DWARAKI BAI PENUGONDA MD PC (NPI# 1588866792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588866792 |
| Entity Type | Organization |
| Organization Name | DWARAKI BAI PENUGONDA MD PC |
| Practice Address |
166 Hanover St Wilkes Barre PA 18702-3549 |
| Practice Telephone | 5708238184 |
| Practice Fax Number | 5708236460 |
| Mailing Telephone | 5708238184 |
| Mailing Fax Number | 5708236460 |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DWARAKI BAI PENUGONDA (PHYSICIAN) |
| Authorized Official Telephone | 5708238184 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD035084Y | PA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0006538020001 | 05 |
| Street Address |
166 HANOVER ST |
| City | WILKES BARRE |
| State | PA |
| Zip Code | 18702-3549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376543165 | Vincent A Drapiewski | Family Medicine | 166 Hanover St, Suite 102, Wilkes Barre, PA 18702-3549 | 2005-07-22 |
| 1053816132 | Amanda Ferriola Murphy | Psychologist | 166 Hanover St, Wilkes Barre, PA 18702-3549 | 2018-03-29 |
| 1215280334 | Geisinger Clinic | Pediatrics | 166 Hanover St, Wilkes Barre, PA 18702-3549 | 2012-10-26 |
| 1942433263 | Kimberly M. Wood | Physician Assistant | 166 Hanover St, Ste 203, Wilkes Barre, PA 18702-3549 | 2009-09-03 |
| 1043408826 | Geisinger Clinic | Nurse Practitioner | 166 Hanover St, Ste 203, Wilkes Barre, PA 18702 | 2007-10-05 |
| 1720286503 | Gerald Maloney Do PC | Internal Medicine | 166 Hanover St, Suite 203, Wilkes Barre, PA 18702-3549 | 2007-07-03 |
| 1952512808 | Yu Song Kao | Psychiatry & Neurology | 166 Hanover St, Wilkes Barre, PA 18702-3544 | 2007-05-24 |
| 1073638201 | Geisinger Clinic | Pediatrics | 166 Hanover St, Wilkes Barre, PA 18702-3549 | 2007-03-20 |
| 1275663833 | Michael D Rupp | Internal Medicine | 166 Hanover St, Suite 305, Wilkes Barre, PA 18702-3549 | 2007-03-06 |
| 1700916244 | M.s.u.r., M.d., Associates, P.C. | Internal Medicine | 166 Hanover St, Suite 305, Wilkes Barre, PA 18702-3549 | 2007-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153161 | Joann Bonn | Pharmacist | 441 Wilkes-barre Township Blvd, Wilkes-barre, PA 18702 | 2020-10-30 |
| 1689213167 | Megan Grace Zanghi | Pharmacist | 58-60 Public Square, 4th Floor, Wilkes-barre, PA 18702 | 2019-12-31 |
| 1467013292 | Kelly Rose Sones | Pharmacist | 58/60 Public Square, Wilkes-barre, PA 18702 | 2019-06-24 |
| 1528520186 | Adam Olivetti | Pharmacist | 58-60 Public Square, Wilkes-barre, PA 18702 | 2019-04-03 |
| 1295220648 | Dental Associates of Nepa PC | Dentist | 360 Kidder Street, Suite 5, Wilkes Barre, PA 18702 | 2018-06-28 |
| 1568983245 | Bio-medical Applications of Pennsylavania, Inc. | Clinic/Center | 309 Laird St, Wilkes-barre, PA 18702 | 2017-07-03 |
| 1538615166 | Elsa Gates | Nurse Practitioner | 100 East Mountain Blvd, Geisinger, Wilkes Barre, PA 18702 | 2016-09-01 |
| 1972990455 | Epeople Health Care Inc. | Home Health | 1092 Route 315, Ste 3, Wilkes Barre, PA 18702 | 2015-04-22 |
| 1063819001 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 277 Mundy St, Suite 101, Wilkes Barre, PA 18702 | 2014-11-19 |
| 1356764013 | Jill Stacchiotti | Speech-Language Pathologist | 2 Salem Drive, Laflin, PA 18702 | 2014-01-30 |
| Find all providers in zip 18702 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255880274 | Holly Liguori | Specialist | 40 W. Northampton St., Wilkes Barre, PA 18701-1775 | 2016-10-03 |
| 1114350691 | Tara A Perry | Specialist | 449 E Mountain Ridge Mhp, Wilkes Barre, PA 18702-8037 | 2013-08-19 |
| 1922354273 | Kristina Marie Demarco | Specialist | 1140 Highway 315, Suite 207, Wilkes Barre, PA 18711-0911 | 2012-07-24 |
| 1306071766 | Columbus Laser Vision | Specialist | 342 Wilkes Barre Township Blvd, Wilkes Barre, PA 18702-6708 | 2009-05-28 |
| 1235187220 | William E Haren | Specialist | 6 Wildflower Drive, Wilkes Barre, PA 18702-3813 | 2006-05-04 |
| 1740272871 | Wyoming Valley Radiation Medicine Associates P C | Specialist | 50 Roosevelt Ter, Wilkes Barre, PA 18702-3517 | 2005-08-16 |
| 1841292943 | Robert A Rostock | Specialist | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2005-06-02 |
| 1548648975 | Joseph Dzurishin | Specialist | 150 Mundy St, Wilkes Barre, PA 18702-6830 | 2015-05-18 |
| 1891923413 | Nancy Pius | Specialist | 300 Courtright St, Wilkes Barre, PA 18702-2526 | 2009-06-23 |
| 1508991688 | Bucci Cataract and Laser Vision Institute | Specialist | 158 Wilkes Barre Township Blvd, Wilkes Barre, PA 18702-6704 | 2007-02-22 |
| Find all providers in WILKES BARRE | ||||
| City | WILKES BARRE |
| Zip Code | 18702 |
Please comment or provide details below to improve the information on DWARAKI BAI PENUGONDA MD PC.
| 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.