KINGSTON OPHTHALMOLOGY ASC LLC


Address: 601 Wyoming Ave, Kingston, PA 18704-3701
Phone: 5702887405

KINGSTON OPHTHALMOLOGY ASC LLC (NPI# 1396919825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396919825
Entity Type Organization
Organization Name KINGSTON OPHTHALMOLOGY ASC LLC
Other Organization Name KINGSTON SURGERY CENTER
Practice Address 601 Wyoming Ave
Kingston
PA 18704-3701
Practice Telephone 5702887405
Practice Fax Number 5707140419
Mailing Telephone 5702887405
Mailing Fax Number 5707140419
Enumeration Date 2008-04-16
Last Update Date 2014-04-03
Authorized Official Name MR. PHILLIP A. CLENDENIN (PRESIDENT)
Authorized Official Telephone 6156651283
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207L00000X Anesthesiology Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA BLUE SHIELD 1640867 01
PA RAILROAD MEDICARE DB1516 01

Other Provider/Organization Names

Other Name Type Code
Kingston Surgery Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1245203405 Kingston Ophthalmology Asc LLC Clinic/Center 601 Wyoming Ave, Kingston, PA 18704-3701 2006-02-08

Office Location

Street Address 601 WYOMING AVE
City KINGSTON
State PA
Zip Code 18704-3701

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912906090 Renee A. Monahan Audiologist 601 Wyoming Ave, Kingston, PA 18704-3701 2005-07-20
1356966840 John Giampietro Physical Therapist 601 Wyoming Ave, Kingston, PA 18704-3701 2020-06-10
1356799274 Joseph Motzko Audiologist 601 Wyoming Ave, Kingston, PA 18704-3701 2016-06-01
1619323516 Celtic Healthcare of Ne Pa, Inc. Nurse Practitioner 601 Wyoming Ave, Kingston, PA 18704-3701 2016-05-10
1487955290 Celtic Healthcare of Ne Pa, Inc. Hospice Care, Community Based 601 Wyoming Ave, Kingston, PA 18704-3701 2010-11-10
1215238548 Celtic Healthcare of Ne Pa, Inc. Home Health 601 Wyoming Ave, Kingston, PA 18704-3701 2010-11-03
1386812923 The Hearing Center of Northeast Pennsylvania LLC Audiologist-Hearing Aid Fitter 601 Wyoming Ave, Kingston, PA 18704-3701 2008-02-18
1871701870 Louis R Sieminski Audiologist 601 Wyoming Ave, Kingston, PA 18704-3701 2007-05-21
1528286663 William J Scott Jr Ms Psychologist 601 Wyoming Ave, Kingston, PA 18704-3701 2007-04-23
1245384437 Eye Care Specialists, P.c Ophthalmology 601 Wyoming Ave, Kingston, PA 18704-3701 2007-01-23
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207L00000X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology

Taxonomy Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881681716 Zinaida Reytblat Anesthesiology Kingston Hospital, 396 Broadway, Kingston, NY 12401 2005-10-05
1508209560 Keenan Robert Richards Anesthesiology 396 Broadway, Kingston, NY 12401-4626 2013-04-09
1043459845 John J Schermerhorn Anesthesiology 1 South Rd, Kingston, NH 03848-3153 2009-02-18
1982620704 Masroor A. Syed Anesthesiology 105 Marys Ave, Kingston, NY 12401-5829 2006-07-14
1104876135 Craig S. Mccoy Anesthesiology 105 Marys Ave, Kingston, NY 12401-5829 2006-05-11
1356342380 Susan L Behar Anesthesiology 396 Broadway, Kingston, NY 12401-4626 2005-08-01
1518963669 Robert Michael Chuda Anesthesiology 105 Marys Ave, Kingston, NY 12401-5829 2005-06-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1700418456 Wsc Anesthesia LLC Anesthesiology 495 E Waterfront Dr Ste 110, Homestead, PA 15120-1151 2020-02-11
1497313332 Marsha Metzger Silberstein Anesthesiology 50 S 16th St Unit 4006, Philadelphia, PA 19102-2531 2019-06-05
1841853827 Charles Michael Holdsworth Anesthesiology 31204 Anns Choice Way, Warminster, PA 18974-3369 2019-04-16
1275090433 Upmc Wellsboro Anesthesiology 103 West Ave Ste 203, Wellsboro, PA 16901-1311 2019-02-25
1730645516 Jw Anesthesia Consultants, LLC Anesthesiology 790 Newtown Yardley Rd Ste 415, Newtown, PA 18940-4503 2019-02-16
1487157731 Prime Anesthesia Associates PC Anesthesiology 810 Plaza Blvd Ste 101, Lancaster, PA 17601-2762 2018-03-13
1740796796 Pain Medicine of York, LLC Anesthesiology 100 High Tower Blvd Ste 200, Pittsburgh, PA 15205 2017-12-28
1295241909 David William Schaffer Anesthesiology 29 Harmony Way, Newtown, PA 18940-1260 2017-12-18
1861904195 Willis Curtis Barnes Jr. Anesthesiology 311 Race St., West Pittston, PA 18643 2017-10-26
1508377656 Pottstown Ambulatory Center, LLC Anesthesiology 20 N Sunnybrook Rd Ste 2, Pottstown, PA 19464-2946 2017-10-17
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Competitor

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City KINGSTON
Zip Code 18704

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Dataset Information

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.

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