MEADVILLE MEDICAL CENTER (NPI# 1295145787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295145787 |
| Entity Type | Organization |
| Organization Name | MEADVILLE MEDICAL CENTER |
| Other Organization Name | MEADVILLE SLEEP LAB |
| Practice Address |
751 Liberty St Sleep Lab Meadville PA 16335-2559 |
| Mailing Address |
1034 Grove St Meadville PA 16335-2945 |
| Practice Telephone | 8143335174 |
| Practice Fax Number | 8143732153 |
| Mailing Telephone | 8143335000 |
| Mailing Fax Number | 8143335640 |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2015-12-10 |
| Authorized Official Name | RENATO SUNTAY (CEO) |
| Authorized Official Telephone | 8143335031 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| Y | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Meadville Sleep Lab | Doing Business As Name - 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 |
751 LIBERTY ST SLEEP LAB |
| City | MEADVILLE |
| State | PA |
| Zip Code | 16335-2559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245233568 | William D. Sullivan | Internal Medicine | 751 Liberty St, Meadville, PA 16335-2559 | 2005-05-31 |
| 1134745094 | Nico Ferreras | Family Medicine | 751 Liberty St, Meadville, PA 16335-2591 | 2020-06-17 |
| 1629699236 | Sarah Elizabeth Potts | Family Medicine | 751 Liberty St, Meadville, PA 16335-2559 | 2020-05-05 |
| 1225659667 | Jennifer Lynne Babins | Student in an Organized Health Care Education/Training Program | 751 Liberty St, Meadville, PA 16335-2591 | 2020-04-27 |
| 1699395509 | Zachary Paul Henderson | Family Medicine | 751 Liberty St, Meadville, PA 16335-2559 | 2020-04-21 |
| 1821635699 | Nicole Marie Temple | Physical Therapy Assistant | 751 Liberty St, Meadville, PA 16335-2591 | 2019-11-29 |
| 1235775651 | Alfred Leonard Hartick Iv | Physical Therapist | 751 Liberty St, Meadville, PA 16335-2559 | 2019-11-20 |
| 1215573936 | Melvin Burger Jr. | Physical Therapist | 751 Liberty St, Meadville, PA 16335-2559 | 2019-11-19 |
| 1588209589 | Ryan Brennan | Physical Therapist | 751 Liberty St, Meadville, PA 16335-2559 | 2019-11-13 |
| 1629633573 | Meadville Medical Center | Internal Medicine | 751 Liberty St, Meadville, PA 16335-2591 | 2019-05-07 |
| 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 | 207RS0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sleep Medicine |
| An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841716677 | Lehigh Valley Hospital | Internal Medicine | 700 Hawk Ridge Dr Ste 303, Hamburg, PA 19526-9219 | 2017-08-14 |
| 1427584952 | Lehigh Valley Hospital | Internal Medicine | 3701 Corriere Rd Ste 20, Easton, PA 18045-7991 | 2017-05-03 |
| 1205370442 | Family Practice Center, PC | Internal Medicine | 131 Jpm Rd Ste C, Lewisburg, PA 17837-9309 | 2016-12-07 |
| 1467700559 | Swetha Nemargommula | Internal Medicine | 211 S 9th St Ste 500, Philadelphia, PA 19107-6810 | 2012-08-21 |
| 1740550854 | Jfd Medical Pllc | Internal Medicine | 4825 W Tighman St, Allentwon, PA 18104 | 2012-01-05 |
| 1285930453 | Raj Kapoor, Md, LLC | Internal Medicine | 9102 Babcock Blvd., Suite 101, Pittsburgh, PA 15237 | 2011-02-04 |
| 1164745055 | Pulmonary and Sleep Medicine of Western Pa, PC | Internal Medicine | 210 Grant St, Suite 301, Pittsburgh, PA 15219-2116 | 2010-03-05 |
| 1740335603 | Drexel University | Internal Medicine | 219 N Broad St Fl 9, Philadelphia, PA 19107-1506 | 2007-01-23 |
| 1558454223 | Sharon Schutte-rodin | Internal Medicine | 210 W. Rittenhouse Square; Suite # 2506, Philadelphia, PA 19103 | 2006-10-02 |
| 1174557490 | Sukhdev S. Grover, Md Associates | Internal Medicine | 2640 Pitcairn Rd, Monroeville, PA 15146-3309 | 2006-07-10 |
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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.