JACQUELINE CLARE OXENBERG (NPI# 1669629689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669629689 |
| Entity Type | Individual |
| Full Name | JACQUELINE CLARE OXENBERG |
| Credential | DO |
| Practice Address |
1000 East Mountain Blvd. Wilkes-barre PA 18711-3762 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-4903 |
| Practice Telephone | 5708082340 |
| Practice Fax Number | 5708087904 |
| Mailing Telephone | 5702716144 |
| Mailing Fax Number | 5702716578 |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2020-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 263687 | NY | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | OS014772 | PA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | OT012136 | PA | Allopathic & Osteopathic Physicians |
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
OS014772 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 102920739 | 05 |
| Street Address |
1000 EAST MOUNTAIN BLVD. |
| City | WILKES-BARRE |
| State | PA |
| Zip Code | 18711-3762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427050723 | Thomas Andrew Erchinger | Surgery | 1000 East Mountain Blvd., Wilkes-barre, PA 18711-3762 | 2005-06-01 |
| 1679007033 | Tyler Anderson | Nurse Anesthetist, Certified Registered | 1000 East Mountain Blvd., Wilkes-barre, PA 18711 | 2017-04-12 |
| 1033661061 | Stanley J Yanik | Internal Medicine | 1000 East Mountain Blvd., Wilkes-barre, PA 18711-3610 | 2016-10-25 |
| 1881143709 | Stephanie Dosiak | Physician Assistant | 1000 East Mountain Blvd., Wilkes-barre, PA 18711-3732 | 2016-10-04 |
| 1649675240 | Ryan Reddick | Anesthesiology | 1000 East Mountain Blvd., Wilkes-barre, PA 18711-3475 | 2014-10-27 |
| 1114327988 | Jignesh Patel | Hospitalist | 1000 East Mountain Blvd., Wilkes-barre, PA 18711-3539 | 2014-08-29 |
| 1063831808 | Afghani Roshan | Emergency Medicine | 1000 East Mountain Blvd., Wilkes-barre, PA 18711-3420 | 2014-04-09 |
| 1427484187 | Alisha R Wainwright | Physician Assistant | 1000 East Mountain Blvd., Wilkes-barre, PA 18711-3610 | 2013-09-25 |
| 1669804175 | Hasan Mohamed Zerti | Internal Medicine | 1000 East Mountain Blvd., Wilkes-barre, PA 18711-3539 | 2013-08-07 |
| 1942644828 | Luke Edward Sullivan | Emergency Medicine | 1000 East Mountain Blvd., Wilkes-barre, PA 18711-3420 | 2013-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467924274 | Leeann Kayal | Nurse Practitioner | 111 East End Boulevard, Wilkes Barre, PA 18711 | 2018-12-19 |
| 1336661701 | Patricia Dworak | Occupational Therapist | 1175 East Mountain Boulevard, Wilkes-barre, PA 18711 | 2017-07-07 |
| 1992160352 | Hope Danishanko | Social Worker | 111 East End Blvd, Wilkes Barre, PA 18711 | 2015-12-29 |
| 1477962785 | Jennifer L. Heck | Physical Therapist | 1140 Route 315, Suite 207, Wilkes-barre, PA 18711 | 2014-08-12 |
| 1821338807 | Melinda Flaim | Physical Therapist | 1555 East End Blvd, Wilkes Barre, PA 18711 | 2013-02-27 |
| 1598900953 | Elizabeth Patricia Keating | Pharmacist | 1000 East Mountain Drive, Wilkes Barre, PA 18711 | 2008-12-12 |
| 1457433294 | Christopher William O'brien | Specialist/Technologist | King's College, 133 North River Street, Wilkes-barre, PA 18711 | 2006-10-20 |
| 1821197450 | Louis Jay Freedman | Obstetrics & Gynecology | Valley Medical Building, 3rd Floor, 1010 East Mountain Boulevard, Wilkes-barre, PA 18711 | 2006-09-21 |
| 1730282625 | Natalia N Belikova | Internal Medicine | 1111 East End Boulvard, Wilkesbarre, PA 18711 | 2006-09-06 |
| 1609883628 | Va Medical Center | General Acute Care Hospital | 1111 East End Blvd., Wilkes-barre, PA 18711 | 2006-08-02 |
| Find all providers in zip 18711 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528551009 | Amanda Mauck | Surgery | 3 Saint Francis Way Ste 103, Cranberry Township, PA 16066-5120 | 2018-06-11 |
| 1235654286 | Dorotea Mutabdzic | Surgery | Fox Chase Cancer Center, 333 Cottman Ave, Dept of Surgical Oncology, Philadelphia, PA 19111 | 2017-08-11 |
| 1639554850 | Lancaster Medical Group, LLC | Surgery | 233 College Ave Ste 203, Lancaster, PA 17603-3385 | 2015-07-29 |
| 1124400536 | Ashlie Lauren Nadler | Surgery | 3509 N. Broad St. Temple University Hospital, Graduate Medical Education, Philadelphia, PA 19140 | 2015-06-22 |
| 1609216886 | Gordon Francis Schwartz Md PC | Surgery | 237 S 18th St, # 21-d, Philadelphia, PA 19103-6161 | 2013-07-02 |
| 1104185610 | Antoine Jahshan | Surgery | 72 Cornell Rd, Bala Cynwyd, PA 19004-2101 | 2012-05-04 |
| 1851525869 | Elena Paulus Lamb | Surgery | 830 Old Lancaster Rd Ste 306, Bryn Mawr, PA 19010 | 2009-05-05 |
| 1356582555 | Lehigh Valley Physician Group | Surgery | 401 N 17th St Ste 311, Allentown, PA 18104-5051 | 2009-03-18 |
| 1194883785 | Andrew Watson | Surgery | 5150 Centre Avenue, Pittsburgh, PA 15232 | 2006-12-05 |
| 1114981123 | Aria Health Physician Services | Surgery | 240 Middletown Blvd Ste 101d, Langhorne, PA 19047-1832 | 2006-04-14 |
| Find all providers with the same taxonomy | ||||
| City | WILKES-BARRE |
| Zip Code | 18711 |
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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.