GROUP MEDICAL SERVICES (NPI# 1700959103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700959103 |
| Entity Type | Organization |
| Organization Name | GROUP MEDICAL SERVICES |
| Practice Address |
2 Crescent Park West Warren PA 16365-2111 |
| Practice Telephone | 8147233300 |
| Practice Fax Number | 8147238515 |
| Mailing Telephone | 8147233300 |
| Mailing Fax Number | 8147238515 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2010-03-23 |
| Authorized Official Name | TRICIA D DURBIN (TREAURER) |
| Authorized Official Telephone | 8147234973 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | BLUE SHIELD | GM1741126 | 01 |
| PA | 001655267 | 05 |
| Street Address |
2 CRESCENT PARK WEST |
| City | WARREN |
| State | PA |
| Zip Code | 16365-2111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699771139 | Kamie Dee Repine | Nurse Practitioner | 2 Crescent Park West, Warren Faculty Specialists, Warren, PA 16365-2111 | 2005-06-21 |
| 1720312820 | Nicole Marie Clark | Dietary Manager | 2 Crescent Park West, Nutrition Services, Warren, PA 16365 | 2009-09-23 |
| 1528276128 | Jessica S Shepherd | Emergency Medicine | 2 Crescent Park West, Warren Emergency Room, Warren, PA 16365-2111 | 2007-05-18 |
| 1780899567 | Michael Wellington Faulk | Emergency Medicine | 2 Crescent Park West, Warren, PA 16365-2111 | 2007-05-14 |
| 1417092917 | Andrea Leigh Shene | Specialist/Technologist | 2 Crescent Park West, Warren General Hospital, Warren, PA 16365 | 2007-02-21 |
| 1396831731 | Melissa Luanne Carter | Emergency Medicine | 2 Crescent Park West, Warren, PA 16365-2111 | 2006-10-05 |
| 1740247956 | John Michael Stoltzfus | Emergency Medicine | 2 Crescent Park West, Warren, PA 16365-2111 | 2006-05-01 |
| 1578552873 | Gregory G Pierson | Emergency Medicine | 2 Crescent Park West, Warren, PA 16365-2111 | 2005-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712759 | James Hickey | Dentist | 94 Egypt Hollow Rd, Warren, PA 16365 | 2020-08-31 |
| 1437674579 | Theresa Elizabeth Cook | Speech-Language Pathologist | Rehabworks At Warren General Hospital, Two Crescent Park West, Warren, PA 16365 | 2017-08-10 |
| 1891160982 | Vanessa Frank Humphrey | Occupational Therapy Assistant | 682 Pleasant Drive, Warren, PA 16365 | 2015-12-01 |
| 1740651967 | John L. Harrington | Psychiatry & Neurology | 4 Second Ave. Apt. #2, Warren, PA 16365 | 2015-10-14 |
| 1992046569 | Carrie Lynn Vaughn | Physical Therapy Assistant | 1048 Pennslvania Ave West, Warren, PA 16365 | 2013-03-07 |
| 1750664488 | William Frederick Menz | Pharmacist | 2901 Market Street, (walmart), Warren, PA 16365 | 2011-09-20 |
| 1669617296 | Donald Nicholas Vandamia | Family Medicine | 64 Leda Lane, Warren, PA 16365 | 2008-12-11 |
| 1013187558 | Chad Michael Ristau | Nurse Anesthetist, Certified Registered | 2 Crescent Park West., Warren General Hospital, Warren, PA 16365 | 2008-03-11 |
| 1407072473 | Family Physical Therapy | Physical Therapist | 218 Liberty St, Warren, PA 16365 | 2007-04-18 |
| 1801927330 | Wal-mart Stores East, L.p. | Technician/Technologist | 2901 Market St., Warren, PA 16365 | 2007-03-08 |
| Find all providers in zip 16365 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740623222 | American Home Doctors PC | General Practice | 8200 Old 13 Mile Rd Ste 101, Warren, MI 48093-2171 | 2013-04-15 |
| 1013238120 | Joseph A Carano D O Inc | General Practice | 192 Washington St Nw, Warren, OH 44483-4733 | 2010-06-14 |
| 1225266075 | Pain Management Center | General Practice | 27472 Schoneherr, #130, Warren, MI 48088 | 2009-06-30 |
| 1366638249 | Doreen Michel | General Practice | 27170 Dequindre Rd Ste B, Warren, MI 48092 | 2007-09-24 |
| 1487709630 | Albert Spickers | General Practice | 26193 Meredith Drive, Warren, MI 48091 | 2007-01-25 |
| 1497810568 | Joseph Nicholas Cavalier | General Practice | 180 Country Club Dr Ne, Warren, OH 44484 | 2006-12-27 |
| 1477592905 | Moniruzzaman Khan | General Practice | 4402 E 9 Mile Rd, Warren, MI 48091-2590 | 2006-06-06 |
| 1871548453 | Sanganur V. Mahadevan | General Practice | 11477 E 12 Mile Rd, Warren, MI 48093-2678 | 2006-05-23 |
| 1659980159 | Healing Hands Addiction Centers | General Practice | 614 N Martin St, Warren, AR 71671-1904 | 2020-07-30 |
| 1063862415 | Fritz Daniel Brink | General Practice | 12000 E 12 Mile Rd, Warren, MI 48093-3570 | 2016-06-16 |
| Find all providers in WARREN | ||||
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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.