PENN NORTH CENTERS FOR ADVANCED WOUND CARE INC (NPI# 1740476019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740476019 |
| Entity Type | Organization |
| Organization Name | PENN NORTH CENTERS FOR ADVANCED WOUND CARE INC |
| Practice Address |
110 N Main St Greenville PA 16125-1726 |
| Mailing Address |
2 W Crescent Park Warren PA 16365-2111 |
| Practice Telephone | 7245896441 |
| Practice Fax Number | 7245896825 |
| Mailing Telephone | 8147234973 |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2008-01-10 |
| Authorized Official Name | DR. THOMAS E SERENA (CEO) |
| Authorized Official Telephone | 8144527878 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881880151 | Penn North Centers for Advanced Wound Care Inc | Durable Medical Equipment & Medical Supplies | 174 E Bissell Ave, Oil City, PA 16301-1957 | 2007-09-20 |
| 1922294289 | Penn North Centers for Advanced Wound Care Inc | Durable Medical Equipment & Medical Supplies | 1 Nolte Dr, Kittanning, PA 16201-7111 | 2007-09-20 |
| 1801082144 | Penn North Centers for Advanced Wound Care Inc | Durable Medical Equipment & Medical Supplies | 130 N Main St, Union City, PA 16438-1068 | 2007-09-20 |
| 1396931580 | Penn North Centers for Advanced Wound Care Inc | Durable Medical Equipment & Medical Supplies | 232 W 25th St, Erie, PA 16544-0002 | 2007-09-20 |
| 1275729469 | Penn North Centers for Advanced Wound Care Inc | Durable Medical Equipment & Medical Supplies | 2 W Crescent Park, Warren, PA 16365-2111 | 2007-09-20 |
| 1184810350 | Penn North Centers for Advanced Wound Care Inc | Durable Medical Equipment & Medical Supplies | 2200 Memorial Dr, Farrell, PA 16121-1357 | 2007-09-20 |
| 1942496369 | Penn North Centers for Advanced Wound Care Inc | Durable Medical Equipment & Medical Supplies | 185 E Main St, Westfield, NY 14787-1104 | 2007-09-19 |
| 1760678171 | Penn North Centers for Advanced Wound Care Inc | Durable Medical Equipment & Medical Supplies | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2007-09-19 |
| 1326234741 | Penn North Centers for Advanced Wound Care Inc | Durable Medical Equipment & Medical Supplies | 4372 Route 6, Kane, PA 16735-3060 | 2007-09-19 |
| 1598951907 | Penn North Centers for Advanced Wound Care Inc | Durable Medical Equipment & Medical Supplies | 763 Johnsonburg Rd, Saint Marys, PA 15857-3417 | 2007-09-19 |
| Street Address |
110 N MAIN ST |
| City | GREENVILLE |
| State | PA |
| Zip Code | 16125-1726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609419217 | Michelle Nicolette Porembka | Physician Assistant | 110 N Main St, Greenville, PA 16125-1726 | 2019-10-26 |
| 1275198095 | Jessica Brown | Nurse Practitioner | 110 N Main St, Greenville, PA 16125-1726 | 2019-05-07 |
| 1992122758 | Natalie Cekovich | Nurse Practitioner | 110 N Main St, Greenville, PA 16125-1726 | 2014-03-18 |
| 1275873945 | University of Pittsburgh Physicians | Pathology | 110 N Main St, Greenville, PA 16125-1726 | 2013-02-18 |
| 1073852026 | Maria L Chavara | Physician Assistant | 110 N Main St, Greenville, PA 16125-1726 | 2013-02-12 |
| 1174827406 | Susan S Jackson | Nurse Practitioner | 110 N Main St, Greenville, PA 16125-1726 | 2010-12-30 |
| 1629372263 | Megan Elise Stockner | Physical Therapy Assistant | 110 N Main St, Greenville, PA 16125-1726 | 2010-12-22 |
| 1841504131 | Juliana M. Fulkman | Physical Therapy Assistant | 110 N Main St, Greenville, PA 16125-1726 | 2010-07-29 |
| 1891009098 | Ashley Renee Spencer | Physical Therapy Assistant | 110 N Main St, Greenville, PA 16125-1726 | 2010-07-29 |
| 1275847477 | Kari Elizabeth Barber | Physical Therapy Assistant | 110 N Main St, Greenville, PA 16125-1726 | 2010-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356983340 | Heather Christine Groeger | Licensed Vocational Nurse | 9 Greenville Sheakleyville Rd, Greenville, PA 16125 | 2019-10-11 |
| 1710316153 | Federico Pascual Vallesteros | Anesthesiology | 223 Greenville Rd, Greenville, PA 16125 | 2013-11-06 |
| 1083944524 | Kimberly Weaver | Nurse Practitioner | 12 Sherrard Avenue, Greenville, PA 16125 | 2010-01-06 |
| 1992972749 | Jinine Elizabeth Flynn-napotnik | Chiropractor | 5 Orthopedic Center, Greenville, PA 16125 | 2008-05-12 |
| 1073631859 | Russell W Poe | Dentist | 83 Shenango St, Greenville, PA 16125 | 2007-03-27 |
| 1487791042 | Sanda Marina Constantinidi | Pediatrics | 6 Manorview Drive, Greenville, PA 16125 | 2007-01-31 |
| 1811067564 | Stuart D Anderson | Orthopaedic Surgery | Greenville Orthopedic Association, 1 Greenville Orthopedic Center, Greenville, PA 16125 | 2006-11-09 |
| 1598854291 | Susan E Calderbank | Dentist | 43 Clinton St, Greenville, PA 16125 | 2006-10-12 |
| 1437268158 | Robert Michael Woods | Dentist | 282 Main Street, Greenville, PA 16125 | 2006-08-29 |
| 1154397453 | Thomas Z Pineo | Family Medicine | 110 North Main Street, Greenville, PA 16125 | 2006-02-27 |
| Find all providers in zip 16125 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750901674 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 100 Wade Hampton Blvd, Greenville, SC 29609-5735 | 2020-04-21 |
| 1437781200 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1005 Wh Smith Blvd, Greenville, NC 27834-5052 | 2020-02-10 |
| 1871124925 | Affordable Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 1200 Woodruff Rd # A3126, Greenville, SC 29607-5730 | 2020-01-28 |
| 1427606110 | Home Delivery Incontinent Supplies Co. Inc. | Durable Medical Equipment & Medical Supplies | 1029 Old Creek Rd, Greenville, NC 27834-8178 | 2019-08-27 |
| 1063914372 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1720 Augusta St, Greenville, SC 29605 | 2018-03-02 |
| 1649710625 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 705 Greenville Blvd Se, Greenville, NC 27858 | 2017-02-24 |
| 1114479433 | Anesthesia Services Associates | Durable Medical Equipment & Medical Supplies | 1746 Mississippi State Highway 1 South Suite C, Greenville, MS 38701-7817 | 2016-11-03 |
| 1376095752 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2602 Courtier Dr Ste 2200, Greenville, NC 27834-7818 | 2016-11-01 |
| 1588029094 | Reid Hospital & Health Care Services, Inc | Durable Medical Equipment & Medical Supplies | 999 Sweitzer St, Suite A, Greenville, OH 45331-1090 | 2015-12-28 |
| 1588059497 | Super Duper Inc | Durable Medical Equipment & Medical Supplies | 5201 Pelham Rd, Greenville, SC 29615-5723 | 2015-03-30 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 16125 |
Please comment or provide details below to improve the information on PENN NORTH CENTERS FOR ADVANCED WOUND CARE INC.
| 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.