WAYNE MEMORIAL HOSPITAL (NPI# 1447364385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447364385 |
| Entity Type | Organization |
| Organization Name | WAYNE MEMORIAL HOSPITAL |
| Practice Address |
601 Park St Honesdale PA 18431-1445 |
| Practice Telephone | 5702538100 |
| Mailing Telephone | 5702538100 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2008-03-08 |
| Authorized Official Name | MICHAEL J CLIFFORD (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 5702538101 |
| Is Organization Subpart | Y |
| Parent Organization Name | WAYNE MEMORIAL HOSPITAL REHAB |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | 230501 | PA | Hospital Units |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679500334 | Wayne Memorial Hospital | Medicare Defined Swing Bed Unit | 601 Park Street, Honesdale, PA 18431 | 2006-06-27 |
| 1124026182 | Wayne Memorial Hospital | General Acute Care Hospital | 601 Park St, Honesdale, PA 18431-1445 | 2005-07-13 |
| 1386028207 | Wayne Memorial Hospital | Hospitalist | 601 Park Street, Honesdale, PA 18431-1499 | 2015-07-10 |
| 1649573023 | Wayne Memorial Hospital | General Acute Care Hospital | 601 Park St, Honesdale, PA 18431-1445 | 2010-12-07 |
| 1114195617 | Wayne Memorial Hospital | General Acute Care Hospital | 2700 Wayne Memorial Dr., Goldsboro, NC 27534-9494 | 2008-02-19 |
| 1700054582 | Wayne Memorial Hospital | General Acute Care Hospital | 2700 Wayne Memorial Dr, Goldsboro, NC 27534-9494 | 2008-02-14 |
| 1851591424 | Wayne Memorial Hospital | General Acute Care Hospital | 601 Park St, Honesdale, PA 18431-1445 | 2007-07-23 |
| 1023218690 | Wayne Memorial Hospital | Clinic/Center | 601 Park St, Honesdale, PA 18431-1445 | 2007-07-23 |
| 1083749097 | Wayne Memorial Hospital | Pharmacy | 2700 Wayne Memorial Dr, Goldsboro, NC 27534-9494 | 2007-02-22 |
| 1295750875 | Wayne Memorial Hospital | Home Health | 601 Park St, Honesdale, PA 18431-1445 | 2006-07-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WAYNE MEMORIAL HOSPITAL | 601 Park St, Honesdale, PA 18431-1498 |
| North Carolina Corporations | Wayne Memorial Hospital Foundation | 2700 Wayne Memorial Dr, Goldsboro, NC 27534-9494 |
| Street Address |
601 PARK ST |
| City | HONESDALE |
| State | PA |
| Zip Code | 18431-1445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124026182 | Wayne Memorial Hospital | General Acute Care Hospital | 601 Park St, Honesdale, PA 18431-1445 | 2005-07-13 |
| 1790318053 | Ann Marie Elizabeth Kretchik | Dietitian, Registered | 601 Park St, Honesdale, PA 18431-1498 | 2020-02-14 |
| 1548807340 | Dana Marie Gallik | Registered Nurse | 601 Park St, Honesdale, PA 18431-1445 | 2019-11-30 |
| 1215596317 | Shadoe M Daniels | Physician Assistant | 601 Park St, Honesdale, PA 18431-1498 | 2019-06-12 |
| 1215486022 | Advanced Inpatient Medicine Wayne, PC | Hospitalist | 601 Park St, Honesdale, PA 18431-1445 | 2016-09-22 |
| 1578939609 | Jacqueline Marie Hillriegel | Physician Assistant | 601 Park St, Honesdale, PA 18431-1445 | 2015-08-12 |
| 1720462088 | Wmh Physicians | Internal Medicine | 601 Park St, Honesdale, PA 18431-1445 | 2015-07-16 |
| 1023417649 | Sithu Lin | Internal Medicine | 601 Park St, Honesdale, PA 18431-1445 | 2014-08-19 |
| 1205267697 | Amber Sholtes | Physician Assistant | 601 Park St, Honesdale, PA 18431-1498 | 2013-12-10 |
| 1588097455 | Michelle Szymanski | Nurse Practitioner | 601 Park St, Emergency Department, Honesdale, PA 18431-1445 | 2013-08-15 |
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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 | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104271493 | Alyssa Hoffee | Rehabilitation Unit | 904 Beaver Grade Rd, Coraopolis, PA 15108-2716 | 2016-04-25 |
| 1316211865 | Back In Line Chiropractic and Wellness Center, PC | Rehabilitation Unit | 300 Cattell St Fl 1, Easton, PA 18042-7606 | 2012-03-01 |
| 1588969307 | Wellspan Specialty Services | Rehabilitation Unit | 55 Monument Rd., York, PA 17403 | 2011-01-26 |
| 1821301888 | Occupational & Hand Therapy Specialists | Rehabilitation Unit | 1495 S Queen St, York, PA 17403-3852 | 2010-07-20 |
| 1124269261 | Temple University Hospital | Rehabilitation Unit | 612 W Naomi St, Philadelphia, PA 19144-3711 | 2009-03-19 |
| 1861469355 | Keller Army Community Hospital | Rehabilitation Unit | 11 Hap Arnold Blvd, Health Clinic, Tobyhanna, PA 18466-5002 | 2006-03-02 |
| 1629075791 | Acadia, Inc. | Rehabilitation Unit | 1817 Olde Homestead Ln, Suite 201, Lancaster, PA 17601-6751 | 2005-07-05 |
| 1780686931 | St Mary Medical Center | Rehabilitation Unit | 1201 Langhorne-newtown Rd, Langhorne, PA 19047-1295 | 2005-06-01 |
| 1487287488 | Acute Rehab Center At Guthrie Towanda Memorial Hospital | Rehabilitation Unit | 91 Hospital Dr, Towanda, PA 18848-9702 | 2020-02-18 |
| 1255823845 | Schuylkill Medical Center - South Jackson Street | Rehabilitation Unit | 700 E Norwegian St, Pottsville, PA 17901-2710 | 2018-05-31 |
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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.