PRIMARY CARE SERVICES OF CRAWFORD COUNTY (NPI# 1699741181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699741181 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE SERVICES OF CRAWFORD COUNTY |
| Practice Address |
Meadville Cardiology Consultants 765 Liberty Street, Suite 105 Meadville PA 16335-2566 |
| Practice Telephone | 8143732310 |
| Practice Fax Number | 8143732313 |
| Mailing Telephone | 8143732310 |
| Mailing Fax Number | 8143732313 |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2010-03-12 |
| 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 | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0016541250026 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558337881 | Primary Care Services of Crawford County | Psychiatry & Neurology | Meadville Psychiatric Associates, 461 Pine St, Meadville, PA 16335-2974 | 2006-02-27 |
| 1093851131 | Primary Care Services of Crawford County | Urology | 505 Poplar St, Suite 209, Meadville, PA 16335-3057 | 2007-01-29 |
| 1811940612 | Primary Care Services of Crawford County | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 765 Liberty St, Suite 309, Meadville, PA 16335-2566 | 2006-05-19 |
| Street Address |
MEADVILLE CARDIOLOGY CONSULTANTS 765 LIBERTY STREET, SUITE 105 |
| City | MEADVILLE |
| State | PA |
| Zip Code | 16335-2566 |
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1073591715 | Manuel F Forero | Internal Medicine | 287 North St, Meadville, PA 16335-2521 | 2006-01-04 |
| 1407003031 | Meadville Medical Center | Internal Medicine | 751 Liberty St, Cardiology Stress, Meadville, PA 16335 | 2008-08-26 |
| 1356495477 | Meadville Medical Center | Internal Medicine | 751 Liberty St, Cardiology Fpa, Meadville, PA 16335-2559 | 2007-01-23 |
| 1689639270 | John Steven Wilson | Internal Medicine | 765 Liberty St, Suite 105, Meadville, PA 16335-2566 | 2006-04-18 |
| 1114994530 | J. Thomas Arno | Internal Medicine | 765 Liberty St, Suite 105, Meadville, PA 16335-2566 | 2006-03-03 |
| 1245236512 | Angel Raphel Flores | Internal Medicine | 765 Liberty St, 105, Meadville, PA 16335-2566 | 2005-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811507445 | St. Clair Medical Services, Inc. | Internal Medicine | 363 Vanadium Rd Ste 300, Pittsburgh, PA 15243-1477 | 2020-08-07 |
| 1336772490 | Gslpg Inc | Internal Medicine | 1165 Centre Tpke, Orwigsburg, PA 17961-9343 | 2020-02-18 |
| 1215560503 | Alliance Cardiology PC | Internal Medicine | 21 Yost Blvd Ste 216, Pittsburgh, PA 15221-5283 | 2020-02-15 |
| 1366007478 | Certified Cardiology of Roxborough PC | Internal Medicine | 640 Anthony Rd, Elkins Park, PA 19027-1702 | 2019-05-03 |
| 1023576436 | Mark J. Geller, Md, LLC | Internal Medicine | 121 Freeport Rd Ste 200, Blawnox, PA 15238-3411 | 2019-03-05 |
| 1215437173 | Walter Herman | Internal Medicine | 275 N Latches Ln, Merion Station, PA 19066-1726 | 2018-02-17 |
| 1780198754 | William Sigmund | Internal Medicine | 608 Spruce St, Philadelphia, PA 19106-4114 | 2017-11-28 |
| 1982128690 | Mercy Management of Sepa | Internal Medicine | 501 S 54th St Ste 186, Philadelphia, PA 19143-1900 | 2017-08-03 |
| 1538681457 | Rahul Gupta | Internal Medicine | Lehigh Valley Physicians Practice, 1250 S. Cedar Crest Blvd, Ste. 300, Allentown, PA 18103 | 2017-07-12 |
| 1831637263 | Your Travel Health LLC | Internal Medicine | 847 Youngs Ford Rd, Gladwyne, PA 19035-1610 | 2017-02-06 |
| 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.