CMS MEDICAL CARE CORPORATION (NPI# 1306925003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306925003 |
| Entity Type | Organization |
| Organization Name | CMS MEDICAL CARE CORPORATION |
| Practice Address |
211 N 12th St Lehighton PA 18235-1138 |
| Practice Telephone | 6103777008 |
| Practice Fax Number | 3103777920 |
| Mailing Telephone | 6103777008 |
| Mailing Fax Number | 3103777920 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2011-05-24 |
| Authorized Official Name | TERRENCE PURCELL (VP/HUMAN RESOURCES) |
| Authorized Official Telephone | 6103777088 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HIGHMARK BS | 968294 | 01 | |
| PA | TRAVELERS MEDICARE | CN4455 | 01 |
| Street Address |
211 N 12TH ST |
| City | LEHIGHTON |
| State | PA |
| Zip Code | 18235-1138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982602181 | Yih-shyong Ko | Anesthesiology | 211 N 12th St, Lehighton, PA 18235-1138 | 2005-07-12 |
| 1144827999 | Lesley A Destefano | Physical Medicine & Rehabilitation | 211 N 12th St, Lehighton, PA 18235-1138 | 2020-10-05 |
| 1255976395 | William Goodland | Physician Assistant | 211 N 12th St, Lehighton, PA 18235-1138 | 2019-11-13 |
| 1366900714 | Denise Ann Frey | Dietitian, Registered | 211 N 12th St, Lehighton, PA 18235-1138 | 2019-03-05 |
| 1598283483 | Knd Development 59, LLC | Hospitalist | 211 N 12th St, Lehighton, PA 18235-1138 | 2017-08-31 |
| 1861865115 | Jason Howay | Pharmacist | 211 N 12th St, Lehighton, PA 18235-1138 | 2015-11-09 |
| 1871965897 | Stalwart Emergency Physicians, Pplc | Physician Assistant | 211 N 12th St, Lehighton, PA 18235-1138 | 2015-10-29 |
| 1508256488 | Kristin Meckes | Nurse Practitioner | 211 N 12th St, Lehighton, PA 18235-1138 | 2015-01-29 |
| 1558768721 | Timothy Joseph Donaghy | Nurse Practitioner | 211 N 12th St, Lehighton, PA 18235-1138 | 2014-12-03 |
| 1629479084 | Eric Schultz | Physician Assistant | 211 N 12th St, Lehighton, PA 18235-1138 | 2014-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689274375 | Susan Mary Featro | Counselor | Nickischer and Associates, 1738 Blakeslee Blvd. W., Lehighton, PA 18235 | 2020-10-30 |
| 1215452461 | Lehighton Family Dentistry LLC | Dentist | 233 S 3rd Street, Lehighton, PA 18235 | 2017-08-09 |
| 1093262727 | Gina Provisiero | Social Worker | 777 Blakeslee Blvd Dr E, Suite 3, Lehighton, PA 18235 | 2016-09-11 |
| 1487023156 | Joanne Trotman | General Acute Care Hospital | 6 Second Avenue, Lehighton, PA 18235 | 2015-09-23 |
| 1740698000 | Wendy Ann Hauser | Behavioral Analyst | 2112 Long Run Road, Lehighton, PA 18235 | 2014-07-30 |
| 1356778542 | Decosy Hercules | Family Medicine | 575 S 9th St Ste 5, Lehighton, PA 18235 | 2013-10-02 |
| 1891046348 | Chaya Shuchat | Nurse Practitioner | 281 N 12th St Ste E, Lehighton, PA 18235 | 2012-09-24 |
| 1316297096 | Evelyn Mccullian | Speech-Language Pathologist | 428 South 7 Street, Lehighton, PA 18235 | 2012-09-11 |
| 1639487242 | Wal-mart Stores East Lp | Technician/Technologist | 1731 Blakeslee Blvd Dr E, Lehighton, PA 18235 | 2010-09-16 |
| 1912132762 | Wendy S. Lawson | Psychologist | 811 Blakeslee Boulevard Drive East, Suite 80, Lehighton, PA 18235 | 2009-05-22 |
| Find all providers in zip 18235 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003824426 | Sheikh M Afzal | Psychiatry & Neurology | 710 Bridge Street, Suite 204, Suite 201, Lehighton, PA 18235-2100 | 2006-08-03 |
| 1306057294 | Raja Sohail Abbas | Psychiatry & Neurology | 211 N 12th St, Lehighton, PA 18235-1138 | 2007-05-24 |
| 1124046909 | Hamayun N Ahmed | Psychiatry & Neurology | 211 N 12th St, Lehighton, PA 18235-1138 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235663 | Doreen Thomas-payne | Psychiatry & Neurology | 422 Pheasant Ln, Lafayette Hill, PA 19444-1204 | 2020-11-03 |
| 1558961698 | Bierkortte Psychiatric Pllc | Psychiatry & Neurology | 1001 E Elfinwild Rd, Allison Park, PA 15101-3912 | 2020-10-28 |
| 1265031603 | Center for Integrative Psychiatry and Neuromodulation, Plc | Psychiatry & Neurology | 822 Montgomery Ave Ste 208, Narberth, PA 19072-1946 | 2020-10-17 |
| 1518576602 | Kathleen A Lyon, Md PC | Psychiatry & Neurology | 201 Water St Ste 1, Milford, PA 18337-1247 | 2020-07-24 |
| 1588272595 | Ade & Mo LLC | Psychiatry & Neurology | 589 Bethlehem Pike Ste 200, Montgomeryville, PA 18936-9744 | 2020-07-15 |
| 1962029306 | Ara Dadivanyan | Psychiatry & Neurology | 201 Reeceville Rd., Brandywine Hospital, Coatesville, PA 19320 | 2020-07-01 |
| 1669098919 | Sara Mostafa | Psychiatry & Neurology | Brandy Wine Hospital, 201 Reeceville Rd, Coatesville, PA 19320 | 2020-06-23 |
| 1205452760 | Xaler LLC | Psychiatry & Neurology | 4379 Easton Ave # 110, Bethlehem, PA 18020-1483 | 2020-06-22 |
| 1366067464 | Hgmd LLC | Psychiatry & Neurology | 3216 Hemlock Farms, Hawley, PA 18428-9113 | 2020-06-15 |
| 1356964506 | Timothy Robert Derosa | Psychiatry & Neurology | Brandywine Hospital 201 Reeceville Rd., Coatesville, Pa, PA 19320 | 2020-05-22 |
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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.