |
| 1316381155 | Beacon Medical, LLC | Anesthesiology | 136 Jaycee Dr, Suite 10, Johnstown, PA 15904-3650 | 2013-04-23 |
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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.