DR. BEDILU W WOLDAREGAY


Address: 850 Tuck St, Lebanon, PA 17042
Phone: 1712728173

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
MD464573 PA Allopathic & Osteopathic Physicians

Other Provider Identifier

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
158 E Sunset Dr Ste B, Medford, OK 737592431 5803952319 5803952551

Office Location

Street Address 850 TUCK ST
City LEBANON
State PA
Zip Code 17042

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City LEBANON
Zip Code 17042

Improve Information

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Dataset Information

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.

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