LANNY C. PELLICCIA DPM (NPI# 1306019856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306019856 |
| Entity Type | Organization |
| Organization Name | LANNY C. PELLICCIA DPM |
| Practice Address |
270 Pierce St Ste 301 Kingston PA 18704-5141 |
| Practice Telephone | 5702833668 |
| Practice Fax Number | 5702830309 |
| Mailing Telephone | 5702833668 |
| Mailing Fax Number | 5702830309 |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2008-04-04 |
| Authorized Official Name | LANNY C PELLICCIA (OWNER) |
| Authorized Official Telephone | 5702833668 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | SC-003688-L | PA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
270 PIERCE ST STE 301 |
| City | KINGSTON |
| State | PA |
| Zip Code | 18704-5141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114922648 | Lanny C Pelliccia | Podiatrist | 270 Pierce St, Ste 301, Kingston, PA 18704-5141 | 2005-06-21 |
| 1629512694 | Helping Hands of Wyoming Valley, LLC | Occupational Therapist | 270 Pierce St, Kingston, PA 18704-5141 | 2016-12-11 |
| 1588650154 | William D Hottenstein | Internal Medicine | 270 Pierce St, Suite 201, Kingston, PA 18704-5141 | 2005-09-20 |
| 1568457406 | Joseph J Szustak | Internal Medicine | 270 Pierce St, Suite 201, Kingston, PA 18704-5141 | 2005-09-16 |
| 1023017787 | Erwines Private Duty Health Care, Inc. | Respite Care | 270 Pierce St, Suite 208, Kingston, PA 18704-5141 | 2005-07-15 |
| 1588660377 | Erwines Home Health and Hospice, Inc | Hospice Care, Community Based | 270 Pierce St, Ste 208, Kingston, PA 18704-5141 | 2005-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013557552 | Millmark Health Inc. | Psychiatry & Neurology | 511 Pierce Street, Kingston, PA 18704 | 2020-01-13 |
| 1427550334 | Michael Anthony Waltich | Military Health Care Provider | 82 Cooper Street, Pringle, PA 18704 | 2018-03-06 |
| 1376088435 | Jae LLC | Massage Therapist | 512 Northhampton Street, Edwardsville, PA 18704 | 2016-12-28 |
| 1306278288 | Mohammad Khaled Tashkandi | Internal Medicine | 490 Northampton St Ste 1, Edwardsville, PA 18704 | 2013-08-02 |
| 1396180014 | Sammie Craven IIi | Pharmacist | 96 1st Avenue, Kingston, PA 18704 | 2013-05-08 |
| 1447693114 | Catherine Mary Harding | Nurse Practitioner | 141 South Maple Ave, Kingston, PA 18704 | 2013-04-12 |
| 1861781403 | Jennifer Ann Richards | Pharmacist | 22 West Side Mall, Edwardsville, PA 18704 | 2011-04-05 |
| 1558512772 | Jolon Theresa Sherin | Speech-Language Pathologist | 1825 Sans Souci Highway, Hanover, PA 18704 | 2008-10-07 |
| 1932361102 | Kari Ann Pietralczyk | Audiologist | 190 Welles Street, Forty-fort, PA 18704 | 2008-06-30 |
| 1467584151 | John Christopher Storti | Chiropractor | 180 United Penn Plaza, Kingston, PA 18704 | 2007-03-09 |
| Find all providers in zip 18704 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770529208 | Leon Adley Ellman | Podiatrist | 421 Market St, Kingston, PA 18704-5442 | 2006-06-22 |
| 1881661619 | Douglas F Tumen | Podiatrist | 103 Hurley Avenue, Kingston, NY 12401 | 2006-03-01 |
| 1487624920 | Fred Lombardo | Podiatrist | 576 Wyoming Ave, Fred Lombardo PC, Kingston, PA 18704-3702 | 2006-01-26 |
| 1346249133 | Tracey G Toback | Podiatrist | 43 Grand St, Kingston, NY 12401-3933 | 2005-07-14 |
| 1184621906 | Jonathan Paul Sumber | Podiatrist | 190 Fair St, Kingston, NY 12401-4502 | 2005-07-07 |
| 1114922648 | Lanny C Pelliccia | Podiatrist | 270 Pierce St, Ste 301, Kingston, PA 18704-5141 | 2005-06-21 |
| 1710588512 | Health Quest Medical Practice, PC | Podiatrist | 1240 Ulster Ave, Kingston, NY 12401-1517 | 2020-11-06 |
| 1912508714 | Health Quest Medical Practice, Px | Podiatrist | 334 Plaza Rd, Kingston, NY 12401-2975 | 2020-11-06 |
| 1366744252 | Robert L. Shmokler | Podiatrist | 421 Market St, Kingston, PA 18704-5418 | 2010-11-26 |
| 1144258617 | Donald S Kretchmer | Podiatrist | 421 Market St, Kingston, PA 18704-5442 | 2006-06-30 |
| Find all providers in KINGSTON | ||||
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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.