DR. PAUL W HEBERLE (NPI# 1528173192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528173192 |
| Entity Type | Individual |
| Full Name | DR. PAUL W HEBERLE |
| Credential | D.O. |
| Practice Address |
18244 Irish Rd Edinboro PA 16412-4734 |
| Mailing Address |
Po Box 573 18244 Irish Road Edinboro PA 16412-0573 |
| Practice Telephone | 8147343633 |
| Practice Fax Number | 8147341349 |
| Mailing Telephone | 8147343633 |
| Mailing Fax Number | 8147341349 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207P00000X | Emergency Medicine | OS008790L | PA | Allopathic & Osteopathic Physicians |
| X | 207R00000X | Internal Medicine | OS008790L | PA | Allopathic & Osteopathic Physicians |
| X | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
OS008790L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0018002500008 | 05 |
| Street Address |
18244 IRISH RD |
| City | EDINBORO |
| State | PA |
| Zip Code | 16412-4734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376183137 | Ashley B Barnett | Specialist/Technologist | 455 Scotland Road, Edinboro, PA 16412 | 2020-01-09 |
| 1083101901 | Kelly Anne Bruce | Specialist/Technologist | 11700 Edinboro Rd, Edinboro, PA 16412 | 2018-04-16 |
| 1922477389 | Keyara Kelly | Specialist/Technologist | 5550 Crane Road, Edinboro, PA 16412 | 2015-09-16 |
| 1366721425 | Pamer Family Chiropractic & Wellness | Chiropractor | 11700 Edinboro Rd., Edinboro, PA 16412 | 2011-08-08 |
| 1568629335 | Lake Erie Dental Inc | Dentist | 106 Waterford Street, Edinboro, PA 16412 | 2008-05-20 |
| 1902007099 | Margaret Burke Kessler | Counselor | 124 Meadville St Ste 105, Edinboro, PA 16412 | 2007-05-29 |
| 1134255516 | James Turner Bolard | Optometrist | 103 Erie St, Edinboro, PA 16412 | 2007-02-27 |
| 1164917696 | Deveshi Chandan | Dentist | 606 Erie St, Edinboro, PA 16412 | 2018-06-27 |
| 1104291384 | Gina Demarco Smith | Occupational Therapist | 419 Waterford Street, Edinboro, PA 16412 | 2015-12-14 |
| 1194134312 | Summer Renae Payer | Massage Therapist | 201a Waterford St, Edinboro, PA 16412 | 2014-08-13 |
| Find all providers in zip 16412 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194324798 | Raymond Joseph Roberge | Emergency Medicine | 5909 Hampton St, Pittsburgh, PA 15206-1617 | 2020-10-23 |
| 1053910232 | Carbon - Schuylkill Community Hospital Inc | Emergency Medicine | 201 W Centre St, Mahanoy City, PA 17948-2505 | 2020-10-20 |
| 1780295733 | Geisinger Clinic | Emergency Medicine | 545 Fair Street, Bloomsburg, PA 17815 | 2020-08-13 |
| 1033748488 | Abhishek Patel | Emergency Medicine | 205 South Front Street Brady 3, Harrisburg, PA 17104 | 2020-04-07 |
| 1437796497 | Elizabeth Megan Heyer | Emergency Medicine | 1500 Lansdowne Aveune, Darby, PA 19023 | 2019-12-09 |
| 1437716313 | Syndikos Investments LLC | Emergency Medicine | 127 E Cunningham St Ste 102, Butler, PA 16001-5936 | 2019-05-25 |
| 1891254744 | Neil Leon Darby | Emergency Medicine | 706a S Colorado St, Philadelphia, PA 19146-1915 | 2019-03-19 |
| 1720545320 | Medexpress Urgent Care, PC - Pennsylvania | Emergency Medicine | 4 Clover Dr, Saint Clair, PA 17970-2200 | 2019-03-01 |
| 1780149963 | St. Luke's Hospital | Emergency Medicine | 2550 Route 100 Ste 110, Macungie, PA 18062-9652 | 2019-02-01 |
| 1780179986 | Megan Minor | Emergency Medicine | 801 Ostrum St Ste 1, Bethlehem, PA 18015 | 2018-06-29 |
| Find all providers with the same taxonomy | ||||
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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.