JOSEPH P. CHOLLAK, JR., M.D. (NPI# 1407056732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407056732 |
| Entity Type | Organization |
| Organization Name | JOSEPH P. CHOLLAK, JR., M.D. |
| Practice Address |
950 Wyoming Ave Forty Fort PA 18704-3966 |
| Practice Telephone | 5702877704 |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2007-11-27 |
| Authorized Official Name | MRS. SHELLY MARANSKY (ADMIN ASSISTANT) |
| Authorized Official Telephone | 5702877707 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
MD-011393-E | PA | Allopathic & Osteopathic Physicians |
| N | 363A00000X | Physician Assistant | MA-003120-L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207Q00000X | Family Medicine | MD-011393-E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0008576980004 | 05 |
| Street Address |
950 WYOMING AVE |
| City | FORTY FORT |
| State | PA |
| Zip Code | 18704-3966 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619483211 | James W Galasso IIi D.o. | Family Medicine | 1169 Wyoming Ave, Forty Fort, PA 18704-4003 | 2017-12-18 |
| 1851730550 | Loren Mangino | Family Medicine | 920 Wyoming Ave Ste 103, Forty Fort, PA 18704-3971 | 2013-06-17 |
| 1962423277 | William H. Boyle | Family Medicine | 1732 Wyoming Ave, Forty Fort, PA 18704-4340 | 2006-07-21 |
| 1972580405 | Elizabeth Gernhardt | Family Medicine | 920 Wyoming Ave, Suite 202, Forty Fort, PA 18704-3953 | 2005-12-27 |
| 1093995938 | Roy W Gernhardt IIi Md PC | Family Medicine | 1732 Wyoming Ave, Forty Fort, PA 18704-4340 | 2007-11-08 |
| 1760504617 | William H Boyle, Md PC | Family Medicine | 1732 Wyoming Ave, Forty Fort, PA 18704-4340 | 2007-04-04 |
| 1558482513 | Elizabeth A. Gernhardt Inc. | Family Medicine | 920 Wyoming Ave, Ste 202, Forty Fort, PA 18704-3953 | 2007-04-03 |
| 1215071972 | Roy Walter Gernhardt IIi | Family Medicine | 1732 Wyoming Ave, Forty Fort, PA 18704-4340 | 2007-02-16 |
| 1679543722 | Edward John Carey | Family Medicine | 920 Wyoming Ave, Forty Fort, PA 18704-3953 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442878 | Hallie Szymanski | Family Medicine | 3481 Frye Ave, Finleyville, PA 15332-1305 | 2020-09-19 |
| 1124633672 | Upmc Community Medicine, Inc | Family Medicine | 3140 Highland Rd Ste 102, Hermitage, PA 16148-4514 | 2020-09-11 |
| 1275147647 | Rebecca Diane Yeater | Family Medicine | Wellspan Family Medicine - Fairfield, 4910 Fairfield Rd, Fairfield, PA 17320 | 2020-09-03 |
| 1497369813 | Christina Socash | Family Medicine | 11335 Neiger Rd, Girard, PA 16417-9130 | 2020-09-02 |
| 1902410673 | Geisinger Clinic | Family Medicine | 20 Diana Ln, West Hazleton, PA 18202-1210 | 2020-09-01 |
| 1457964603 | Cynthia Rainey Raposas | Family Medicine | 3552 Woodside Rd, Hollidaysburg, PA 16648-5258 | 2020-08-27 |
| 1841802592 | Community Health and Wellness Services, Inc. | Family Medicine | 312 Memorial Park Dr, Springfield, PA 19064-1714 | 2020-08-22 |
| 1649882275 | Blair Regenerative Medicine LLC | Family Medicine | 201 Hospital Dr Ste 2, Everett, PA 15537-7019 | 2020-08-17 |
| 1447861521 | Mature Resources Foundation | Family Medicine | 28944 Frenchville Karthaus Hwy, Frenchville, PA 16836-8834 | 2020-08-12 |
| 1619587227 | Cmp Medical LLC | Family Medicine | 3626 Sears St, Philadelphia, PA 19146-3217 | 2020-08-07 |
| Find all providers with the same taxonomy | ||||
| City | FORTY FORT |
| Zip Code | 18704 |
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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.