MARY JENNIFER FRATTALI (NPI# 1447362272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447362272 |
| Entity Type | Individual |
| Full Name | MARY JENNIFER FRATTALI |
| Credential | MD |
| Practice Address |
503 S State St Clarks Summit PA 18411 |
| Mailing Address |
200 Mifflin Ave Scranton PA 18503 |
| Practice Telephone | 5705875186 |
| Practice Fax Number | 5705867973 |
| Mailing Telephone | 5703423145 |
| Mailing Fax Number | 5703441309 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | MD047963L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FIRST PRIORITY HEALTH | 078837 | 01 | |
| HIGH MARK BLUE SHIELD | FR427966 | 01 | |
| GEISINGER HEALTH PLAN | 13683 | 01 | |
| PA | 001393010 | 05 | |
| AETNA | 506554 | 01 | |
| RAILROAD MEDICARE | 180018745 | 01 |
| Street Address |
503 S STATE ST |
| City | CLARKS SUMMIT |
| State | PA |
| Zip Code | 18411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962414078 | Michael R Boland | Optometrist | 503 S State St, Clarks Summit, PA 18411 | 2006-08-13 |
| 1215049069 | Stanley W Boland | Ophthalmology | 503 S State St, Clarks Summit, PA 18411 | 2006-08-31 |
| 1366558686 | Optical Nei Inc | Eyewear Supplier (Equipment, not the service) | 503 S State St, Clarks Summit, PA 18411-1557 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881228153 | Hayley Nicole Zelinka | Physical Therapist | 1000 Edella Road, South Abington, PA 18411 | 2020-02-26 |
| 1023657269 | Erica Lynn Bednarz | Physical Therapist | 1001 Scenic Drive, Clarks Summit, PA 18411 | 2020-01-06 |
| 1386298842 | Gj-mac Enterprises LLC | In Home Supportive Care | 506 N State Street, Clarks Summit, PA 18411 | 2019-08-01 |
| 1609392117 | Colleen Marie Dougherty | Nurse Practitioner | 1145 Northern Boulevard, South Abington, PA 18411 | 2017-08-16 |
| 1629438312 | Christopher Oyede | Psychiatry & Neurology | 1508 Applewood Acres, South Abington, Clarks Summit, PA 18411 | 2016-02-24 |
| 1194107326 | Russell Zapko | Physical Medicine & Rehabilitation | 100 Edella Road, South Abington, PA 18411 | 2015-06-24 |
| 1952719619 | Geisinger Clinic | Family Medicine | 790 North Blvd, Suite K, Clarks Summit, PA 18411 | 2014-07-25 |
| 1437428182 | Gloria Marie Gigliotti | Behavioral Analyst | 718 South State Street, Caregivers of America, Clsarks Summit, PA 18411 | 2011-12-27 |
| 1790064137 | John D Cacciamani | Internal Medicine | 1345 Glenview Rd., Clarks Summit, PA 18411 | 2011-08-16 |
| 1235372418 | Five Star Quality Care-ghv, LLC | Assisted Living Facility | 950 Morgan Highway, Clarks Summit, PA 18411 | 2009-04-17 |
| Find all providers in zip 18411 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.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 Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124182423 | Metropolitan Optical | Ophthalmology | 521 Northern Blvd., Clarks Summit, PA 18411 | 2006-12-20 |
| 1518953264 | Stephen Sorokanich Jr. | Ophthalmology | 521 Northern Blvd, Clarks Summit, PA 18411-9024 | 2005-09-27 |
| 1902983349 | Stephen Sorokanich Jr. Md | Ophthalmology | 521 Northern Blvd, Clarks Summit, PA 18411-9024 | 2006-11-01 |
| 1215049069 | Stanley W Boland | Ophthalmology | 503 S State St, Clarks Summit, PA 18411 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386256782 | Maria Manquez Hatta | Ophthalmology | 840 Walnut St Fl 14, Philadelphia, PA 19107-5109 | 2020-08-18 |
| 1871115691 | Harold P Koller Md LLC | Ophthalmology | 1650 Huntingdon Pike Ste 208, Meadowbrook, PA 19046-8006 | 2020-05-14 |
| 1851938039 | Katherine Marie Mehalik | Ophthalmology | 301 S Hills Vlg Ste 2115a, Pittsburgh, PA 15241-1400 | 2019-12-05 |
| 1275177602 | Vision Innovation Centers of Pa LLC | Ophthalmology | 1000 Market St Ste 5, Bloomsburg, PA 17815-2601 | 2019-10-29 |
| 1255982963 | Priyanka Kukkar | Ophthalmology | 203 Lothrop Street, 8th Floor, Upmc Eye Center, Pittsburgh, PA 15213 | 2019-09-24 |
| 1871149716 | Harrisburg Eye Associates PC | Ophthalmology | 4700 Union Deposit Rd Ste 220, Harrisburg, PA 17111-3774 | 2019-08-15 |
| 1821640459 | Stephanie Nicole Kletke | Ophthalmology | 3500 Civic Center Blvd Fl 11, Philadelphia, PA 19104-4395 | 2019-07-13 |
| 1528623477 | Jay Kumar Chhablani | Ophthalmology | 203 Lothrop St Ste 821.2, Pittsburgh, PA 15213-2548 | 2019-05-07 |
| 1295290179 | Erika Massicotte | Ophthalmology | 203 Lothrop Street, Suite 821.2 Upmc Eye Center, Pittsburgh, PA 15213 | 2019-02-05 |
| 1417441692 | Blue Bell Eye Care & Surgery, P.C. | Ophthalmology | 686 Dekalb Pike Ste 202, Blue Bell, PA 19422-1258 | 2018-06-20 |
| Find all providers with the same taxonomy | ||||
| City | CLARKS SUMMIT |
| Zip Code | 18411 |
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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.