DR. ALVARO G REYMUNDE (NPI# 1497012132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497012132 |
| Entity Type | Individual |
| Full Name | DR. ALVARO G REYMUNDE |
| Credential | M.D |
| Practice Address |
451 3rd Ave Ste 1 Kingston PA 18704-5802 |
| Practice Telephone | 5702886543 |
| Practice Fax Number | 5702887130 |
| Mailing Telephone | 5702886543 |
| Mailing Fax Number | 5702887130 |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2019-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD452724 | PA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 28434R | PR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 102960814 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 425 Tioga Ave, Kingston, PA 187045624 | 5702886543 | 5702887130 |
| 1081 Oak St, Pittston, PA 186403716 | 5702886543 |
| Street Address |
451 3RD AVE STE 1 |
| City | KINGSTON |
| State | PA |
| Zip Code | 18704-5802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184690075 | Jeffery R Kile | Pediatrics | 451 3rd Ave Ste 1, Kingston, PA 18704 | 2006-02-28 |
| 1588180921 | Tara Briane Churilla | Pediatrics | 451 3rd Ave Ste 1, Kingston, PA 18704-5802 | 2017-08-17 |
| 1508297524 | Amy Louise Flaherty | Physician Assistant | 451 3rd Ave Ste 1, Kingston, PA 18704-5802 | 2013-12-01 |
| 1386987873 | Emily Nebzydoski | Pediatrics | 451 3rd Ave Ste 1, Kingston, PA 18704-5802 | 2013-04-03 |
| 1689983272 | Alycia Marie Coar | Physician Assistant | 451 3rd Ave Ste 1, Kingston, PA 18704 | 2010-09-29 |
| 1831201276 | Pediatric Associates of Kingston, LLC | Pediatrics | 451 3rd Ave Ste 1, Kingston, PA 18704-5802 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013557552 | Millmark Health Inc. | Psychiatry & Neurology | 511 Pierce Street, Kingston, PA 18704 | 2020-01-13 |
| 1427550334 | Michael Anthony Waltich | Military Health Care Provider | 82 Cooper Street, Pringle, PA 18704 | 2018-03-06 |
| 1376088435 | Jae LLC | Massage Therapist | 512 Northhampton Street, Edwardsville, PA 18704 | 2016-12-28 |
| 1306278288 | Mohammad Khaled Tashkandi | Internal Medicine | 490 Northampton St Ste 1, Edwardsville, PA 18704 | 2013-08-02 |
| 1396180014 | Sammie Craven IIi | Pharmacist | 96 1st Avenue, Kingston, PA 18704 | 2013-05-08 |
| 1447693114 | Catherine Mary Harding | Nurse Practitioner | 141 South Maple Ave, Kingston, PA 18704 | 2013-04-12 |
| 1861781403 | Jennifer Ann Richards | Pharmacist | 22 West Side Mall, Edwardsville, PA 18704 | 2011-04-05 |
| 1558512772 | Jolon Theresa Sherin | Speech-Language Pathologist | 1825 Sans Souci Highway, Hanover, PA 18704 | 2008-10-07 |
| 1932361102 | Kari Ann Pietralczyk | Audiologist | 190 Welles Street, Forty-fort, PA 18704 | 2008-06-30 |
| 1467584151 | John Christopher Storti | Chiropractor | 180 United Penn Plaza, Kingston, PA 18704 | 2007-03-09 |
| Find all providers in zip 18704 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982056131 | Malone Pediatrics | Pediatrics | 11106 Ne Tulin Rd, Kingston, WA 98346-9257 | 2016-07-11 |
| 1225049620 | Pine Street Pediatrics Associates, P.C. | Pediatrics | 140 Pine St Ste 210, Kingston, NY 12401-4948 | 2006-08-10 |
| 1366493736 | Martha Smith | Pediatrics | 9 Family Practice Dr, Kingston, NY 12401-6449 | 2006-05-12 |
| 1184690075 | Jeffery R Kile | Pediatrics | 451 3rd Ave Ste 1, Kingston, PA 18704 | 2006-02-28 |
| 1861468241 | Lisa J. Coroniti | Pediatrics | 499 Wyoming Ave, Kingston, PA 18704-3602 | 2006-02-27 |
| 1790786184 | Steven James Leung | Pediatrics | 425 Tioga Ave, Kingston, PA 18704-5624 | 2005-08-09 |
| 1588180921 | Tara Briane Churilla | Pediatrics | 451 3rd Ave Ste 1, Kingston, PA 18704-5802 | 2017-08-17 |
| 1174059224 | Geralyn Cross | Pediatrics | 451 3rd Ave, Kingston, PA 18704-5802 | 2017-05-11 |
| 1801287578 | Ashley Pearce | Pediatrics | 190 Welles St Ste 122, Kingston, PA 18704-4961 | 2015-02-16 |
| 1083057269 | Michael Ignat | Pediatrics | 1 Family Practice Dr, Kingston, NY 12401 | 2013-04-08 |
| Find all providers in KINGSTON | ||||
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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.