WAYNE MEMORIAL COMMUNITY HEALTH CENTERS (NPI# 1437506920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437506920 |
Entity Type | Organization |
Organization Name | WAYNE MEMORIAL COMMUNITY HEALTH CENTERS |
Other Organization Name | HONESDALE PULMONARY |
Practice Address |
600 Maple Ave Suite 4 Honesdale PA 18431-1459 |
Mailing Address |
601 Park St Honesdale PA 18431-1445 |
Practice Telephone | 5702538643 |
Mailing Telephone | 5702538643 |
Enumeration Date | 2016-05-16 |
Last Update Date | 2016-05-16 |
Authorized Official Name | FREDERICK JACKSON (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 5702538450 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Honesdale Pulmonary | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134771934 | Wayne Memorial Community Health Centers | Clinic/Center | Waymart Pediatric Center, 27b Woodlands Dr, Waymart, PA 18472-9366 | 2019-07-11 |
1558882720 | Wayne Memorial Community Health Centers | Family Medicine | 600 Maple Ave Ste 15, Honesdale, PA 18431-1460 | 2017-06-28 |
1174974232 | Wayne Memorial Community Health Centers | Obstetrics & Gynecology | 44 N Scott St, Carbondale, PA 18407-2059 | 2016-06-29 |
1376950592 | Wayne Memorial Community Health Centers | Social Worker | 600 Maple Ave Ste 6, Honesdale, PA 18431-1436 | 2014-07-21 |
1336416619 | Wayne Memorial Community Health Centers | Pediatrics | 152 Brooklyn St, Carbondale, PA 18407-2208 | 2011-11-30 |
1780820068 | Wayne Memorial Community Health Centers | Internal Medicine | 543 Easton Tpke, Suite 105, Lake Ariel, PA 18436-4798 | 2008-12-17 |
1346854270 | Wayne Memorial Community Health Centers | Emergency Medicine | 273 Grandview Ave, Honesdale, PA 18431-1163 | 2020-09-08 |
1194377341 | Wayne Memorial Community Health Centers | Pediatrics | 62 Industrial Park Rd, Lake Ariel, PA 18436-5606 | 2019-07-09 |
1932751187 | Wayne Memorial Community Health Centers | Pediatrics | 1837 Fair Ave, Honesdale, PA 18431-2121 | 2019-07-09 |
1073960563 | Wayne Memorial Community Health Centers | Psychiatry & Neurology | 600 Maple Ave, Suite 1, Honesdale, PA 18431-1459 | 2016-05-16 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | WAYNE MEMORIAL COMMUNITY HEALTH CENTERS | 601 Park Street, Honesdale, PA 18431-1445 |
Street Address |
600 MAPLE AVE SUITE 4 |
City | HONESDALE |
State | PA |
Zip Code | 18431-1459 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144213646 | Scott K. Epstein | Physical Medicine & Rehabilitation | 600 Maple Ave, Suite 3, Honesdale, PA 18431-1459 | 2005-08-30 |
1407490758 | Katherine Szymanski | Social Worker | 600 Maple Ave, Honesdale, PA 18431-1459 | 2019-10-30 |
1609302140 | Wayne Physiatry LLC | Electrodiagnostic Medicine | 600 Maple Ave, Ste 3, Honesdale, PA 18431-1459 | 2017-05-03 |
1073960563 | Wayne Memorial Community Health Centers | Psychiatry & Neurology | 600 Maple Ave, Suite 1, Honesdale, PA 18431-1459 | 2016-05-16 |
1336596824 | Wayne Memorial Community Health Centers | Internal Medicine | 600 Maple Ave, Suite 1, Honesdale, PA 18431-1459 | 2016-05-16 |
1518314004 | Wayne Memorial Community Health Centers | Surgery | 600 Maple Ave, Suite 1, Honesdale, PA 18431-1459 | 2016-05-16 |
1104196187 | Dorothy Walline | Social Worker | 600 Maple Ave, Honesdale, PA 18431-1459 | 2012-01-06 |
1336428747 | Tuhin Gupta | Psychiatry & Neurology | 600 Maple Ave, Honesdale, PA 18431 | 2011-08-16 |
1619298957 | Susan Granquist | Dentist | 600 Maple Ave, Honesdale, PA 18431-1459 | 2010-06-22 |
1740426725 | Hilary Cousins | Social Worker | 600 Maple Ave, Honesdale, PA 18431-1459 | 2008-12-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487828927 | Sarah Catherine Eibach | Social Worker | 190 Delaware Street, Honesdale, PA 18431 | 2008-04-16 |
1437369220 | Michael C Rogers | Dentist | 3373 Lake Ariel Highway, Honesdale, PA 18431 | 2007-05-23 |
1053531079 | Matthew James Downey | Internal Medicine | 1860 Fair Avenue, Suite A, Honesdale, PA 18431 | 2007-05-01 |
1114049335 | Philip C. Gutherz, Md | Internal Medicine | 700 Maple Avenue, 2nd Floor, Honesdale, PA 18431 | 2007-04-06 |
1790806818 | Krina Ennis Pratt | Physical Therapist | Ellen Memorial Health Care Center, 23 Ellen Memorial Lane, Honesdale, PA 18431 | 2007-04-03 |
1255465977 | Leonard Weiss | Optometrist | 928 Church St, Honesdale, PA 18431 | 2007-03-15 |
1023143724 | Rise Beth Bill | Social Worker | 602 Church Street, Honesdale Wellness Ctr, Honesdale, PA 18431 | 2007-02-22 |
1790842375 | Lawrence G Caruth Dmd Assoc | Dentist | 3025 Lake Ariel Hwy, Honesdale, PA 18431 | 2007-01-02 |
1225194657 | David Michael Boldish | Dentist | 1325 North Main Street, Honesdale, PA 18431 | 2006-12-29 |
1497813562 | George J Gustainis | Family Medicine | 3196 Lake Ariel Hwy, Honesdale, PA 18431 | 2006-12-04 |
Find all providers in zip 18431 |
Taxonomy Code | 207RP1001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Pulmonary Disease |
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154687762 | Wayne Memorial Community Health Centers | Internal Medicine | 507 High St, Honesdale, PA 18431-1733 | 2012-04-09 |
1497749378 | Sean Kevin Mcveigh | Internal Medicine | 600 Maple Ave, Honesdale, PA 18431-1459 | 2005-09-07 |
1952395121 | Wayne Memorial Community Health Centers | Internal Medicine | 601 Park St, Honesdale, PA 18431-1445 | 2005-09-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376171264 | Jamie Shawn Shatzman | Internal Medicine | 25 Harrison Dr, Newtown Square, PA 19073-1420 | 2020-03-28 |
1033746813 | Advanced Pulmonary Specialists | Internal Medicine | 846 Bank St, Beaver, PA 15009-2602 | 2020-03-24 |
1881229417 | Mark Arthur Stypula | Internal Medicine | 848 Arbordale Ln, Wexford, PA 15090-7439 | 2020-03-04 |
1063076289 | Lung Health Services PC | Internal Medicine | 1240 South Broad Street, Suite 230, Lansdale, PA 19446 | 2019-04-23 |
1023595667 | Pulmonary Consultants Inc. | Internal Medicine | 1 Medical Center Blvd Ste 422, Chester, PA 19013-3902 | 2018-07-26 |
1013437250 | Pinnacle Health Regional Physicians | Internal Medicine | 1533 Commerce Ave Ste 3, Carlisle, PA 17015-9128 | 2017-06-20 |
1346610805 | Saint Vincent Medical Education and Research Institute Inc. | Internal Medicine | 145 West 24th Street, 302a, Erie, PA 16544-0002 | 2015-09-28 |
1831573146 | Meadville Physician Services | Internal Medicine | 751 Liberty St Ste G-19, Meadville, PA 16335-2559 | 2015-07-16 |
1700260163 | Richard Kenneth Murray | Internal Medicine | 809 N Mount Pleasant Rd, Philadelphia, PA 19119-3303 | 2015-07-16 |
1518362359 | Grand View Hospital | Internal Medicine | 817 Lawn Ave Ste 4, Sellersville, PA 18960 | 2014-10-22 |
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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.