BERNARD EDEN (NPI# 1427035716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427035716 |
| Entity Type | Individual |
| Full Name | BERNARD EDEN |
| Credential | MD |
| Practice Address |
2 W Crescent Park Warren PA 16365-2111 |
| Mailing Address |
2520 Elisha Ave Zion IL 60099-2676 |
| Practice Telephone | 8147237906 |
| Practice Fax Number | 8147230414 |
| Mailing Telephone | 8478724561 |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2018-08-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | Other Service Providers | ||
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
MD437068 | PA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2361 Paysphere Cir, Chicago, IL 606740023 | 8477464358 |
| Street Address |
2 W CRESCENT PARK |
| City | WARREN |
| State | PA |
| Zip Code | 16365-2111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811990229 | Lee E Denlinger | Specialist | 2 W Crescent Park, Warren, PA 16365-2111 | 2005-05-31 |
| 1700423209 | Jennifer Thrift | Registered Nurse | 2 W Crescent Park, Warren, PA 16365-2111 | 2019-12-03 |
| 1972079184 | Warren General Hospital | Registered Nurse | 2 W Crescent Park, Warren, PA 16365-2111 | 2018-10-16 |
| 1558846584 | Nathan Zigler | Physician Assistant | 2 W Crescent Park, Warren, PA 16365-2111 | 2018-09-25 |
| 1720570021 | Erin Wilcox | Dental Hygienist | 2 W Crescent Park, Warren, PA 16365-2111 | 2018-06-01 |
| 1801388269 | Tracy Marie Leichtenberger | Dental Hygienist | 2 W Crescent Park, Warren, PA 16365-2111 | 2018-06-01 |
| 1891228136 | Primary Health Network | Clinic/Center | 2 W Crescent Park, Warren, PA 16365-2111 | 2017-04-04 |
| 1053863191 | Melissa Eckman | Nurse Practitioner | 2 W Crescent Park, Warren, PA 16365 | 2016-10-25 |
| 1174984116 | Regan Nicole Olsen | Nurse Practitioner | 2 W Crescent Park, Warren, PA 16365-2111 | 2016-03-18 |
| 1114392735 | Kelly Sullivan | Nurse Practitioner | 2 W Crescent Park, Warren, PA 16365-2111 | 2015-12-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712759 | James Hickey | Dentist | 94 Egypt Hollow Rd, Warren, PA 16365 | 2020-08-31 |
| 1437674579 | Theresa Elizabeth Cook | Speech-Language Pathologist | Rehabworks At Warren General Hospital, Two Crescent Park West, Warren, PA 16365 | 2017-08-10 |
| 1891160982 | Vanessa Frank Humphrey | Occupational Therapy Assistant | 682 Pleasant Drive, Warren, PA 16365 | 2015-12-01 |
| 1740651967 | John L. Harrington | Psychiatry & Neurology | 4 Second Ave. Apt. #2, Warren, PA 16365 | 2015-10-14 |
| 1992046569 | Carrie Lynn Vaughn | Physical Therapy Assistant | 1048 Pennslvania Ave West, Warren, PA 16365 | 2013-03-07 |
| 1750664488 | William Frederick Menz | Pharmacist | 2901 Market Street, (walmart), Warren, PA 16365 | 2011-09-20 |
| 1669617296 | Donald Nicholas Vandamia | Family Medicine | 64 Leda Lane, Warren, PA 16365 | 2008-12-11 |
| 1013187558 | Chad Michael Ristau | Nurse Anesthetist, Certified Registered | 2 Crescent Park West., Warren General Hospital, Warren, PA 16365 | 2008-03-11 |
| 1407072473 | Family Physical Therapy | Physical Therapist | 218 Liberty St, Warren, PA 16365 | 2007-04-18 |
| 1801927330 | Wal-mart Stores East, L.p. | Technician/Technologist | 2901 Market St., Warren, PA 16365 | 2007-03-08 |
| Find all providers in zip 16365 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558627539 | Kevin Daniel Kelley | Radiology | 1353 E Market St, Warren, OH 44483-6637 | 2012-04-04 |
| 1427113083 | Munir Ahmad | Radiology | 667 Eastland Ave Se, Warren, OH 44484-4503 | 2006-12-26 |
| 1770572430 | Leroy J Korb | Radiology | 2 W Crescent Park, Warren, PA 16365-2111 | 2005-10-17 |
| 1982696878 | Shaju Shamsuddin | Radiology | 667 Eastland Ave Se, Warren, OH 44484-4503 | 2005-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912433632 | Victor Eric Chen | Radiology | 111 S 11th St # G301, Philadelphia, PA 19107 | 2017-05-02 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1346635455 | Adam Christopher Mueller | Radiology | 111 S 11th St Ste G-301, Philadelphia, PA 19107-4824 | 2015-04-06 |
| 1790027662 | George Edward Mccarthy Jr. | Radiology | 419 Riverview Rd, Swarthmore, PA 19081-1222 | 2013-03-19 |
| 1891033619 | Melvin Fisher Strockbine | Radiology | 805 Michigan Ave, Lemoyne, PA 17043-1207 | 2013-01-29 |
| 1558611947 | East Coast Radiation Oncology PC | Radiology | 1701 E Broad St, Hazleton, PA 18201-5621 | 2012-09-13 |
| 1487916193 | Sonam Sharma | Radiology | 3400 Civic Blvd, Philadelphia, PA 19104-4206 | 2012-06-10 |
| 1053684449 | Donald E. Red | Radiology | 741 Hillview Rd, Malvern, PA 19355-3430 | 2012-02-15 |
| 1972875763 | Gregory Christopher Treharne | Radiology | 100 One Norwegian Plaza, Pottsville, PA 17901-6029 | 2012-02-08 |
| 1215209382 | Melvyn Paul Richter | Radiology | 335 Waring Rd, Elkins Park, PA 19027 | 2012-02-03 |
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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.