MOUNT NITTANY MEDICAL CENTER HEALTH SERVICES INC (NPI# 1598992554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598992554 |
| Entity Type | Organization |
| Organization Name | MOUNT NITTANY MEDICAL CENTER HEALTH SERVICES INC |
| Other Organization Name | MOUNT NITTANY PHYSICIAN GROUP |
| Practice Address |
1800 E Park Ave State College PA 16803-6709 |
| Practice Telephone | 8142317000 |
| Mailing Telephone | 8142317000 |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2016-01-27 |
| Authorized Official Name | MR. RANDY E. TEWKSBURY (VICE PRESIDENT OF FINANCE) |
| Authorized Official Telephone | 8142316850 |
| Authorized Official Credential | FHFMA |
| Is Organization Subpart | Y |
| Parent Organization Name | MOUNT NITTANY MEDICAL CENTER HEALTH SERVICES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | PA | Allopathic & Osteopathic Physicians | |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
PA | Allopathic & Osteopathic Physicians | |
| N | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 208800000X | Urology | PA | Allopathic & Osteopathic Physicians | |
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207R00000X | Internal Medicine | PA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MOUNT NITTANY PHYSICIAN GROUP | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326221896 | Mount Nittany Medical Center Health Services Inc | Psychologist | 1800 East College Ave, State College, PA 16803-6797 | 2007-12-07 |
| 1407035553 | Mount Nittany Medical Center Health Services Inc | Clinic/Center | 911 University Drive, State College, PA 16801-6626 | 2007-10-25 |
| 1164691499 | Mount Nittany Medical Center Health Services Inc | Family Medicine | 4570 Penns Valley Rd, Ste 1, Spring Mills, PA 16875-8500 | 2008-02-20 |
| 1245418334 | Mount Nittany Medical Center Health Services Inc | Clinic/Center | 120 Radnor Rd, State College, PA 16801-7970 | 2008-01-31 |
| Street Address |
1800 E PARK AVE |
| City | STATE COLLEGE |
| State | PA |
| Zip Code | 16803-6709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306841929 | Centre Diagnostic Imaging, PC | Radiology | 1800 E Park Ave, State College, PA 16803-6701 | 2005-06-20 |
| 1235756982 | Gary Whitaker | Nurse Anesthetist, Certified Registered | 1800 E Park Ave, State College, PA 16803-6701 | 2020-06-29 |
| 1366005225 | Lauren C. Hahn | Physician Assistant | 1800 E Park Ave, State College, PA 16803-6797 | 2019-04-17 |
| 1760954093 | Bryson Anderson | Nurse Anesthetist, Certified Registered | 1800 E Park Ave, State College, PA 16803-6709 | 2018-12-27 |
| 1518449644 | Chase B Cohron | Nurse Practitioner | 1800 E Park Ave, State College, PA 16803-6709 | 2018-09-05 |
| 1356856819 | Joeleen Marie Stocker | Dietitian, Registered | 1800 E Park Ave, Nutrition & Culinary Services, State College, PA 16803 | 2017-12-06 |
| 1417487257 | Robin Tuttle | Physician Assistant | 1800 E Park Ave, State College, PA 16803-6709 | 2017-06-14 |
| 1710415443 | Alissa Ann Franklin | Nurse Anesthetist, Certified Registered | 1800 E Park Ave, State College, PA 16803-6709 | 2017-05-25 |
| 1457885188 | Sarah A Guillard | Nurse Practitioner | 1800 E Park Ave, State College, PA 16803-6709 | 2017-04-19 |
| 1417496803 | Jill Martin | Physician Assistant | 1800 E Park Ave, State College, PA 16801-5602 | 2017-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851581 | Tammy Lynn Terosky | Massage Therapist | 2134 Sandy Drive, Suite 6, State College, PA 16803 | 2020-08-12 |
| 1548748973 | Molly Gomez | Occupational Therapist | 260 Lions Hill Road, State College, PA 16803 | 2018-07-28 |
| 1568981827 | David Scott Kautz | Pharmacist | 1665 North Atherton Place, State College, PA 16803 | 2017-09-18 |
| 1245751023 | Zenovia Tarmohamed | Student in an Organized Health Care Education/Training Program | 1850 East Park Avenue, Suite 207, Penn State Health At Mount Nittany Medical Center, State College, PA 16803 | 2017-06-30 |
| 1407205362 | Alka Sood | Student in an Organized Health Care Education/Training Program | 1850 E. Park Avenue, State College, PA 16803 | 2016-06-10 |
| 1588018766 | Daniel Frankel | Student in an Organized Health Care Education/Training Program | 1850 East Park Avenue, Suite 207, State College, PA 16803 | 2016-04-14 |
| 1154791903 | Megan Widener | Physician Assistant | 2520 Green Tech Dr., Ste. D, State College, PA 16803 | 2015-10-05 |
| 1114301330 | Phuong Tran Courtney | Physician Assistant | 1613 North Atherton Street, Suite B, State College, PA 16803 | 2015-07-17 |
| 1164806840 | Amit Thatte | Student in an Organized Health Care Education/Training Program | 1850 East Park Ave., Suite 207, Penn State Hershey Medical Group, State College, PA 16803 | 2015-07-13 |
| 1245588946 | Phoenix Rehabilitation and Health Services, Inc. | Chiropractor | 1700 Old Gatesburg Road, Suite 210, State College, PA 16803 | 2012-08-28 |
| Find all providers in zip 16803 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1558645069 | Gary Alan Mitchell | Internal Medicine | 3222 Shellers Bnd, #214, State College, PA 16801-3224 | 2011-10-03 |
| 1437449071 | Robert C. Klingler | Internal Medicine | 415 W Park Ave, State College, PA 16803-3430 | 2011-04-16 |
| 1992002992 | Francesca Ijeoma Okoye | Internal Medicine | 2520 Green Tech Drive Ste D, State College, PA 16803-5605 | 2011-02-28 |
| 1104138403 | Jason Lee Goldberg | Internal Medicine | 120 Radnor Rd Ste 100, State College, PA 16801 | 2010-07-02 |
| 1154561314 | Rajendra Prasad Palepu | Internal Medicine | 1800 East Part Ave, State College, PA 16801-5602 | 2009-03-02 |
| 1497915961 | Dustin G. Case | Internal Medicine | 3901 S Atherton St Ste 2, State College, PA 16801-8324 | 2008-06-09 |
| 1336278621 | Thomas Paul Bem | Internal Medicine | 1358 S Atherton St, State College, PA 16801-6203 | 2007-03-05 |
| 1003803263 | Paul Andrew Koberna | Internal Medicine | 2134 Sandy Dr Ste 16, State College, PA 16803-2292 | 2005-10-03 |
| 1033102785 | Guillard Internal Medicine Inc. | Internal Medicine | 905 University Dr, Suite 1, State College, PA 16801-6626 | 2005-08-29 |
| 1811354863 | Oasis Lifecare LLC | Internal Medicine | 1526 Martin St, State College, PA 16803-3058 | 2016-01-21 |
| Find all providers in STATE COLLEGE | ||||
| City | STATE COLLEGE |
| Zip Code | 16803 |
Please comment or provide details below to improve the information on MOUNT NITTANY MEDICAL CENTER HEALTH SERVICES INC.
| 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.