WAYNE MEMORIAL COMMUNITY HEALTH CENTERS (NPI# 1518314004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518314004 |
Entity Type | Organization |
Organization Name | WAYNE MEMORIAL COMMUNITY HEALTH CENTERS |
Other Organization Name | HONESDALE SURGICAL |
Practice Address |
600 Maple Ave Suite 1 Honesdale PA 18431-1459 |
Mailing Address |
601 Park St Honesdale PA 18431-1445 |
Practice Telephone | 5702538635 |
Mailing Telephone | 5702538635 |
Mailing Fax Number | 5702538646 |
Enumeration Date | 2016-05-16 |
Last Update Date | 2016-05-16 |
Authorized Official Name | FREDERICK JACKSON (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 5702538450 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Honesdale Surgical | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134771934 | Wayne Memorial Community Health Centers | Clinic/Center | Waymart Pediatric Center, 27b Woodlands Dr, Waymart, PA 18472-9366 | 2019-07-11 |
1558882720 | Wayne Memorial Community Health Centers | Family Medicine | 600 Maple Ave Ste 15, Honesdale, PA 18431-1460 | 2017-06-28 |
1174974232 | Wayne Memorial Community Health Centers | Obstetrics & Gynecology | 44 N Scott St, Carbondale, PA 18407-2059 | 2016-06-29 |
1376950592 | Wayne Memorial Community Health Centers | Social Worker | 600 Maple Ave Ste 6, Honesdale, PA 18431-1436 | 2014-07-21 |
1336416619 | Wayne Memorial Community Health Centers | Pediatrics | 152 Brooklyn St, Carbondale, PA 18407-2208 | 2011-11-30 |
1780820068 | Wayne Memorial Community Health Centers | Internal Medicine | 543 Easton Tpke, Suite 105, Lake Ariel, PA 18436-4798 | 2008-12-17 |
1346854270 | Wayne Memorial Community Health Centers | Emergency Medicine | 273 Grandview Ave, Honesdale, PA 18431-1163 | 2020-09-08 |
1194377341 | Wayne Memorial Community Health Centers | Pediatrics | 62 Industrial Park Rd, Lake Ariel, PA 18436-5606 | 2019-07-09 |
1932751187 | Wayne Memorial Community Health Centers | Pediatrics | 1837 Fair Ave, Honesdale, PA 18431-2121 | 2019-07-09 |
1073960563 | Wayne Memorial Community Health Centers | Psychiatry & Neurology | 600 Maple Ave, Suite 1, Honesdale, PA 18431-1459 | 2016-05-16 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | WAYNE MEMORIAL COMMUNITY HEALTH CENTERS | 601 Park Street, Honesdale, PA 18431-1445 |
Street Address |
600 MAPLE AVE SUITE 1 |
City | HONESDALE |
State | PA |
Zip Code | 18431-1459 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144213646 | Scott K. Epstein | Physical Medicine & Rehabilitation | 600 Maple Ave, Suite 3, Honesdale, PA 18431-1459 | 2005-08-30 |
1407490758 | Katherine Szymanski | Social Worker | 600 Maple Ave, Honesdale, PA 18431-1459 | 2019-10-30 |
1609302140 | Wayne Physiatry LLC | Electrodiagnostic Medicine | 600 Maple Ave, Ste 3, Honesdale, PA 18431-1459 | 2017-05-03 |
1073960563 | Wayne Memorial Community Health Centers | Psychiatry & Neurology | 600 Maple Ave, Suite 1, Honesdale, PA 18431-1459 | 2016-05-16 |
1336596824 | Wayne Memorial Community Health Centers | Internal Medicine | 600 Maple Ave, Suite 1, Honesdale, PA 18431-1459 | 2016-05-16 |
1437506920 | Wayne Memorial Community Health Centers | Internal Medicine | 600 Maple Ave, Suite 4, Honesdale, PA 18431-1459 | 2016-05-16 |
1104196187 | Dorothy Walline | Social Worker | 600 Maple Ave, Honesdale, PA 18431-1459 | 2012-01-06 |
1336428747 | Tuhin Gupta | Psychiatry & Neurology | 600 Maple Ave, Honesdale, PA 18431 | 2011-08-16 |
1619298957 | Susan Granquist | Dentist | 600 Maple Ave, Honesdale, PA 18431-1459 | 2010-06-22 |
1740426725 | Hilary Cousins | Social Worker | 600 Maple Ave, Honesdale, PA 18431-1459 | 2008-12-23 |
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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 |
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Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871781518 | Wayne Surgical Associates PC | Surgery | 507 High St, Honesdale, PA 18431-1733 | 2007-10-09 |
1134416779 | Daniel Murphy | Surgery | 600 Maple Ave Ste 1, Honesdale, PA 18431-1436 | 2011-07-04 |
1790761641 | Robert Gorrell | Surgery | 600 Maple Ave, Honesdale, PA 18431-1456 | 2005-12-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568060655 | Western Pa Surgery Center, Beaver County Branch, LLC | Surgery | 103 Pleasant Dr, Aliquippa, PA 15001-1333 | 2020-10-12 |
1558977546 | Abington Memorial Hospital | Surgery | 2701 Blair Mill Rd Ste 17, Willow Grove, PA 19090-1041 | 2020-09-16 |
1518579762 | St. Luke's Physician Group Inc. | Surgery | 3735 Nazareth Rd Ste 303, Easton, PA 18045-8338 | 2020-08-19 |
1417565847 | St. Luke's Physician Group Inc. | Surgery | 5325 Northgate Dr Ste 204, Bethlehem, PA 18017-9413 | 2020-07-22 |
1073135935 | Amr Mohamed Elsayed | Surgery | 36 N 13th St Apt 2, Allentown, PA 18102-4300 | 2020-05-14 |
1346878436 | Beaver Valley Foot Clinic PC | Surgery | 20555 Route 19 Ste D, Cranberry Township, PA 16066-7525 | 2020-04-01 |
1922653914 | Tower Health Medical Group | Surgery | 301 S 7th Ave Ste 3070, West Reading, PA 19611-1495 | 2019-08-06 |
1558916833 | Allegheny Clinic | Surgery | 4815 Liberty Avenue Suite 215, Pittsburgh, PA 15224-2156 | 2019-08-05 |
1548820350 | St. Luke's Physician Group, Inc | Surgery | 575 S 9th St Ste 8, Lehighton, PA 18235-2517 | 2019-06-14 |
1538725700 | Golla Ent | Surgery | 107 Gamma Dr Ste 110, Pittsburgh, PA 15238-2917 | 2019-05-14 |
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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.