EAGLE MEDICAL ASSOCIATES PLLC (NPI# 1598313959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598313959 |
| Entity Type | Organization |
| Organization Name | EAGLE MEDICAL ASSOCIATES PLLC |
| Practice Address |
1637 Royal Oak Dr Sewickley PA 15143-8656 |
| Mailing Address |
Po Box 14397 Poland OH 44514-7397 |
| Practice Telephone | 4126101743 |
| Mailing Telephone | 3307582775 |
| Mailing Fax Number | 3307582787 |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2019-08-29 |
| Authorized Official Name | NIKOLAI S ZDRALE (MD/SOLE PROPRIETOR) |
| Authorized Official Telephone | 4126101743 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1637 ROYAL OAK DR |
| City | SEWICKLEY |
| State | PA |
| Zip Code | 15143-8656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679082713 | Annie Cares, Inc. | Case Management | 207 Timber Lane, Sewickley, PA 15143 | 2017-09-20 |
| 1083132617 | Andrew Wu | Specialist/Technologist | 1420 North Shevlin Court, Sewickley, PA 15143 | 2017-09-04 |
| 1619498706 | Marisa Lynn Ciamacca | Optometrist | 2591 Wexford Bayne Rd Ste 104, Sewickley, PA 15143 | 2017-06-29 |
| 1730619644 | Eva Marie Haddad | Physician Assistant | 2100 Georgetowne Drive, Suite 400, Sewickley, PA 15143 | 2017-06-13 |
| 1376098129 | Stephanie Harkins | Chiropractor | 1 Ohio River Blvd, Sewickley, PA 15143 | 2016-08-22 |
| 1710339692 | Kara Lynn Varga | Optometrist | 400 Broad Street Suite 2020, Sewickley, PA 15143 | 2016-07-05 |
| 1265890511 | Stacy Moon | Chiropractor | 2605 Nicholson Road, Building 3, Suite 120, Sewickley, PA 15143 | 2016-02-02 |
| 1003286857 | John Robert Utberg | Obstetrics & Gynecology | 210 Alagua Dr., Sewickley, PA 15143 | 2015-10-05 |
| 1588043434 | Simmons Chiropractic & Wellness | Chiropractor | 2425 Rochester Rd, Sewickley, PA 15143 | 2015-05-26 |
| 1316346042 | Lauri Lang | Dietitian, Registered | 2607 Nicholson Rd., Suite 2100, Building 2, Sewickley, PA 15143 | 2014-08-19 |
| Find all providers in zip 15143 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568998599 | Benjamin K Boehme | Family Medicine | 100 Hazel Ln Ste 201, Sewickley, PA 15143-1249 | 2017-05-11 |
| 1790045326 | Monika M Sauber | Family Medicine | 720 Blackburn Rd Fl 1, Sewickley, PA 15143-1459 | 2012-05-16 |
| 1760408447 | Thomas A. Bogdewic | Family Medicine | 525 Locust Pl, Sewickley, PA 15143-1503 | 2006-07-14 |
| 1316923824 | Stacey Y Royal | Family Medicine | 1106 Ohio River Blvd, # 602, Sewickley, PA 15143-2048 | 2005-12-16 |
| 1770193435 | Heritage Valley Multispecialty Group, Inc. | Family Medicine | 100 Hazel Ln Ste 200, Sewickley, PA 15143-1249 | 2020-08-06 |
| 1831623149 | Catherine Elizabeth Kananen Roman | Family Medicine | 100 Hazel Ln, Sewickley, PA 15143-1249 | 2017-04-13 |
| 1386057776 | Justine Kostrub | Family Medicine | 720 Blackburn Rd Fl 1, Sewickley, PA 15143-1459 | 2014-06-04 |
| 1578715157 | Heritage Valley Medical Group, Inc. | Family Medicine | 525 Locust Pl, Sewickley, PA 15143-1503 | 2008-10-15 |
| 1982856563 | Heritage Valley Medical Group, Inc | Family Medicine | 100 Hazel Ln, Sewickley, PA 15143-1249 | 2008-10-15 |
| 1083630875 | Kathleen M Osten | Family Medicine | 100 Hazel Ln, Sewickley, PA 15143-1249 | 2006-07-14 |
| Find all providers in SEWICKLEY | ||||
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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.