CHIVON DEMCHAK (NPI# 1356994313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356994313 |
| Entity Type | Individual |
| Full Name | CHIVON DEMCHAK |
| Practice Address |
1800 Mulberry St Scranton PA 18510-2369 |
| Mailing Address |
1000 Dunham Dr Dunmore PA 18512-2666 |
| Practice Telephone | 5707038000 |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2019-07-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA060789 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1800 MULBERRY ST |
| City | SCRANTON |
| State | PA |
| Zip Code | 18510-2369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366444507 | Community Medical Center | General Acute Care Hospital | 1800 Mulberry St, Scranton, PA 18510-2369 | 2005-06-01 |
| 1144832734 | Jennifer Marie Remetta | Clinical Nurse Specialist | 1800 Mulberry St, Scranton, PA 18510-2369 | 2020-08-17 |
| 1982215380 | Stephanie Cybulski | Pharmacist | 1800 Mulberry St, Scranton, PA 18510-2369 | 2020-08-11 |
| 1386254803 | Marisa Perrella | Pharmacist | 1800 Mulberry St, Scranton, PA 18510-2369 | 2020-08-10 |
| 1396354494 | Lindsay Michelle Okubo | Pharmacist | 1800 Mulberry St, Scranton, PA 18510-2369 | 2020-07-24 |
| 1275141855 | Brittany Alessandra Field | Nurse Practitioner | 1800 Mulberry St, Scranton, PA 18510-2369 | 2020-07-20 |
| 1932726478 | Patrick Teehan | Internal Medicine | 1800 Mulberry St, Scranton, PA 18510-2369 | 2020-07-01 |
| 1184247124 | Kara Elizabeth Golya | Physician Assistant | 1800 Mulberry St, Scranton, PA 18510-2369 | 2020-05-26 |
| 1124664479 | Christina Belko | Physical Therapy Assistant | 1800 Mulberry St, Scranton, PA 18510-2369 | 2019-11-21 |
| 1679119028 | Tracey Ganz | Occupational Therapist | 1800 Mulberry St, Scranton, PA 18510-2369 | 2019-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427432335 | Marla Osborne Dempsey | Family Medicine | 1141 Clay Ave Ste 1, Dunmore, PA 18510 | 2015-07-10 |
| 1669620043 | Mary Jane Miskovsky | Nurse Practitioner | 800 Linden Street, University of Scranton Student Health Service, Scranton, PA 18510 | 2008-08-28 |
| 1427174739 | Cheryl Friedman | Registered Nurse | 1710 Mulberry Street, Scranton, PA 18510 | 2007-03-21 |
| 1619092970 | Susan Rudalavage | Dietitian, Registered | 640 Madison Avenue, Scranton, PA 18510 | 2007-03-19 |
| 1851469738 | Lackawanna Surgery Center LLC | Clinic/Center | 415 Adams Avenue, Scranton, PA 18510 | 2006-12-01 |
| 1679666150 | Nicholas M. Rocco | Nurse Anesthetist, Certified Registered | 700 Quincy Ave., Scranton, PA 18510 | 2006-10-02 |
| 1710927587 | Care Plus Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Jefferson Ave, Scranton, PA 18510 | 2006-06-08 |
| 1619934189 | James M Haggerty | Podiatrist | 521 Ash Street, Dunmore, PA 18510 | 2006-04-28 |
| 1962461145 | Kevin G Madden | Psychiatry & Neurology | 802 Jefferson Avenue, Scranton, PA 18510 | 2006-03-17 |
| 1720058795 | Mark Trently | Nurse Anesthetist, Certified Registered | 1822 Jmulberry St, Scranton, PA 18510 | 2006-01-24 |
| Find all providers in zip 18510 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972977379 | Casey Ann Vescovi | Physician Assistant | 327 North Washington Ave., Suite 200, Scranton, PA 18503-1535 | 2015-11-23 |
| 1396137659 | Kara Lynn Rempe | Physician Assistant | 327 N Washington Ave Ste 200, Scranton, PA 18503 | 2015-02-24 |
| 1316932312 | Jennifer Murray Aebli | Physician Assistant | 5 Morgan Hwy Ste 4, Scranton, PA 18508-2641 | 2005-09-15 |
| 1366060923 | Alexa Rae Matillano | Physician Assistant | 449 Scranton Carbondale Hwy, Scranton, PA 18508-1115 | 2020-07-10 |
| 1790253193 | Meghan Katherine Cawley | Physician Assistant | 327 N Washington Ave Ste 200, Scranton, PA 18503-1535 | 2018-11-05 |
| 1790261303 | Gabriella Maria Rossi | Physician Assistant | 1800 Mulberry St, Scranton, PA 18510-2369 | 2018-07-17 |
| 1639626849 | Samipkumar Patel | Physician Assistant | 1141 Moosic St Ste 3, Scranton, PA 18505-2105 | 2016-09-06 |
| 1942669262 | Georgia Ann Healey | Physician Assistant | 743 Jefferson Ave Ste 305, Scranton, PA 18510-1639 | 2016-02-15 |
| 1730559881 | Jennifer Balinas | Physician Assistant | 802 Jefferson Ave, Scranton, PA 18510-1038 | 2015-10-01 |
| 1225466899 | Kristen Maritato | Physician Assistant | 1789 N Keyser Ave, Suite B, Scranton, PA 18508-1250 | 2013-10-17 |
| Find all providers in SCRANTON | ||||
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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.