MEADVILLE OBSTETRICS AND GYNECOLOGY ASSOCIATES (NPI# 1598728024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598728024 |
| Entity Type | Organization |
| Organization Name | MEADVILLE OBSTETRICS AND GYNECOLOGY ASSOCIATES |
| Other Organization Name | MEADVILLE OB/GYN ASSOCIATES |
| Practice Address |
765 Liberty Street Suite 202 Meadville PA 16335 |
| Practice Telephone | 8143335888 |
| Practice Fax Number | 8143335026 |
| Mailing Telephone | 8143335888 |
| Mailing Fax Number | 8143335026 |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2011-12-02 |
| Authorized Official Name | SIDNEY KWOKYIN KING (PRESIDENT) |
| Authorized Official Telephone | 8143335888 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0017096170002 | 05 | |
| BLUE SHIELD | 433802 | 01 |
| Other Name | Type Code |
|---|---|
| Meadville OB/GYN Associates | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEADVILLE OBSTETRICS AND GYNECOLOGY ASSOCIATES, P.C. | 765 Liberty St Ste 202, Meadville, PA 16335-2568 |
| Street Address |
765 LIBERTY STREET SUITE 202 |
| City | MEADVILLE |
| State | PA |
| Zip Code | 16335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831192145 | Randy S Zelen | Internal Medicine | 765 Liberty Street, Meadville, PA 16335-2567 | 2005-05-31 |
| 1497017065 | Meadville Medical Center | Internal Medicine | 765 Liberty Street, Suite 309, Meadville, PA 16335-2567 | 2012-06-11 |
| 1124301064 | Meadville Medical Associates LLC | Internal Medicine | 765 Liberty Street, Suite 309, Meadville, PA 16335-2566 | 2011-09-27 |
| 1710141775 | Sarah Ann Barco | Obstetrics & Gynecology | 765 Liberty Street, Suite 202, Meadville, PA 16335-2568 | 2008-07-17 |
| 1598781437 | Sidney Kwok-yin King | Obstetrics & Gynecology | 765 Liberty Street, Suite 202, Meadville, PA 16335-2568 | 2006-07-14 |
| 1922023894 | Jodi P Maxfield | Obstetrics & Gynecology | 765 Liberty Street, Suite 202, Meadville, PA 16335-2568 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811533508 | Stacey Lynette Lantz | Physical Therapy Assistant | 11277 Vernon Place Road, Meadville, PA 16335 | 2019-11-18 |
| 1952874794 | Amy Lynn Weaver | Social Worker | Parkside Psychological Associates, 435 Chestnut Street, Meadville, PA 16335 | 2019-01-04 |
| 1013437789 | Raymond Walter Keller Jr. | Family Medicine | 735 Liberty St, Meadville, PA 16335 | 2017-06-23 |
| 1750735742 | Nicole Fies | Counselor | 201 Chestnut Street, Floor 2, Meadville, PA 16335 | 2016-04-16 |
| 1760894422 | Amie S Coffman | Psychiatry & Neurology | 765 Liberty St Ste 303, Meadville, PA 16335 | 2014-05-28 |
| 1649609710 | Gina Marie Michalak | Pharmacist | 379 North Street, Meadville, PA 16335 | 2013-11-08 |
| 1518396704 | Cassandra Lynn Ketler | Physician Assistant | 847 North Main Street, Meadville, PA 16335 | 2013-11-07 |
| 1194159913 | Judy Mcelwain | Speech-Language Pathologist | 31 N Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1649604463 | Jonelle Elizabeth Taylor | Occupational Therapist | 31 North Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1699046961 | James Richard Mclamb | Orthopaedic Surgery | 6060 Ehrgott Rd, Meadville, PA 16335 | 2012-01-19 |
| Find all providers in zip 16335 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255585691 | Crawford County Sub-specialists Group | Obstetrics & Gynecology | 765 Liberty St., Suite 204, Meadville Women's Care, Meadville, PA 16335 | 2008-11-12 |
| 1902165970 | Meadville Physician Services | Obstetrics & Gynecology | 765 Liberty St, Suite 204, Meadville, PA 16335-2566 | 2012-05-11 |
| 1558649681 | Nimalie Rodrigo | Obstetrics & Gynecology | 765 Liberty St, Suite 204, Meadville, PA 16335-2566 | 2011-07-22 |
| 1225270796 | Jessica Anne Kriston | Obstetrics & Gynecology | 765 Liberty St, Suite 202, Meadville, PA 16335-2566 | 2009-03-30 |
| 1710141775 | Sarah Ann Barco | Obstetrics & Gynecology | 765 Liberty Street, Suite 202, Meadville, PA 16335-2568 | 2008-07-17 |
| 1932366226 | Sara Beth Guzick | Obstetrics & Gynecology | 765 Liberty St, Suite 202, Meadville, PA 16335-2566 | 2008-05-22 |
| 1346253846 | Denise Audrey Johnson | Obstetrics & Gynecology | 751 Liberty St, Meadville, PA 16335-2559 | 2006-08-14 |
| 1760405823 | Anand Hasmukhlal Noticewala | Obstetrics & Gynecology | 765 Liberty St, Suite 204, Meadville, PA 16335-2566 | 2006-07-26 |
| 1598781437 | Sidney Kwok-yin King | Obstetrics & Gynecology | 765 Liberty Street, Suite 202, Meadville, PA 16335-2568 | 2006-07-14 |
| 1922023894 | Jodi P Maxfield | Obstetrics & Gynecology | 765 Liberty Street, Suite 202, Meadville, PA 16335-2568 | 2006-07-13 |
| Find all providers in MEADVILLE | ||||
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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.