DR. MARY MONTRELLA WAYBILL (NPI# 1558565937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558565937 |
| Entity Type | Individual |
| Full Name | DR. MARY MONTRELLA WAYBILL |
| Credential | MD |
| Practice Address |
205 S Front St 8th Floor Bma Harrisburg PA 17104-1619 |
| Mailing Address |
409 S 2nd St Suite 2f Harrisburg PA 17104-1612 |
| Practice Telephone | 7172318700 |
| Practice Fax Number | 7172318753 |
| Mailing Telephone | 7172318700 |
| Mailing Fax Number | 7172318753 |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2019-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD043763E | PA | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
MD043763E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001168310 | 05 |
| Street Address |
205 S FRONT ST 8TH FLOOR BMA |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17104-1619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528030491 | Kantor and Tkatch Associates PC | Internal Medicine | 205 S Front St, Harrisburg, PA 17104-1619 | 2006-02-06 |
| 1316556566 | Kelly Anna Fetterhoff | Nurse Practitioner | 205 S Front St, Harrisburg, PA 17104-1619 | 2020-07-23 |
| 1932722121 | Benjamin Ravichander | Student in an Organized Health Care Education/Training Program | 205 S Front St, Suite 3c, Harrisburg, PA 17104 | 2020-05-21 |
| 1184253452 | O'hara Kay Haley | Surgery | 205 S Front St, Brady 916, Harrisburg, PA 17104-1619 | 2020-04-07 |
| 1518596105 | Catherine Bongka Baye Easton | Obstetrics & Gynecology | 205 S Front St, Harrisburg, PA 17104-1619 | 2020-04-06 |
| 1346879871 | Steven Millner | Emergency Medicine | 205 S Front St, Harrisburg, PA 17104-1619 | 2020-04-06 |
| 1861021727 | George Chachati | Surgery | 205 S Front St, Harrisburg, PA 17104-1619 | 2020-04-03 |
| 1689204927 | Kayla Wentzel | Physician Assistant | 205 S Front St, Harrisburg, PA 17104-1619 | 2020-01-24 |
| 1609438175 | Yujian Chen | Podiatrist | 205 S Front St, Harrisburg, PA 17104-1619 | 2019-07-03 |
| 1649832379 | Syed Rasikh Jaffery | Emergency Medicine | 205 S Front St, Harrisburg, PA 17104-1619 | 2019-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531292 | Siddharth Goel | Internal Medicine | 205 S Front St Upmc Pinnacle, Internal Medicine Residen, Suite 3c, Harrisburg, PA 17104 | 2020-06-03 |
| 1114541364 | Kolsoum Yari | Student in an Organized Health Care Education/Training Program | 205 S Front St, Suite 3c Upmc Pinnacle Internal Medicin, Harrisburg, PA 17104 | 2020-06-03 |
| 1225652696 | Uba Chinyere Udeh | Internal Medicine | 205 S Front St. Suite 3c, Harrisburg, PA 17104 | 2020-06-02 |
| 1568086932 | Firdausi Abubakar Matawalle | Student in an Organized Health Care Education/Training Program | 205 S Front Street, Suite 3c Upmc Pinnacle Hospital, Harrisburg, PA 17104 | 2020-06-02 |
| 1467075853 | Medhavi Rajput | Student in an Organized Health Care Education/Training Program | 205 S Front St, Suite 3c Upmc Pinnacle, Internal Medici, Harrisburg, PA 17104 | 2020-05-20 |
| 1659992147 | Manpreet Sidhu | Internal Medicine | Upmc Pinnacle Hospitals 205 S Front Street, Suite 3c, Harrisburg, PA 17104 | 2020-05-06 |
| 1336760230 | Mahaswi Sirangi | Internal Medicine | Upmc Pinnacle Hospitals, 205 S Front Street, Suite 3c, Harrisburg, PA 17104 | 2020-05-01 |
| 1033748488 | Abhishek Patel | Emergency Medicine | 205 South Front Street Brady 3, Harrisburg, PA 17104 | 2020-04-07 |
| 1306496443 | Jinah Kim | Student in an Organized Health Care Education/Training Program | 205 S. Front St., Brady Building, Harrisburg, PA 17104 | 2019-09-19 |
| 1356903744 | Krupa Patel | Podiatrist | 205 S Front Street Brady Hall 905, Harrisburg, PA 17104 | 2019-07-05 |
| Find all providers in zip 17104 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437790482 | Pinnacle Health Medical Services | Internal Medicine | 205 S Front St Fl 8, Harrisburg, PA 17104-1619 | 2019-10-01 |
| 1437304557 | Pinnacle Health Medical Services | Internal Medicine | 2501 N 3rd St, Harrisburg, PA 17110-1904 | 2008-11-18 |
| 1144474347 | Pinnacle Health Medical Services | Internal Medicine | 2501 N 3rd St, Harrisburg, PA 17110-1904 | 2008-11-14 |
| 1629238993 | Manpreet Singh | Internal Medicine | 205 South Front Street, 8th Floor Bma, Harrisburg, PA 17104-1619 | 2008-06-11 |
| 1891953592 | Suneetha Vaddineni | Internal Medicine | 4700 Union Deposit Rd, Suite 240, Harrisburg, PA 17111-3774 | 2008-05-29 |
| 1083657118 | Hershey Kidney Specialists Inc | Internal Medicine | 4700 Union Deposit Rd, Suite 240, Harrisburg, PA 17111-3774 | 2006-06-14 |
| 1194792531 | Oleh Pankewycz | Internal Medicine | 205 S Front St, 8th Floor Bma, Harrisburg, PA 17104-1619 | 2006-03-03 |
| 1578539433 | Jonathan R Diamond | Internal Medicine | 4700 Union Deposit Rd, Suite 240, Harrisburg, PA 17111-3774 | 2006-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376156752 | Syed Ali Aown | Internal Medicine | 1200 Cedar Crest Blvd Department of Education-office Of, Allentown, PA 18103 | 2020-08-26 |
| 1255983615 | Mujahed Maher Dauleh | Internal Medicine | 500 University Dr # H040, Hershey, PA 17033-2360 | 2019-07-15 |
| 1578124038 | Ali Arif | Internal Medicine | 245 N 15th St Ste 6144, Philadelphia, PA 19102-1101 | 2019-06-25 |
| 1245893270 | Nikita Igorevich Neverov | Internal Medicine | 501 Howard Ave Ste D204, Altoona, PA 16601-4814 | 2019-04-16 |
| 1831682707 | Aravind Cherukuri | Internal Medicine | 3550 Terrace Street A919 Scafie Hall, Pittsburgh, PA 15261-0001 | 2018-06-14 |
| 1144731100 | Muhammad Owais Hanif | Internal Medicine | 245 N. 15th St, Ms 437, 6th Floor Ncb, Philadelpha, PA 19102 | 2017-10-18 |
| 1285157917 | Mhd Said Al Zein | Internal Medicine | 1001 E 2nd St Ste E, Coudersport, PA 16915-8161 | 2017-07-25 |
| 1073068284 | Awais Ammar | Internal Medicine | 415 Limekiln Dr Unit A, Chambersburg, PA 17201-4510 | 2016-08-17 |
| 1710344171 | Nina Stuccio | Internal Medicine | 410 S Front St Unit 215, Philadelphia, PA 19147-1708 | 2016-01-15 |
| 1073908695 | George Ezeji | Internal Medicine | 890 Poplar Church Rd Ste 204b, Camp Hill, PA 17011-2250 | 2015-03-31 |
| Find all providers with the same taxonomy | ||||
| City | HARRISBURG |
| Zip Code | 17104 |
Please comment or provide details below to improve the information on DR. MARY MONTRELLA WAYBILL.
| 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.