DR. RICKY M MASSULLO (NPI# 1568675023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568675023 |
| Entity Type | Individual |
| Full Name | DR. RICKY M MASSULLO |
| Credential | DDS |
| Practice Address |
132 S 4th St Hamburg PA 19526 |
| Mailing Address |
Po Box 229 132 S 4th St Hamburg PA 19526 |
| Practice Telephone | 6105627348 |
| Practice Fax Number | 6105625131 |
| Mailing Telephone | 6105627348 |
| Mailing Fax Number | 6105625131 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS028120L | PA | Dental Providers |
| Street Address |
132 S 4TH ST |
| City | HAMBURG |
| State | PA |
| Zip Code | 19526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720458193 | Nicole Wisser | Counselor | 176 Hepner Road, Hamburg, PA 19526 | 2015-09-29 |
| 1457561169 | Sean Ryan Mcmenamin | Physical Therapist | Hamburg Center Old Rr 22, Hamburg, PA 19526 | 2007-05-23 |
| 1275746067 | Tracy Anne Smith | Registered Nurse | 136 Southeast Drive, Hamburg, PA 19526 | 2007-05-08 |
| 1124149331 | Jean Lorraine Weller | Registered Nurse | Old Rt 22, Hamburg Center, Hamburg, PA 19526 | 2007-04-03 |
| 1013087832 | Peaceful Hearts Counseling Services Inc | Counselor | 548 Monument Road, Hamburg, PA 19526 | 2006-11-09 |
| 1467535104 | Theodore E Dando | Dentist | 303 State Street, Hamburg, PA 19526 | 2006-10-24 |
| 1932215530 | Robert Gregory Stratton Jr. | Emergency Medicine | 9 Daves Way, Hamburg, PA 19526 | 2006-08-23 |
| 1962461244 | Christine Elizabeth Deaner | Physical Therapist | 700 Hawk Ridge Dr 1, Hamburg, PA 19526 | 2006-03-23 |
| 1760469472 | Genesis Eldercare Rehabilitation Services LLC | Physical Therapist | 125 Holly Road, Laurel Center, Hamburg, PA 19526 | 2005-12-23 |
| 1437132651 | Pennsylvania Department of Human Services | Intermediate Care Facility, Mentally Retarded | 3560 Old Rte 22, Hamburg, PA 19526 | 2005-11-22 |
| Find all providers in zip 19526 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518321777 | Elizabeth Michaels | Dentist | 60 Huntington Ct., Hamburg, NY 14075-5243 | 2016-04-13 |
| 1013159557 | Kara Elizabeth Morgan | Dentist | 303 W. Lincoln Street, Hamburg, AR 71646 | 2009-03-30 |
| 1376709931 | Joseph T Deluca | Dentist | 17 Long Ave Ste 101, Hamburg, NY 14075-6200 | 2008-08-04 |
| 1447425707 | Charles S. Travagliato, Dds, Pllc | Dentist | 4741 Camp Road, Hamburg, NY 14075 | 2008-04-28 |
| 1568673457 | Steven R Fink | Dentist | 225 Route 23, Hamburg, NJ 07419 | 2007-05-24 |
| 1336272194 | Jeffrey B Tauber | Dentist | 29 State Rt 23 N, Hamburg, NJ 07419-1419 | 2007-03-13 |
| 1427195551 | Ronald Joseph Forte | Dentist | 225 State Rt 23 S, Hamburg, NJ 07419 | 2007-01-30 |
| 1871647206 | Stanley John Scott | Dentist | 5020 Lake Shore Rd, Hamburg, NY 14075-5719 | 2007-01-23 |
| 1679654636 | David T Burnell | Dentist | 7785 M-36, Hamburg, MI 48139-0569 | 2006-10-18 |
| 1326129073 | Daniel P. Dolinar | Dentist | 121 Buffalo St, Hamburg, NY 14075-5004 | 2006-10-18 |
| Find all providers in HAMBURG | ||||
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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.