DR. SHIBU MATHEW PHILIPS (NPI# 1427225911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427225911 |
| Entity Type | Individual |
| Full Name | DR. SHIBU MATHEW PHILIPS |
| Credential | M.D., M.P.H. |
| Practice Address |
1000 East Mountain Blvd. Wilkes-barre PA 18711-3446 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-4903 |
| Practice Telephone | 5708087779 |
| Mailing Telephone | (570) 271-6144 |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207U00000X | Nuclear Medicine | MD443642 | PA | Allopathic & Osteopathic Physicians |
| Y | 207UN0902X |
Nuclear Medicine Specialization: Nuclear Imaging & Therapy |
MD443642 | PA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD443642 | PA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1255 S Cedar Crest Blvd, Allentown, PA 181036256 | 6107701606 | 6107400560 |
| Street Address |
1000 EAST MOUNTAIN BLVD. |
| City | WILKES-BARRE |
| State | PA |
| Zip Code | 18711-3446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427050723 | Thomas Andrew Erchinger | Surgery | 1000 East Mountain Blvd., Wilkes-barre, PA 18711-3762 | 2005-06-01 |
| 1679007033 | Tyler Anderson | Nurse Anesthetist, Certified Registered | 1000 East Mountain Blvd., Wilkes-barre, PA 18711 | 2017-04-12 |
| 1033661061 | Stanley J Yanik | Internal Medicine | 1000 East Mountain Blvd., Wilkes-barre, PA 18711-3610 | 2016-10-25 |
| 1881143709 | Stephanie Dosiak | Physician Assistant | 1000 East Mountain Blvd., Wilkes-barre, PA 18711-3732 | 2016-10-04 |
| 1649675240 | Ryan Reddick | Anesthesiology | 1000 East Mountain Blvd., Wilkes-barre, PA 18711-3475 | 2014-10-27 |
| 1114327988 | Jignesh Patel | Hospitalist | 1000 East Mountain Blvd., Wilkes-barre, PA 18711-3539 | 2014-08-29 |
| 1063831808 | Afghani Roshan | Emergency Medicine | 1000 East Mountain Blvd., Wilkes-barre, PA 18711-3420 | 2014-04-09 |
| 1427484187 | Alisha R Wainwright | Physician Assistant | 1000 East Mountain Blvd., Wilkes-barre, PA 18711-3610 | 2013-09-25 |
| 1669804175 | Hasan Mohamed Zerti | Internal Medicine | 1000 East Mountain Blvd., Wilkes-barre, PA 18711-3539 | 2013-08-07 |
| 1942644828 | Luke Edward Sullivan | Emergency Medicine | 1000 East Mountain Blvd., Wilkes-barre, PA 18711-3420 | 2013-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467924274 | Leeann Kayal | Nurse Practitioner | 111 East End Boulevard, Wilkes Barre, PA 18711 | 2018-12-19 |
| 1336661701 | Patricia Dworak | Occupational Therapist | 1175 East Mountain Boulevard, Wilkes-barre, PA 18711 | 2017-07-07 |
| 1992160352 | Hope Danishanko | Social Worker | 111 East End Blvd, Wilkes Barre, PA 18711 | 2015-12-29 |
| 1477962785 | Jennifer L. Heck | Physical Therapist | 1140 Route 315, Suite 207, Wilkes-barre, PA 18711 | 2014-08-12 |
| 1821338807 | Melinda Flaim | Physical Therapist | 1555 East End Blvd, Wilkes Barre, PA 18711 | 2013-02-27 |
| 1598900953 | Elizabeth Patricia Keating | Pharmacist | 1000 East Mountain Drive, Wilkes Barre, PA 18711 | 2008-12-12 |
| 1457433294 | Christopher William O'brien | Specialist/Technologist | King's College, 133 North River Street, Wilkes-barre, PA 18711 | 2006-10-20 |
| 1821197450 | Louis Jay Freedman | Obstetrics & Gynecology | Valley Medical Building, 3rd Floor, 1010 East Mountain Boulevard, Wilkes-barre, PA 18711 | 2006-09-21 |
| 1730282625 | Natalia N Belikova | Internal Medicine | 1111 East End Boulvard, Wilkesbarre, PA 18711 | 2006-09-06 |
| 1609883628 | Va Medical Center | General Acute Care Hospital | 1111 East End Blvd., Wilkes-barre, PA 18711 | 2006-08-02 |
| Find all providers in zip 18711 | ||||
| Taxonomy Code | 207UN0902X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Nuclear Medicine |
| Specialization | Nuclear Imaging & Therapy |
| A nuclear medicine physician who specializes in nuclear imaging and therapy. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Nuclear Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215331236 | Richard A Vitti, Md | Nuclear Medicine | 124 S Elm Ave, Newtown, PA 18940-2150 | 2014-10-20 |
| 1225239007 | Phyllisann Kathryn Dioguardi | Nuclear Medicine | 1414 S Penn Sq, Unit 32a, Philadelphia, PA 19102-2542 | 2007-05-30 |
| 1215978325 | Libby Cone | Nuclear Medicine | 51 N. 3rd St #140, Philadelphia, PA 19106 | 2006-06-09 |
| 1346785227 | Richard Albert Vitti | Nuclear Medicine | 124 S Elm Ave, Newtown, PA 18940-2150 | 2016-12-30 |
| 1962667451 | Kari D Hopfer | Nuclear Medicine | 100 N Academy Ave, Danville, PA 17822-9800 | 2008-07-23 |
| 1578579769 | Esther H Lim | Nuclear Medicine | 3900 Woodland Ave, Nuclear Medicine, Philadelphia Va Medical Center #115, Philadelphia, PA 19104-4551 | 2006-07-31 |
| 1659307353 | Lionel S Zuckier | Nuclear Medicine | 3400 Spruce Street, Philadelphia, PA 19104-4206 | 2006-06-24 |
| 1265403893 | Kwasi O Armah | Nuclear Medicine | 325 S Belmont St, York, PA 17403-2608 | 2006-01-31 |
| 1548231533 | Frank J Altomare Jr. | Nuclear Medicine | 421 Chew St, Allentown, PA 18102-3406 | 2006-01-30 |
| 1790765105 | Stephen J Brenza | Nuclear Medicine | 325 S Belmont St, York, PA 17403-2608 | 2006-01-20 |
| Find all providers with the same taxonomy | ||||
| City | WILKES-BARRE |
| Zip Code | 18711 |
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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.