DANA MARIE GALLIK (NPI# 1548807340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548807340 |
Entity Type | Individual |
Full Name | DANA MARIE GALLIK |
Credential | CRNP |
Practice Address |
601 Park St Honesdale PA 18431-1445 |
Mailing Address |
20 My Way Ln Beach Lake PA 18405-3111 |
Practice Telephone | 5702538100 |
Mailing Telephone | 5706371028 |
Enumeration Date | 2019-11-30 |
Last Update Date | 2020-01-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WE0003X |
Registered Nurse Specialization: Emergency |
RN660596 | PA | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP021359 | PA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
601 PARK ST |
City | HONESDALE |
State | PA |
Zip Code | 18431-1445 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124026182 | Wayne Memorial Hospital | General Acute Care Hospital | 601 Park St, Honesdale, PA 18431-1445 | 2005-07-13 |
1790318053 | Ann Marie Elizabeth Kretchik | Dietitian, Registered | 601 Park St, Honesdale, PA 18431-1498 | 2020-02-14 |
1215596317 | Shadoe M Daniels | Physician Assistant | 601 Park St, Honesdale, PA 18431-1498 | 2019-06-12 |
1215486022 | Advanced Inpatient Medicine Wayne, PC | Hospitalist | 601 Park St, Honesdale, PA 18431-1445 | 2016-09-22 |
1578939609 | Jacqueline Marie Hillriegel | Physician Assistant | 601 Park St, Honesdale, PA 18431-1445 | 2015-08-12 |
1720462088 | Wmh Physicians | Internal Medicine | 601 Park St, Honesdale, PA 18431-1445 | 2015-07-16 |
1023417649 | Sithu Lin | Internal Medicine | 601 Park St, Honesdale, PA 18431-1445 | 2014-08-19 |
1205267697 | Amber Sholtes | Physician Assistant | 601 Park St, Honesdale, PA 18431-1498 | 2013-12-10 |
1588097455 | Michelle Szymanski | Nurse Practitioner | 601 Park St, Emergency Department, Honesdale, PA 18431-1445 | 2013-08-15 |
1760823694 | Barbara Jane Griggs-pratt | Dietitian, Registered | 601 Park St, Honesdale, PA 18431-1445 | 2013-07-08 |
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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 |
Find all providers in zip 18431 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346876521 | Chelsea Beth Latourette | Nurse Practitioner | 273 Grandview Ave Ste 4, Honesdale, PA 18431-1163 | 2020-03-19 |
1225499171 | David Mcallister | Nurse Practitioner | 351 Slish Rd, Honesdale, PA 18431-3170 | 2016-03-18 |
1821284977 | Melissa Lee Rickard | Nurse Practitioner | 600 Maple Ave Suite 2, Honesdale, PA 18431-1459 | 2007-09-22 |
1235208935 | Margaret L Kellogg | Nurse Practitioner | 1860 Fair Ave Ste A, Honesdale, PA 18431-2108 | 2006-11-07 |
1225497993 | Donna Sloane | Nurse Practitioner | 1839 Fair Ave, Honesdale, PA 18431-2121 | 2016-02-23 |
1366812604 | Susan Tomaine | Nurse Practitioner | 1839 Fair Ave, Honesdale, PA 18431-2121 | 2015-09-29 |
1215304043 | Christina Cobb | Nurse Practitioner | 600 Maple Ave Ste 4, Honesdale, PA 18431-1436 | 2015-08-27 |
1275962185 | Jessica Giannetti | Nurse Practitioner | 1839 Fair Ave, Honesdale, PA 18431-2121 | 2013-11-01 |
1205157229 | Carol Rickard Lienert | Nurse Practitioner | 601 Park St, Emergency Department, Honesdale, PA 18431-1445 | 2010-06-14 |
1730260720 | Judith Stanton | Nurse Practitioner | 1839 Fair Ave, Honesdale, PA 18431-2121 | 2006-10-18 |
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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.