NORTHEAST EAR, NOSE & THROAT CENTER, PC (NPI# 1427071323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427071323 |
| Entity Type | Organization |
| Organization Name | NORTHEAST EAR, NOSE & THROAT CENTER, PC |
| Practice Address |
940 Jefferson Ave Scranton PA 18510-1007 |
| Practice Telephone | 5705582624 |
| Practice Fax Number | 5705582479 |
| Mailing Telephone | 5705582624 |
| Mailing Fax Number | 5705582479 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LOUIS PATRICK DEGENNARO (PRESIDENT) |
| Authorized Official Telephone | 5705582624 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| Street Address |
940 JEFFERSON AVE |
| City | SCRANTON |
| State | PA |
| Zip Code | 18510-1007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063412583 | Keith Michael Pritchyk | Specialist | 940 Jefferson Ave, Scranton, PA 18510-1007 | 2005-07-27 |
| 1205330388 | Valley Care Pharmacy 1 Inc | Pharmacy | 940 Jefferson Ave, Scranton, PA 18510-1007 | 2018-03-22 |
| 1518234855 | Jennifer Leigh Rodriguez | Audiologist | 940 Jefferson Ave, Scranton, PA 18510-1007 | 2011-11-30 |
| 1851532485 | Linda M Kushner | Audiologist | 940 Jefferson Ave, Scranton, PA 18510-1007 | 2009-03-11 |
| 1154566065 | Denise Christman | Audiologist | 940 Jefferson Ave, Scranton, PA 18510-1007 | 2008-12-05 |
| 1801031935 | Valarie Ahlstrand | Audiologist | 940 Jefferson Ave, Scranton, PA 18510-1007 | 2008-12-03 |
| 1407024201 | Jennifer Ann Stinson | Audiologist-Hearing Aid Fitter | 940 Jefferson Ave, Scranton, PA 18510 | 2008-02-14 |
| 1497826275 | Tamara A Bennett | Audiologist | 940 Jefferson Ave, Scranton, PA 18510-1007 | 2006-11-13 |
| 1164527123 | Deborah A Cerra | Registered Nurse | 940 Jefferson Ave, Scranton, PA 18510-1007 | 2006-09-14 |
| 1194725598 | Anthony Carmen Brutico | Specialist | 940 Jefferson Ave, Scranton, PA 18510-1007 | 2005-07-28 |
| 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 | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043877319 | Health Services of Clarion, Inc. | Otolaryngology | 30 Pinnacle Dr Ste 301, Clarion, PA 16214-3800 | 2019-05-22 |
| 1134680747 | Providence Ear Nose & Throat Associates Inc | Otolaryngology | Riddle Mem. Hosp.- Outpt. Pav., 1098 W. Baltimore Pk. Ste 3406, Media, PA 19063-5139 | 2019-03-27 |
| 1619437654 | Providence Ear Nose & Throat Associates Inc | Otolaryngology | 500 Evergreen Dr Ste 18, Glen Mills, PA 19342-1032 | 2019-03-25 |
| 1659844264 | David C Hughes | Otolaryngology | 1047 Lilac St, Indiana, PA 15701-2459 | 2019-01-07 |
| 1790278372 | Vishaal Patel | Otolaryngology | 3440 N Broad St # 300, Philadelphia, PA 19140-5104 | 2018-06-08 |
| 1710409594 | Philippe Lavigne | Otolaryngology | 200 Lothrop St Ste 300, Pittsburgh, PA 15213-2536 | 2017-07-12 |
| 1033630892 | Jessica Anne Tang | Otolaryngology | 3440 North Broad Street, Kresge West #300, Philadelphia, PA 19140 | 2017-07-03 |
| 1417313255 | Robert Guelcher | Otolaryngology | 521 Montmarc Blvd, Erie, PA 16504-2611 | 2016-01-09 |
| 1689057804 | Rui Jun Lin | Otolaryngology | 2533b Wharton St, Pittsburgh, PA 15203-5103 | 2015-07-07 |
| 1861870511 | Giuseppe V Staltari | Otolaryngology | 203 Lothrup Street, Eye and Ear Building, Suite 500, Pittsburgh, PA 15213-2536 | 2015-05-14 |
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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.