GREGORY C MIECKOWSKI (NPI# 1528018751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528018751 |
| Entity Type | Individual |
| Full Name | GREGORY C MIECKOWSKI |
| Credential | M.D. |
| Practice Address |
809 Turnpike Ave Imaging Department Clearfield PA 16830-1232 |
| Mailing Address |
Po Box 129 Clearfield PA 16830-0129 |
| Practice Telephone | 8147657314 |
| Practice Fax Number | 8143396165 |
| Mailing Telephone | 8147657314 |
| Mailing Fax Number | 8143396165 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2008-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
MD026705E | PA | Allopathic & Osteopathic Physicians |
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
MD026705E | PA | Allopathic & Osteopathic Physicians |
| N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
MD026705E | PA | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD026705E | PA | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
MD026705E | PA | Allopathic & Osteopathic Physicians |
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
MD026705E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RR MEDICARE | 300135692 | 01 | |
| PA | HIGHMARK | 026156 | 01 |
| PA | 0009876470004 | 05 |
| Street Address |
809 TURNPIKE AVE IMAGING DEPARTMENT |
| City | CLEARFIELD |
| State | PA |
| Zip Code | 16830-1232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922009844 | Richard G Williams | Radiology | 809 Turnpike Ave, Clearfield, PA 16830-1232 | 2005-08-02 |
| 1578032678 | Clearfield Hospital | Nurse Anesthetist, Certified Registered | 809 Turnpike Ave, Clearfield, PA 16830-1232 | 2018-11-19 |
| 1831613298 | John William Gonzalez Jr. | Nurse Practitioner | 809 Turnpike Ave, Clearfield, PA 16830-1232 | 2017-07-27 |
| 1134526353 | Bernadette Clark | Dietitian, Registered | 809 Turnpike Ave, Clearfield, PA 16830-1232 | 2014-12-03 |
| 1487088340 | Victoria Adams | Physician Assistant | 809 Turnpike Ave, Clearfield, PA 16830-1232 | 2013-08-28 |
| 1568896603 | Clearfield Emergency Group PC | Physician Assistant | 809 Turnpike Ave, Clearfield, PA 16830-1232 | 2013-08-26 |
| 1215369848 | Olivia Neeper | Physician Assistant | 809 Turnpike Ave, Clearfield, PA 16830-1232 | 2013-08-06 |
| 1255697645 | Brooke Susan Bias | Nurse Anesthetist, Certified Registered | 809 Turnpike Ave, Clearfield, PA 16830-1232 | 2012-04-10 |
| 1699046383 | Jessica L Poole | Nurse Anesthetist, Certified Registered | 809 Turnpike Ave, Clearfield, PA 16830-1232 | 2012-01-26 |
| 1063780823 | Clearfield Hospital | Social Worker | 809 Turnpike Ave, Clearfield, PA 16830-1232 | 2011-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346751773 | Katelyn Marie Coder | Counselor | 600 Leonard St., Clearfield, PA 16830 | 2017-10-12 |
| 1730607128 | Brianna Spencer | Specialist/Technologist | 308 Witmer Street, Clearfield, PA 16830 | 2017-09-06 |
| 1487061487 | Tuesday Dawn Baker-couturiaux | Counselor | 600 Leonard Street, Clearfield, PA 16830 | 2014-07-22 |
| 1841545076 | Rashmi Mishra | Internal Medicine | 531c Hannah St, Clearfield, PA 16830 | 2012-07-13 |
| 1609911502 | Andrew Williams Zimmerman | Dentist | 402 East Market St, Clearfield, PA 16830 | 2007-02-20 |
| 1780759753 | Matthew C Rich | Chiropractor | 6247 Clearfield Woodland Hwy, Clearfield, PA 16830 | 2006-11-22 |
| 1316039043 | Michael Guy Simpson | Optometrist | 100 Super Center Drive, Clearfield, PA 16830 | 2006-09-29 |
| 1801996699 | Nathaniel D. Yingling Cancer Center | Clinic/Center | 815 Doctors Drive, Clearfield, PA 16830 | 2006-09-22 |
| 1558370130 | Mary E Flick | Dentist | 114 S 2nd St, Clearfield, PA 16830 | 2006-08-05 |
| 1386650174 | Scott R. Strauss, D.o. | Family Medicine | 531a Hannah Street, Clearfield, PA 16830 | 2006-07-31 |
| Find all providers in zip 16830 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922009844 | Richard G Williams | Radiology | 809 Turnpike Ave, Clearfield, PA 16830-1232 | 2005-08-02 |
| 1750311676 | R & R Radiology Consultants LLC | Radiology | 809 Turnpike Ave, Clearfield, PA 16830-1232 | 2006-07-04 |
| 1467492397 | Richard O Bolden | Radiology | 809 Turnpike Ave, Clearfield, PA 16830-1232 | 2006-06-08 |
| 1407857410 | Alfred B Coren | Radiology | 809 Turnpike Ave, Clearfield, PA 16830-1232 | 2005-08-02 |
| 1174524185 | David Lee Obley | Radiology | 809 Turnpike Ave, Clearfield, PA 16830-1232 | 2005-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396359014 | Kimberly Ann Nulph-laseck | Radiology | 65 Market St, Albion, PA 16401-1131 | 2020-08-31 |
| 1407478878 | Bridget Podbielski | Radiology | 1301 Summit Dr, Royersford, PA 19468-2873 | 2020-05-08 |
| 1063067635 | Jefferson University Radiology Associates, LLC | Radiology | 3 Crescent Dr Ste 1002, Philadelphia, PA 19112-1016 | 2019-08-09 |
| 1518522770 | Michael Anthony Branco | Radiology | 340 Wellslee Dr, Chambersburg, PA 17201-8289 | 2019-05-03 |
| 1700369535 | Tower Health Medical Group | Radiology | 301 S 7th Ave Ste 135, West Reading, PA 19611-1442 | 2018-09-07 |
| 1841784899 | Kyle Rives | Radiology | 200 Lothrop Street Upmc Presbyterian, South Tower 2nd Floor Suite 200, Pittsburgh, PA 15213 | 2018-06-21 |
| 1285128892 | Solomon Amemasor | Radiology | 200 Lothrop St Ste 200, Pittsburgh, PA 15213-2536 | 2018-06-18 |
| 1326545898 | Lehigh Valley Hospital | Radiology | 320 W Pumping Station Rd Ste 2, Quakertown, PA 18951-2345 | 2018-04-10 |
| 1376054874 | Irad Services, Inc. | Radiology | 1811 Golden Mile Hwy Ste B, Pittsburgh, PA 15239-2847 | 2017-10-24 |
| 1639689482 | Anna Maria Polizio | Radiology | 496 Cherry Ct, Pittsburgh, PA 15237-2608 | 2017-10-06 |
| Find all providers with the same taxonomy | ||||
| City | CLEARFIELD |
| Zip Code | 16830 |
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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.