RUSSELL S BUFALINO (NPI# 1609836907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609836907 |
| Entity Type | Individual |
| Full Name | RUSSELL S BUFALINO |
| Credential | M.D.,J.D. |
| Practice Address |
313 S Main St Old Forge PA 18518-1606 |
| Practice Telephone | 5704511122 |
| Practice Fax Number | 5704510541 |
| Mailing Telephone | 5704511122 |
| Mailing Fax Number | 5704510541 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2010-03-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Z00000X | Orthotist | MD008940E | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | AETNA | 7289228 | 01 |
| PA | 1563559 | 05 | |
| PA | BLUE CROSS BLUE SHIELD | BU108435 | 01 |
| PA | 1ST PRIORITY | 817264 | 01 |
| Street Address |
313 S MAIN ST |
| City | OLD FORGE |
| State | PA |
| Zip Code | 18518-1606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235435686 | Chelsea Stouffer | Physical Therapist | 313 S Main St, Old Forge, PA 18518-1606 | 2011-02-02 |
| 1447391545 | Jeffrey Frail | Physical Therapist | 313 S Main St, Old Forge, PA 18518-1606 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134536519 | Geisinger Clinic | Family Medicine | 939 Moosic Road, Old Forge, PA 18518 | 2014-07-17 |
| 1407285331 | Kelly A. Bartels | Occupational Therapist | 106 Tamara Dr, Old Forge, PA 18518 | 2013-11-01 |
| 1114216967 | Bridget Elizabeth Thomas | Pharmacist | 401-403 Main St, Old Forge, PA 18518 | 2011-04-01 |
| 1720377666 | Deborah M. Dunbar | Pharmacist | 401-403 South Main St., Old Forge, PA 18518 | 2011-03-31 |
| 1215235114 | Verna Mae Saleski | Nurse Practitioner | 1315 Colfax Ave, Maternal Family Health Services Circle of Care, Scranton, PA 18518 | 2011-03-02 |
| 1801909528 | Jan Charles Stampien | Dentist | 121 Moosic Rd, Old Forge Medical Center, Old Forge, PA 18518 | 2006-08-16 |
| 1700810835 | William Allen Stang Jr. | Specialist/Technologist | 501 South Main St, Physical Therapy Associates Nepa, Old Forge, PA 18518 | 2006-07-11 |
| 1093784076 | Stephen Robert Paranich | Chiropractor | 102 N Main St, Old Forge, PA 18518 | 2006-03-14 |
| 1720377005 | Kellyann Daley | Pharmacist | 401 South Main St, Old Forge, PA 18518 | 2011-04-07 |
| 1801009196 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 101 S. Main St, Old Forge, PA 18518 | 2007-05-07 |
| Find all providers in zip 18518 | ||||
| Taxonomy Code | 222Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotist |
| A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962060517 | Sergio Costa | Orthotist | 70 Bubeck Ct, Ivyland, PA 18974-1288 | 2019-05-30 |
| 1245725084 | Dustin Ray Pringle | Orthotist | 903 Grambling St, Johnstown, PA 15904-1721 | 2018-06-25 |
| 1285121889 | Eugene Flenner Jr. | Orthotist | 3 Gibraltar Way, Greensburg, PA 15601 | 2018-04-18 |
| 1265939714 | Peter E Leimkuehler | Orthotist | 3424 Liberty Ave, Pittsburgh, PA 15201-1323 | 2018-04-11 |
| 1457851644 | Amanda Rose Gilarski | Orthotist | 3609 Outlook Dr, West Mifflin, PA 15122-2243 | 2018-02-14 |
| 1730615931 | David John Mcfarlane | Orthotist | 300 Alpha Drive, De La Torre O @ P, Pittsburgh, PA 15238 | 2017-05-08 |
| 1285169557 | Matthew Smith | Orthotist | 213 Taylor St Apt 2, Pittsburgh, PA 15224-1843 | 2017-04-25 |
| 1891236741 | Adil Tnaimou | Orthotist | 377 Stonybrook Dr, Levittown, PA 19055-2015 | 2017-03-12 |
| 1891235925 | David William Smeresky | Orthotist | 506 Greenbriar Rd, York, PA 17404-1335 | 2017-03-08 |
| 1831634872 | Richard Relich | Orthotist | 305 Overdale Rd, Pittsburgh, PA 15221-4435 | 2016-12-29 |
| Find all providers with the same taxonomy | ||||
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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.