MEADVILLE MEDICAL CENTER (NPI# 1639364839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639364839 |
| Entity Type | Organization |
| Organization Name | MEADVILLE MEDICAL CENTER |
| Other Organization Name | MEADVILLE MEDICAL RADILOGY |
| Practice Address |
751 Liberty St Meadville Medical Radiology Meadville PA 16335-2559 |
| Mailing Address |
1034 Grove St Cbo Meadville PA 16335-2945 |
| Practice Telephone | 8143335140 |
| Practice Fax Number | 8143335197 |
| Mailing Telephone | 8143732923 |
| Mailing Fax Number | 8143335640 |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2014-04-17 |
| Authorized Official Name | RENATO J SUNTAY (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 8143335031 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007521150041 | 05 |
| Other Name | Type Code |
|---|---|
| Meadville Medical Radilogy | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659780039 | Meadville Medical Center | Clinic/Center | 11277 Vernon Pl Ste 101, Meadville, PA 16335-3718 | 2014-08-11 |
| 1366596488 | Meadville Medical Center | Psychiatric Unit | 1034 Grove St., Psychiatric Unit, Meadville, PA 16335-2945 | 2007-01-23 |
| 1629633573 | Meadville Medical Center | Internal Medicine | 751 Liberty St, Meadville, PA 16335-2591 | 2019-05-07 |
| 1841782869 | Meadville Medical Center | Urology | 765 Liberty St Ste 207a, Meadville, PA 16335 | 2018-06-05 |
| 1942797303 | Meadville Medical Center | Family Medicine | 640 Alden St, Meadville, PA 16335-2348 | 2018-04-20 |
| 1174067458 | Meadville Medical Center | Anesthesiology | 1034 Grove St, Meadville, PA 16335-2945 | 2016-12-06 |
| 1235593898 | Meadville Medical Center | Clinic/Center | 906 Washington St, Conneautville, PA 16406-7138 | 2016-04-11 |
| 1730570573 | Meadville Medical Center | Clinic/Center | 640 Alden St, Meadville, PA 16335-2348 | 2015-02-16 |
| 1649661471 | Meadville Medical Center | Clinic/Center | 118 Railroad St, Cambridge Springs, PA 16403-1060 | 2015-02-16 |
| 1760873707 | Meadville Medical Center | Podiatrist | 747 Terrace St, Podiatry, Meadville, PA 16335-1737 | 2015-02-12 |
| Street Address |
751 LIBERTY ST MEADVILLE MEDICAL RADIOLOGY |
| City | MEADVILLE |
| State | PA |
| Zip Code | 16335-2559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245233568 | William D. Sullivan | Internal Medicine | 751 Liberty St, Meadville, PA 16335-2559 | 2005-05-31 |
| 1134745094 | Nico Ferreras | Family Medicine | 751 Liberty St, Meadville, PA 16335-2591 | 2020-06-17 |
| 1629699236 | Sarah Elizabeth Potts | Family Medicine | 751 Liberty St, Meadville, PA 16335-2559 | 2020-05-05 |
| 1225659667 | Jennifer Lynne Babins | Student in an Organized Health Care Education/Training Program | 751 Liberty St, Meadville, PA 16335-2591 | 2020-04-27 |
| 1699395509 | Zachary Paul Henderson | Family Medicine | 751 Liberty St, Meadville, PA 16335-2559 | 2020-04-21 |
| 1821635699 | Nicole Marie Temple | Physical Therapy Assistant | 751 Liberty St, Meadville, PA 16335-2591 | 2019-11-29 |
| 1235775651 | Alfred Leonard Hartick Iv | Physical Therapist | 751 Liberty St, Meadville, PA 16335-2559 | 2019-11-20 |
| 1215573936 | Melvin Burger Jr. | Physical Therapist | 751 Liberty St, Meadville, PA 16335-2559 | 2019-11-19 |
| 1588209589 | Ryan Brennan | Physical Therapist | 751 Liberty St, Meadville, PA 16335-2559 | 2019-11-13 |
| 1629633573 | Meadville Medical Center | Internal Medicine | 751 Liberty St, Meadville, PA 16335-2591 | 2019-05-07 |
| Find all providers in the same location | ||||
| 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 | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
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| 1215475090 | World Wellness Health Institute | Clinic/Center | 111 Presidential Blvd Ste 159, Bala Cynwyd, PA 19004-1005 | 2017-02-01 |
| 1851842355 | Infinity Care Inc | Clinic/Center | 4 Averstone Ct, Holland, PA 18966-2610 | 2016-10-19 |
| 1972908739 | Teleradiology Solutions PC | Clinic/Center | 22 Lianfair Road, Unit 6, Ardmore, PA 19003 | 2014-10-23 |
| 1467606558 | Sherry S Shang LLC | Clinic/Center | 384 Yorkshire Rd, Bryn Mawr, PA 19010-1216 | 2008-11-17 |
| 1386812196 | James Dennis Flynn | Clinic/Center | 6599 Town Center Blvd Apt 423, James Dennis Flynn, Huntingdon, PA 16652 | 2008-02-14 |
| 1831371152 | Futura Health System | Clinic/Center | 1300 Chestnut St, Suite 305, Philadelphia, PA 19107-4513 | 2007-11-28 |
| 1598961930 | Pmx Provider Services Corporation | Clinic/Center | 501 Gainsboro Road, Drexel Hill, PA 19026-1213 | 2007-06-22 |
| 1215132709 | Us Vascular Access Center of Philadelphia, LLC | Clinic/Center | 4220 Market St, Second Floor, Philadelphia, PA 19104-3007 | 2007-06-15 |
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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.