BRUCE C WASKOWICZ (NPI# 1558378760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558378760 |
| Entity Type | Individual |
| Full Name | BRUCE C WASKOWICZ |
| Credential | M.D. |
| Practice Address |
770 Broad Stret East Earl PA 17519 |
| Mailing Address |
Po Box 130 Terre Hill PA 17581-0130 |
| Practice Telephone | 7174454576 |
| Practice Fax Number | 7174454483 |
| Mailing Telephone | 7174454576 |
| Mailing Fax Number | 7174454483 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2012-03-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD043260L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | BLUE SHIELD | 679064 | 01 |
| PA | CAPITAL BLUE | 50051166 | 01 |
| PA | RR MCR | P00259886 | 01 |
| PA | 0012519450003 | 05 | |
| PA | GATEWAY | P002394 | 01 |
| PA | AETNA | 574317 | 01 |
| Street Address |
770 BROAD STRET |
| City | EAST EARL |
| State | PA |
| Zip Code | 17519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154954345 | Healthstat Onsite Clinic Brubacher | Preventive Medicine | 815 Reading Road, Bowmansville, PA 17519 | 2020-02-17 |
| 1588841803 | Tw Ponessa and Associates Counseling Services Inc | Community/Behavioral Health | 126 Ewell Road, East Earl Township, PA 17519 | 2008-01-29 |
| 1598971251 | Mua Associates of Pennsylvania | Clinic/Center | 4605 Division Hwy, East Earl, PA 17519 | 2007-05-16 |
| 1902943525 | Williams & Tate LLC | Dentist | 1254 E. Earl Rd, East Earl, PA 17519 | 2007-01-31 |
| 1740297977 | Virginia E Shafer | Family Medicine | 770 Broad Street, East Earl, PA 17519 | 2006-08-01 |
| 1104216795 | Daniel Doyle | Chiropractor | 4607 Division Hwy, East Earl, PA 17519 | 2015-02-03 |
| 1194926436 | Karen E Sauder | Nurse Practitioner | 770 Broad Street, East Earl, PA 17519 | 2007-05-31 |
| 1003919077 | Delisa T Williams | Dentist | 1254 East Earl Rd, East Earl, PA 17519-0100 | 2006-09-06 |
| 1780693838 | Matthew Aaron Myers | Chiropractor | 4607 Division Hwy, East Earl, PA 17519-9245 | 2006-08-07 |
| 1528579323 | Charles Patrick Burkhart | Chiropractor | 4607 Division Hwy, East Earl, PA 17519-9245 | 2017-10-19 |
| Find all providers in zip 17519 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740297977 | Virginia E Shafer | Family Medicine | 770 Broad Street, East Earl, PA 17519 | 2006-08-01 |
| 1265983613 | Wellspan Medical Group | Family Medicine | 770 Broad St, East Earl, PA 17519-9752 | 2016-10-20 |
| 1336430198 | Christopher George Mccarty | Family Medicine | 770 Broad St, East Earl, PA 17519-9752 | 2011-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442878 | Hallie Szymanski | Family Medicine | 3481 Frye Ave, Finleyville, PA 15332-1305 | 2020-09-19 |
| 1124633672 | Upmc Community Medicine, Inc | Family Medicine | 3140 Highland Rd Ste 102, Hermitage, PA 16148-4514 | 2020-09-11 |
| 1275147647 | Rebecca Diane Yeater | Family Medicine | Wellspan Family Medicine - Fairfield, 4910 Fairfield Rd, Fairfield, PA 17320 | 2020-09-03 |
| 1497369813 | Christina Socash | Family Medicine | 11335 Neiger Rd, Girard, PA 16417-9130 | 2020-09-02 |
| 1902410673 | Geisinger Clinic | Family Medicine | 20 Diana Ln, West Hazleton, PA 18202-1210 | 2020-09-01 |
| 1457964603 | Cynthia Rainey Raposas | Family Medicine | 3552 Woodside Rd, Hollidaysburg, PA 16648-5258 | 2020-08-27 |
| 1841802592 | Community Health and Wellness Services, Inc. | Family Medicine | 312 Memorial Park Dr, Springfield, PA 19064-1714 | 2020-08-22 |
| 1649882275 | Blair Regenerative Medicine LLC | Family Medicine | 201 Hospital Dr Ste 2, Everett, PA 15537-7019 | 2020-08-17 |
| 1447861521 | Mature Resources Foundation | Family Medicine | 28944 Frenchville Karthaus Hwy, Frenchville, PA 16836-8834 | 2020-08-12 |
| 1619587227 | Cmp Medical LLC | Family Medicine | 3626 Sears St, Philadelphia, PA 19146-3217 | 2020-08-07 |
| 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.