SCHUYLKILL VALLEY FAMILY PRACTICE PC (NPI# 1750346441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750346441 |
| Entity Type | Organization |
| Organization Name | SCHUYLKILL VALLEY FAMILY PRACTICE PC |
| Practice Address |
5 S Centre Avenue Leesport PA 19533 |
| Mailing Address |
Po Box 754 Leesport PA 19533 |
| Practice Telephone | 6109265707 |
| Practice Fax Number | 6109268352 |
| Mailing Telephone | 6109265707 |
| Mailing Fax Number | 6109268352 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GREGORY C TUKE (PHYSICIAN PRESIDENT) |
| Authorized Official Telephone | 6109265707 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0019244180001 | 05 | |
| PA | PALMETTO RAILROAD MEDICAR | CF7991 | 01 |
| PA | AETNA | 0037 | 01 |
| PA | AMERIHEALTH MERCY | 100278 | 01 |
| PA | HIGHMARK BLUE SHIELD | 129142 | 01 |
| PA | CAPITAL BLUE CROSS | 02329200 | 01 |
| PA | HEALTH ASSURANCE AMERICA | 95986 | 01 |
| Street Address |
5 S CENTRE AVENUE |
| City | LEESPORT |
| State | PA |
| Zip Code | 19533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104881879 | Andrea Leigh Wickus | Physician Assistant | 5 S Centre Avenue, Leesport, PA 19533 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235788878 | Integrated Surgical Institute, LLC | Clinic/Center | West Ridge Business Campus, 1001 James Drive, Leesport, PA 19533 | 2019-09-06 |
| 1386825420 | Med Calls | Health Maintenance Organization | 5 South Center Ave., 204, Leesport, PA 19533 | 2007-11-16 |
| 1851416598 | Sarah K Snyder | Physical Therapy Assistant | 1011 Berks Rd, Leesport, PA 19533 | 2007-03-20 |
| 1114042801 | Jacqueline Rosello | Occupational Therapy Assistant | 1011 Berks Road, Leesport, PA 19533 | 2007-03-20 |
| 1952465460 | John Stephen Hottenstein | Dentist | First & Peach Sts, Leesports, PA 19533 | 2006-12-20 |
| 1336200153 | Darren T Koch | Chiropractor | Schoolside Plaza, Suite 102, Leesport, PA 19533 | 2006-12-13 |
| 1386741882 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 906 W Leesport Rd, Leesport, PA 19533 | 2006-09-20 |
| 1386646875 | Juliet Cook | Nurse Practitioner | 700 Admiral Nelson Dr., Malvern, PA 19533 | 2005-08-15 |
| 1952897738 | Penn State Health Community Medical Group, LLC | Family Medicine | 5 S Centre Ave, Leesport, PA 19533 | 2018-07-05 |
| 1265892376 | Cori White | Counselor | 5 S Centre Ave, Leesport, PA 19533 | 2016-03-02 |
| Find all providers in zip 19533 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073900270 | Joanna Grzadziel | Family Medicine | 5 S Centre Ave Ste A3, Leesport, PA 19533-8661 | 2015-04-25 |
| 1881754711 | David W Bowers | Family Medicine | 5471b Pottsville Pike, Leesport, PA 19533-8633 | 2006-12-11 |
| 1265497259 | Timothy John Makatche | Family Medicine | 5 S Centre Ave, A3, Leesport, PA 19533-8653 | 2006-04-20 |
| 1417918301 | Kenneth J. Lord | Family Medicine | 111 Robby Dr, Leesport, PA 19533-9435 | 2006-03-30 |
| 1952897738 | Penn State Health Community Medical Group, LLC | Family Medicine | 5 S Centre Ave, Leesport, PA 19533 | 2018-07-05 |
| 1891750899 | Gregory Charles Tuke | Family Medicine | 5 S Centre Ave, A3, Leesport, PA 19533-8653 | 2006-04-20 |
| 1760460463 | David C Brock | Family Medicine | 1011 Berk Rd, Leesport, PA 19533-8705 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442878 | Hallie Szymanski | Family Medicine | 3481 Frye Ave, Finleyville, PA 15332-1305 | 2020-09-19 |
| 1124633672 | Upmc Community Medicine, Inc | Family Medicine | 3140 Highland Rd Ste 102, Hermitage, PA 16148-4514 | 2020-09-11 |
| 1275147647 | Rebecca Diane Yeater | Family Medicine | Wellspan Family Medicine - Fairfield, 4910 Fairfield Rd, Fairfield, PA 17320 | 2020-09-03 |
| 1497369813 | Christina Socash | Family Medicine | 11335 Neiger Rd, Girard, PA 16417-9130 | 2020-09-02 |
| 1902410673 | Geisinger Clinic | Family Medicine | 20 Diana Ln, West Hazleton, PA 18202-1210 | 2020-09-01 |
| 1457964603 | Cynthia Rainey Raposas | Family Medicine | 3552 Woodside Rd, Hollidaysburg, PA 16648-5258 | 2020-08-27 |
| 1841802592 | Community Health and Wellness Services, Inc. | Family Medicine | 312 Memorial Park Dr, Springfield, PA 19064-1714 | 2020-08-22 |
| 1649882275 | Blair Regenerative Medicine LLC | Family Medicine | 201 Hospital Dr Ste 2, Everett, PA 15537-7019 | 2020-08-17 |
| 1447861521 | Mature Resources Foundation | Family Medicine | 28944 Frenchville Karthaus Hwy, Frenchville, PA 16836-8834 | 2020-08-12 |
| 1619587227 | Cmp Medical LLC | Family Medicine | 3626 Sears St, Philadelphia, PA 19146-3217 | 2020-08-07 |
| 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.