LOCK HAVEN MEDICAL PROFESSIONALS PC (NPI# 1457310252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457310252 |
| Entity Type | Organization |
| Organization Name | LOCK HAVEN MEDICAL PROFESSIONALS PC |
| Other Organization Name | HAVEN ORTHOPEDIC AND SPORTS MEDICINE |
| Practice Address |
24 Cree Dr Lock Haven PA 17745-2639 |
| Mailing Address |
330 Franklin Road #135a-501 Brentwood TN 37027 |
| Practice Telephone | 5708935330 |
| Mailing Telephone | 6153093300 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GARY NEWSOME (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 5708935330 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1013815860001 | 05 |
| Other Name | Type Code |
|---|---|
| Haven Orthopedic and Sports Medicine | Doing Business As Name - Organization |
| Street Address |
24 CREE DR |
| City | LOCK HAVEN |
| State | PA |
| Zip Code | 17745-2639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770576993 | Brian R Altman | Orthopaedic Surgery | 24 Cree Dr, Lock Haven, PA 17745-2639 | 2005-08-23 |
| 1154974996 | Melody Henderson | Occupational Therapist | 24 Cree Dr, Lock Haven, PA 17745-2639 | 2019-07-22 |
| 1124670690 | Robyn Marie Croce | Physical Therapy Assistant | 24 Cree Dr, Lock Haven, PA 17745-2639 | 2019-07-15 |
| 1801448261 | John Arthur Blachek IIi | Physical Therapist | 24 Cree Dr, Lock Haven, PA 17745-2639 | 2019-07-15 |
| 1891347670 | Margaret Julia Beaton | Speech-Language Pathologist | 24 Cree Dr, Lock Haven, PA 17745-2639 | 2019-07-12 |
| 1851943716 | Timothy Lester Moore | Physical Therapist | 24 Cree Dr, Lock Haven, PA 17745-2639 | 2019-07-11 |
| 1588216477 | Mckenzie Florene Hakin | Occupational Therapy Assistant | 24 Cree Dr, Lock Haven, PA 17745-2639 | 2019-07-11 |
| 1457836447 | Samantha Ann Witner | Nurse Practitioner | 24 Cree Dr, Lock Haven, PA 17745-2639 | 2018-09-26 |
| 1750803797 | Upmc Lock Haven | Medicare Defined Swing Bed Unit | 24 Cree Dr, Lock Haven, PA 17745-2699 | 2017-07-12 |
| 1649792680 | Upmc Susquehanna Lock Haven | Clinic/Center | 24 Cree Dr, Lock Haven, PA 17745-2639 | 2017-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760012587 | Clinton County Community Connections Inc | Clinic/Center | 10 N Washington Street, Lock Haven, PA 17745 | 2020-01-21 |
| 1740759539 | Jason Michael Niederriter | Pharmacist | 313-337 West Bald Eagle Street, Lock Haven, PA 17745 | 2018-11-21 |
| 1194240879 | Rene Pacificador Villegas | Physical Therapist | 502 East Howard St., Bellefonte, PA 17745 | 2017-08-03 |
| 1497101638 | Drew Ryan | Student in an Organized Health Care Education/Training Program | 15 Cochise Trail, Lock Haven, PA 17745 | 2016-05-06 |
| 1861766644 | Thomas John Ciuchta | Dentist | 44 E. Church Street, Lock Haven, PA 17745 | 2012-02-27 |
| 1497085021 | Abby Lynn Brown | Social Worker | 206 East Water Street, Lock Haven, PA 17745 | 2010-01-04 |
| 1093976482 | Infant Development Program Inc | Early Intervention Provider Agency | 980 East Water St, Lock Haven, PA 17745 | 2008-06-19 |
| 1073635769 | Richard Lee Powers II | Dentist | 525 High Street, Lock Haven, PA 17745 | 2007-04-04 |
| 1184792863 | Shailendra Nath Kapoor | Urology | 214 High Street, Flemington, PA 17745 | 2006-12-01 |
| 1629156054 | Samuel R Rockey Dmd PC | Dentist | 320 E Water St, Lock Haven, PA 17745 | 2006-11-02 |
| Find all providers in zip 17745 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790323517 | Einstein Practice Plan Inc | Orthopaedic Surgery | 5501 Old York Rd Bldg Fl4, Philadelphia, PA 19141-3018 | 2019-12-11 |
| 1700381076 | Integrated Medical Group, P.C. | Orthopaedic Surgery | 48 Tunnel Rd Ste 203, Pottsville, PA 17901-3885 | 2018-03-28 |
| 1376058735 | Sports Medicine & Joint Replacement Specialists Corporation | Orthopaedic Surgery | 542 Rugh St Ste 2000, Greensburg, PA 15601-5623 | 2017-12-07 |
| 1104342583 | Mercy Management of Southeastern Pennsylvania | Orthopaedic Surgery | 501 S 54th St Ste 28, Phila, PA 19143 | 2017-08-17 |
| 1992125413 | Arjun Ramprasad | Orthopaedic Surgery | 380 Oxford Valley Rd Fl 1, Langhorne, PA 19047-8304 | 2014-04-23 |
| 1396171377 | Upmc Community Medicine Inc | Orthopaedic Surgery | 510 S Aiken Ave, Suite Eg-01, Pittsburgh, PA 15232-1505 | 2013-09-23 |
| 1871932467 | Justin W Arner | Orthopaedic Surgery | 200 Delafield Rd Ste 410, Pittsburgh, PA 15215-3205 | 2013-06-18 |
| 1548580483 | Reflex Orthopedics and Sports Medicine, PC | Orthopaedic Surgery | 463 Brush Run Road, Suite 200, Greensburg, PA 15601 | 2010-06-02 |
| 1427211069 | Scott Kevin Schweizer | Orthopaedic Surgery | 160 Gallery Dr Ste 144, Canonsburg, PA 15317-2690 | 2008-07-03 |
| 1235356379 | Robert August Gallo | Orthopaedic Surgery | 30 Hope Dr Bldg A, Bone and Joint Institute, Ec089, Hershey, PA 17033-2036 | 2007-04-19 |
| Find all providers with the same taxonomy | ||||
| City | LOCK HAVEN |
| Zip Code | 17745 |
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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.