WYOMING VALLEY RADIATION MEDICINE ASSOCIATES P C (NPI# 1740272871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740272871 |
| Entity Type | Organization |
| Organization Name | WYOMING VALLEY RADIATION MEDICINE ASSOCIATES P C |
| Other Organization Name | CANCER CENTER OF WYOMING VALLEY |
| Practice Address |
50 Roosevelt Ter Wilkes Barre PA 18702-3517 |
| Practice Telephone | 5708229822 |
| Practice Fax Number | 5708227955 |
| Mailing Telephone | 5708229822 |
| Mailing Fax Number | 5708227955 |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2008-03-31 |
| Authorized Official Name | DR. ROBERT A ROSTOCK (DIRECTOR) |
| Authorized Official Telephone | 5708229822 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | Other Service Providers | ||
| Y | 261QX0203X |
Clinic/Center Specialization: Oncology, Radiation |
AC02-40449 | PA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Cancer Center of Wyoming Valley | Other Name - Individual/Organization |
| Street Address |
50 ROOSEVELT TER |
| City | WILKES BARRE |
| State | PA |
| Zip Code | 18702-3517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457959124 | Geisinger Wyoming Valley | Clinic/Center | 50 Roosevelt Ter, Wilkes Barre, PA 18702-3517 | 2020-10-14 |
| 1447788104 | Hadra Habib | Family Medicine | 50 Roosevelt Ter, Wilkes Barre, PA 18702-3517 | 2017-05-25 |
| 1013334036 | Jason Raymond Woloski | Family Medicine | 50 Roosevelt Ter, Wilkes Barre, PA 18702-3517 | 2014-03-27 |
| 1831375161 | Stephanie Renee Kelleher | Family Medicine | 50 Roosevelt Ter, Wilkes Barre, PA 18702-3517 | 2008-01-16 |
| 1396927364 | William Robert Barker | Family Medicine | 50 Roosevelt Ter, Wilkes Barre, PA 18702-3517 | 2007-12-03 |
| 1457374431 | Anja Octavia Landis | Family Medicine | 50 Roosevelt Ter, Wilkes Barre, PA 18702-3517 | 2006-07-25 |
| 1326014960 | Salvatore P Sparich | Family Medicine | 50 Roosevelt Ter, Wilkes Barre, PA 18702-3517 | 2006-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153161 | Joann Bonn | Pharmacist | 441 Wilkes-barre Township Blvd, Wilkes-barre, PA 18702 | 2020-10-30 |
| 1689213167 | Megan Grace Zanghi | Pharmacist | 58-60 Public Square, 4th Floor, Wilkes-barre, PA 18702 | 2019-12-31 |
| 1467013292 | Kelly Rose Sones | Pharmacist | 58/60 Public Square, Wilkes-barre, PA 18702 | 2019-06-24 |
| 1528520186 | Adam Olivetti | Pharmacist | 58-60 Public Square, Wilkes-barre, PA 18702 | 2019-04-03 |
| 1295220648 | Dental Associates of Nepa PC | Dentist | 360 Kidder Street, Suite 5, Wilkes Barre, PA 18702 | 2018-06-28 |
| 1568983245 | Bio-medical Applications of Pennsylavania, Inc. | Clinic/Center | 309 Laird St, Wilkes-barre, PA 18702 | 2017-07-03 |
| 1538615166 | Elsa Gates | Nurse Practitioner | 100 East Mountain Blvd, Geisinger, Wilkes Barre, PA 18702 | 2016-09-01 |
| 1972990455 | Epeople Health Care Inc. | Home Health | 1092 Route 315, Ste 3, Wilkes Barre, PA 18702 | 2015-04-22 |
| 1063819001 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 277 Mundy St, Suite 101, Wilkes Barre, PA 18702 | 2014-11-19 |
| 1356764013 | Jill Stacchiotti | Speech-Language Pathologist | 2 Salem Drive, Laflin, PA 18702 | 2014-01-30 |
| Find all providers in zip 18702 | ||||
| Taxonomy Code | 261QX0203X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology, Radiation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316939440 | Wyoming Valley Radiation Medicine Specialists P C | Clinic/Center | 575 N River St, Wilkes Barre, PA 18764-0999 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801996699 | Nathaniel D. Yingling Cancer Center | Clinic/Center | 815 Doctors Drive, Clearfield, PA 16830 | 2006-09-22 |
| 1891273629 | Ryan Christopher Miller | Clinic/Center | 111 S 11th St, Philadelphia, PA 19107-4824 | 2018-08-02 |
| 1891737508 | Havertown Radiosurgery Center, PC | Clinic/Center | 2010 W Chester Pike, Suite 115, Havertown, PA 19083-2700 | 2006-06-10 |
| City | WILKES BARRE |
| Zip Code | 18702 |
Please comment or provide details below to improve the information on WYOMING VALLEY RADIATION MEDICINE ASSOCIATES P C.
| 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.