BLOOMSBURG PHYSICIANS SERVICES (NPI# 1477758407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477758407 |
| Entity Type | Organization |
| Organization Name | BLOOMSBURG PHYSICIANS SERVICES |
| Other Organization Name | JOSE DERR |
| Practice Address |
101 West 9th Street Berwick PA 18603 |
| Mailing Address |
401 Glenn Ave Bloomsburg PA 17815-1419 |
| Practice Telephone | 5703872166 |
| Practice Fax Number | 5703872316 |
| Mailing Telephone | 5707592600 |
| Mailing Fax Number | 5707593229 |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. KRISTIN A HOLLISTER (ASSISTANT PRACTICE MANAGER) |
| Authorized Official Telephone | 5703872166 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | CBC | 50047313 | 01 |
| Other Name | Type Code |
|---|---|
| JOSE DERR | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457556482 | Bloomsburg Physicians Services | Internal Medicine | 425 East First Street, Suite 201, Bloomsburg, PA 17815-1419 | 2007-06-19 |
| 1285967208 | Bloomsburg Physicians Services | Family Medicine | 4469 Red Rock Rd, Benton, PA 17814-7606 | 2009-09-09 |
| 1861649113 | Bloomsburg Physicians Services | Family Medicine | 447 E 1st St, Bloomsburg, PA 17815-1417 | 2008-08-19 |
| 1235306879 | Bloomsburg Physicians Services | Orthopaedic Surgery | 480 Central Rd, Bloomsburg, PA 17815-3121 | 2008-05-13 |
| 1689857070 | Bloomsburg Physicians Services | Internal Medicine | 410 Glenn Ave, Suite 304, Bloomsburg, PA 17815-1200 | 2007-12-10 |
| 1457543290 | Bloomsburg Physicians Services | Family Medicine | 549 Fair St, Bloomsburg, PA 17815-1419 | 2007-08-15 |
| 1548465578 | Bloomsburg Physicians Services | Family Medicine | 2 South Market Street, Elysburg, PA 17824 | 2007-06-19 |
| 1881899896 | Bloomsburg Physicians Services | Internal Medicine | 425 E 1st St, Suite 201, Bloomsburg, PA 17815-1480 | 2007-06-19 |
| 1447455480 | Bloomsburg Physicians Services | Internal Medicine | 410 Glenn Ave, Suite 301, Bloomsburg, PA 17815-1419 | 2007-06-19 |
| 1588869515 | Bloomsburg Physicians Services | Family Medicine | 410 Glenn Ave, Suite 303, Bloomsburg, PA 17815-1419 | 2007-06-19 |
| Street Address |
101 WEST 9TH STREET |
| City | BERWICK |
| State | PA |
| Zip Code | 18603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267841 | Eugene W Moisey | Dental Hygienist | 107 S. Market St, Suite #2, Berwick, PA 18603 | 2019-10-24 |
| 1831571413 | Wyoming Valley Alchol and Drug Services, Inc. | Counselor | 120 East Third Street, Berwick, PA 18603 | 2015-06-19 |
| 1639592942 | Julia Grocki | Dietitian, Registered | 203 E Front St, Berwick, PA 18603 | 2014-01-23 |
| 1144507856 | Ashley Linn Reese | Occupational Therapy Assistant | 801 East 16th Street, Berwick, PA 18603 | 2011-11-09 |
| 1659591956 | David Curfman | Physical Therapist | 1701 Fowler Avenue, Berwick, PA 18603 | 2007-04-27 |
| 1538287537 | Dental Health Clinic | Dentist | 107 South Market Street, Suite 2, Berwick, PA 18603 | 2007-03-27 |
| 1285724203 | Frank J Giugliano | Family Medicine | 523 Fowler Avenue, Berwick, PA 18603 | 2006-10-13 |
| 1265522098 | Maliyakkal J John | Internal Medicine | 1453 West Front St, Berwick, PA 18603 | 2006-10-13 |
| 1861586497 | Niharika Mehta | Obstetrics & Gynecology | 695 East 16th Street, Suite E, Berwick, PA 18603 | 2006-10-03 |
| 1083711295 | William Leonard Padner IIi | Dentist | 205 Chestnut Street, Berwick, PA 18603 | 2006-09-20 |
| Find all providers in zip 18603 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568708063 | Frank Giugliano Md PC | Family Medicine | 523 Fowler Ave, Berwick, PA 18603-3321 | 2013-01-02 |
| 1548339849 | Bradley Neal Libenson | Family Medicine | 6c School St, Berwick, ME 03901 | 2006-11-08 |
| 1285724203 | Frank J Giugliano | Family Medicine | 523 Fowler Avenue, Berwick, PA 18603 | 2006-10-13 |
| 1962479717 | Ali A Alley Md PC | Family Medicine | 301w 3rd Street, Berwick, PA 18603 | 2006-03-01 |
| 1417924267 | Albert J Alley | Family Medicine | 301 West Third Street, Albert J Alley Do, Berwick, PA 18603 | 2006-03-01 |
| 1396719373 | Michael R. Ashton | Family Medicine | 2200 W Front St, Berwick, PA 18603-4106 | 2006-02-15 |
| 1255316030 | Kathy Eileen Baylor | Family Medicine | 695 E 16th St Ste B, Berwick, PA 18603-2320 | 2005-12-14 |
| 1770121832 | Nancy Shukry | Family Medicine | 2200 W Front St, Berwick, PA 18603-4106 | 2019-12-19 |
| 1558865311 | Michelle Lynn Hall | Family Medicine | 751 E 16th St Ste 400, Berwick, PA 18603-2321 | 2018-03-19 |
| 1396157913 | Erica Perez | Family Medicine | 701 E 16th St, Berwick, PA 18603-2316 | 2014-06-02 |
| Find all providers in BERWICK | ||||
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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.