THOMAS RUNSCAVAGE III


Address: 816 North St, Luzerne, PA 18709-1034
Phone: 5708559459

THOMAS RUNSCAVAGE III (NPI# 1437505500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437505500
Entity Type Individual
Full Name THOMAS RUNSCAVAGE III
Practice Address 816 North St
Luzerne
PA 18709-1034
Practice Telephone 5708559459
Mailing Telephone 5708559459
Enumeration Date 2016-05-09
Last Update Date 2016-05-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
SP016085 PA Physician Assistants & Advanced Practice Nursing Providers
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
SP016085 PA Physician Assistants & Advanced Practice Nursing Providers
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
SP016085 PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 816 NORTH ST
City LUZERNE
State PA
Zip Code 18709-1034

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225412471 Allison Zamerowski Nurse Practitioner 635 Rear Miller Street, Luzerne, PA 18709 2015-07-17
1356479653 Agostino J Alfano Dentist 103 Main St, Luzerne, PA 18709 2007-03-01
1447219027 Bruce E. Jacobs Family Medicine 205 Main St, Luzerne, PA 18709 2006-03-21
1588645956 Tammy Lynn Warmouth Optometrist 73 Main St, Luzerne, PA 18709-1201 2005-11-10
1538769864 Luzerne Discount Pharmacy Inc Pharmacy 101 Main St Unit D, Luzerne, PA 18709-1209 2020-10-27
1871035725 Denise Ruminski Dental Hygienist 103 Main St, Luzerne, PA 18709-1209 2016-11-09
1801084199 Blaum Chiropractic Center Chiropractor 105 Main St, Luzerne, PA 18709-1209 2007-10-11
1487769428 Rain Inc Pharmacy 101 Main St, Luzerne, PA 18709-1209 2006-08-20
1336148253 James Gerard Blaum Chiropractor 105 Main St, Luzerne, PA 18709-1209 2005-07-21
1932532777 Jennifer Betts Psychologist 90 Main St, Luzerne, PA 18709-1210 2013-08-15
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1720624539 Patrice Carver Cash Nurse Practitioner 539 Chain St, Norristown, PA 19401-4607 2019-11-27
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Competitor

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City LUZERNE
Zip Code 18709

Improve Information

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Dataset Information

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.

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