DR. BEDILU W WOLDAREGAY (NPI# 1588843866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588843866 |
Entity Type | Individual |
Full Name | DR. BEDILU W WOLDAREGAY |
Credential | M.D. |
Practice Address |
850 Tuck St Lebanon PA 17042 |
Mailing Address |
3421 Concord Rd York PA 17402-9001 |
Practice Telephone | 1712728173 |
Practice Fax Number | 7172724029 |
Mailing Telephone | 7172728173 |
Mailing Fax Number | 7172724029 |
Enumeration Date | 2007-11-02 |
Last Update Date | 2018-08-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
MD464573 | PA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | COVENTRY HEALTHCARE | 681522 | 01 |
MT | HEALTHCARE USA | 133114 | 01 |
MO | BCBS OF KS | 46589035 | 01 |
MO | 1588843866 | 05 | |
MO | COVENTRY HEALTHCARE | 645046 | 01 |
MO | BCBS OF KC | 46589025 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
158 E Sunset Dr Ste B, Medford, OK 737592431 | 5803952319 | 5803952551 |
Street Address |
850 TUCK ST |
City | LEBANON |
State | PA |
Zip Code | 17042 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568437127 | Sergei L Joffy | Hospitalist | 850 Tuck St, Lebanon, PA 17042-7477 | 2006-02-17 |
1265967616 | Vivian E Henry | Nurse Practitioner | 850 Tuck St, Lebanon, PA 17042-7477 | 2017-04-24 |
1114467347 | Melissa Baldwin | Nurse Practitioner | 850 Tuck St, Lebanon, PA 17042-7477 | 2017-03-07 |
1932513397 | Good Samaritan Physician Service | Internal Medicine | 850 Tuck St, Lebanon, PA 17042-7477 | 2014-06-13 |
1720359680 | Qammar Abbas | Internal Medicine | 850 Tuck St, Lebanon, PA 17042-7477 | 2012-01-24 |
1891906103 | Maryam Gul | Internal Medicine | 850 Tuck St, Lebanon, PA 17042-7477 | 2007-05-25 |
1912921115 | Wilson S Morris Jr. | Internal Medicine | 850 Tuck St, Lebanon, PA 17042-7477 | 2006-07-27 |
1467474692 | Raymond R Beatty Jr. | Internal Medicine | 850 Tuck St, Lebanon, PA 17042-7477 | 2006-07-24 |
1184645509 | Leona Ewing | Pediatrics | 850 Tuck St, Lebanon, PA 17042-7477 | 2006-07-21 |
1689695033 | Mary Timm Hinkle | Nurse Practitioner | 850 Tuck St, Lebanon, PA 17042-7477 | 2006-07-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
Find all providers in zip 17042 |
Taxonomy Code | 207RP1001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Pulmonary Disease |
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
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 |
---|---|---|---|---|
1629160296 | Ashok Khattri | Internal Medicine | 1700,lincoln Ave, Lebanon Vamc, Lebanon, PA 17042 | 2006-09-29 |
1932513397 | Good Samaritan Physician Service | Internal Medicine | 850 Tuck St, Lebanon, PA 17042-7477 | 2014-06-13 |
1346576246 | Graham Thomas Atkins | Internal Medicine | 1 Medical Center Dr, Dhmc, Department of Pulmonary Medicine, Lebanon, NH 03756 | 2009-10-27 |
1598995086 | Adam Anthony Cieciuch | Internal Medicine | 2705 N Lebanon St Ste 265, Lebanon, IN 46052-8621 | 2009-07-20 |
1346449667 | Mitsuo Matsuoka | Internal Medicine | 1 Medical Center Dr, Dhmc, Department of Medicine, Section of Pulmonary, Lebanon, NH 03756-1000 | 2007-07-16 |
1932234325 | Christopher James Huffer | Internal Medicine | 2605 N Lebanon St, Lebanon, IN 46052-1476 | 2007-02-23 |
1609952761 | The Good Samaritan Hospital | Internal Medicine | Fourth and Walnut Streets, Lebanon, PA 17042 | 2006-10-31 |
1265512545 | James Carrington Leiter IIi | Internal Medicine | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-10-17 |
1518075159 | Donald A Mahler | Internal Medicine | 1 Medical Center Dr, Dhmc Pulmonary, Lebanon, NH 03756-1000 | 2006-08-25 |
1346356367 | Henry Worth Parker | Internal Medicine | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-08-22 |
Find all providers in LEBANON |
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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.