MOUNT NITTANY MEDICAL CENTER HEALTH SERVICES INC (NPI# 1407035553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407035553 |
| Entity Type | Organization |
| Organization Name | MOUNT NITTANY MEDICAL CENTER HEALTH SERVICES INC |
| Other Organization Name | MNMC PAIN MANAGEMENT CLINIC |
| Practice Address |
911 University Drive State College PA 16801-6626 |
| Mailing Address |
1800 East Park Avenue State College PA 16803-6797 |
| Practice Telephone | 8142373360 |
| Mailing Telephone | 8142317000 |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2008-03-26 |
| Authorized Official Name | MR. RICHARD J WISNIRWSKI (SENIOR VICE PRESIDENT OF FINANCIAL) |
| Authorized Official Telephone | 8142346148 |
| Is Organization Subpart | Y |
| Parent Organization Name | MOUNT NITTANY MEDICAL CENTRAL HEALTH SERVICES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
PA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| MNMC Pain Management Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326221896 | Mount Nittany Medical Center Health Services Inc | Psychologist | 1800 East College Ave, State College, PA 16803-6797 | 2007-12-07 |
| 1598992554 | Mount Nittany Medical Center Health Services Inc | Pediatrics | 1800 E Park Ave, State College, PA 16803-6709 | 2009-06-17 |
| 1164691499 | Mount Nittany Medical Center Health Services Inc | Family Medicine | 4570 Penns Valley Rd, Ste 1, Spring Mills, PA 16875-8500 | 2008-02-20 |
| 1245418334 | Mount Nittany Medical Center Health Services Inc | Clinic/Center | 120 Radnor Rd, State College, PA 16801-7970 | 2008-01-31 |
| Street Address |
911 UNIVERSITY DRIVE |
| City | STATE COLLEGE |
| State | PA |
| Zip Code | 16801-6626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851880975 | Creative Reflections Counseling, LLC | Counselor | 315 S Allen St Ste 124b, State College, PA 16801 | 2018-05-03 |
| 1679097901 | Michelle L Grove | Home Health Aide | 2100 E College Ave Ste B, State College, PA 16801 | 2017-07-28 |
| 1740702034 | Matthew Ishler | Counselor | 315 S. Allen Street Ste 326, State College, PA 16801 | 2017-07-09 |
| 1699206300 | Emily Lauer | Specialist/Technologist | 102a Multisport Indoor Facility, State College, PA 16801 | 2017-03-23 |
| 1740721075 | Luk Devorski | Student in an Organized Health Care Education/Training Program | Rec Hall University Park, Penn State University, State College, PA 16801 | 2017-03-20 |
| 1013465764 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 201 West Beaver Avenue, State College, PA 16801 | 2016-09-12 |
| 1740685858 | Mallory L. Miller | Physician Assistant | 100 Radnor Rd Ste 101, State College, PA 16801 | 2014-10-31 |
| 1386053981 | Christopher Hippenmeyer | Specialist/Technologist | 102a East Area Locker Building, Pennsylvania State University, University Park, PA 16801 | 2014-08-07 |
| 1982022059 | Christy Sharer | Counselor | 301 S Allen St Ste 106, State College, PA 16801 | 2014-04-04 |
| 1912250523 | Eva M Letwin | Counselor | 2011 Cato Ave Ste 201, State College, PA 16801 | 2012-10-19 |
| Find all providers in zip 16801 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104991801 | Mount Nittany Medical Center | Clinic/Center | 911 University Dr, State College, PA 16801-6626 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679191142 | Pa Green Wellness | Clinic/Center | 1150 First Ave Ste 950, King of Prussia, PA 19406-1371 | 2020-07-10 |
| 1740823848 | King of Prussia Surgery Center, LLC | Clinic/Center | 950 Pulaski Dr Ste 140, King of Prussia, PA 19406-2802 | 2019-10-21 |
| 1114584984 | Penn Wellness Group P.C. | Clinic/Center | 926 Ada St, Belle Vernon, PA 15012-2353 | 2019-05-28 |
| 1467852996 | Ilumina Life Center, P.C. | Clinic/Center | 211 Granite Run Dr Ste 221, Lancaster, PA 17601 | 2014-09-03 |
| 1639451875 | Lighthouse Medical, LLC | Clinic/Center | 301 East Pleasant Valley Blvd., Altoona, PA 16602-4475 | 2011-09-14 |
| 1205149846 | Lighthouse Medical, LLC | Clinic/Center | 507 Tire Hill Road, Suite 100, Johnstown, PA 15905 | 2010-07-26 |
| 1487979670 | Lighthouse Medical, LLC | Clinic/Center | 200 Hospital Dr Ste 6, Tyrone, PA 16686-1825 | 2010-03-31 |
| 1487857322 | Pain Management Centers of America, LLC | Clinic/Center | 820 Town Center Dr, Suite 200, Langhorne, PA 19047-1785 | 2007-06-07 |
| 1609438324 | New Day Pain & Spine Specialists LLC | Clinic/Center | 230 Independence Rd, East Stroudsburg, PA 18301-9447 | 2019-07-02 |
| 1912432972 | Pain Instacare | Clinic/Center | 1420 Walnut Street, Suite 1201, Philadelphia, PA 19102-4017 | 2017-04-27 |
| Find all providers with the same taxonomy | ||||
| City | STATE COLLEGE |
| Zip Code | 16801 |
Please comment or provide details below to improve the information on MOUNT NITTANY MEDICAL CENTER HEALTH SERVICES INC.
| 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.