PENN NORTH CENTERS FOR ADVANCED WOUND CARE INC (NPI# 1760678171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760678171 |
| Entity Type | Organization |
| Organization Name | PENN NORTH CENTERS FOR ADVANCED WOUND CARE INC |
| Practice Address |
116 Interstate Pkwy Bradford PA 16701-1036 |
| Mailing Address |
2 W Crescent Park Warren PA 16365-2111 |
| Practice Telephone | 8143628230 |
| Mailing Telephone | 8147234973 |
| Enumeration Date | 2007-09-19 |
| 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 |
| 1740476019 | Penn North Centers for Advanced Wound Care Inc | Durable Medical Equipment & Medical Supplies | 110 N Main St, Greenville, PA 16125-1726 | 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 |
| 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 |
116 INTERSTATE PKWY |
| City | BRADFORD |
| State | PA |
| Zip Code | 16701-1036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134123060 | Nathaniel Lars Graham | Surgery | 116 Interstate Pkwy, Suite 31, Bradford, PA 16701-1036 | 2005-06-09 |
| 1063909661 | Scott Flick | Physician Assistant | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2018-04-18 |
| 1114439023 | Cynthia Simms | Registered Nurse | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2017-11-01 |
| 1396275970 | Mary Siepierski | Physician Assistant | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2017-06-15 |
| 1396287991 | Keystone Medical Services of Bradford PC | Emergency Medicine | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2016-11-14 |
| 1245781426 | Tracy Lynn Andrus | Physician Assistant | 116 Interstate Pkwy, Suite 32, Bradford, PA 16701-1036 | 2016-10-22 |
| 1184081911 | Andrew Davidson | Nurse Practitioner | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2016-01-25 |
| 1699177725 | Megan Powell | Dietitian, Registered | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2014-09-19 |
| 1588076194 | David Hefferan | Nurse Anesthetist, Certified Registered | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2014-05-30 |
| 1073956850 | Olean General Hospital | Family Medicine | 116 Interstate Pkwy, Suite 42, Bradford, PA 16701-1036 | 2013-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557232 | Allison Keller | Pharmacist | 50 Foster Brook Bvld, Bradford, PA 16701 | 2020-10-30 |
| 1043767734 | Asim Makhdom | Orthopaedic Surgery | 195 Pleasant Street, Suite 5, Bradford, PA 16701 | 2016-09-09 |
| 1821435322 | Family Wellness Chiropractic Inc. | Chiropractor | 536 East Main Street, Bradford, PA 16701 | 2013-05-24 |
| 1285983973 | Ashley Lynn Disney | Physician Assistant | 181 Interstate Parkway, Bradford, PA 16701 | 2012-09-10 |
| 1760799563 | Paulinus Joseph Sorg | Physical Therapist | 24 West Washington Street, Bradford, PA 16701 | 2010-09-01 |
| 1215194535 | Jill Lorryn Campbell | Speech-Language Pathologist | 412 Langmaid Ln, Bradford, PA 16701 | 2008-05-22 |
| 1689890048 | Brian Alan Volpe | Dentist | 84 Boylston St, Bradford, PA 16701 | 2007-04-17 |
| 1366564098 | Lori Ann Peterson | Speech-Language Pathologist | 110 Campus Drive, Bradford, PA 16701 | 2007-04-04 |
| 1760507776 | Bruce Lee Sitler | Physical Therapist | Bradford Ecumenical Home, 100 St. Francis Drive, Bradford, PA 16701 | 2007-03-20 |
| 1932294451 | Nancy Marie Fuhrman | Chiropractor | 28 Davis Street, Union Square, Bradford, PA 16701 | 2006-10-03 |
| Find all providers in zip 16701 | ||||
| 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 |
|---|---|---|---|---|
| 1871991521 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 900 Chestnut St Ext, Ste A, Bradford, PA 16701-2298 | 2014-12-11 |
| 1679918379 | Martins Foods of South Burlington LLC | Durable Medical Equipment & Medical Supplies | 586 Lower Pln, Bradford, VT 05033-9282 | 2013-05-08 |
| 1760585517 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 10 Davis St, Bradford, PA 16701-2016 | 2006-09-07 |
| 1770500910 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 50 Foster Brook Blvd, Bradford, PA 16701-3276 | 2006-07-16 |
| 1790280576 | Between Four Walls Corp | Durable Medical Equipment & Medical Supplies | 540 E Main St, Bradford, PA 16701-1862 | 2018-03-26 |
| 1164572368 | Olean Optical Lab | Durable Medical Equipment & Medical Supplies | 8 Chestnut St, Bradford, PA 16701-2014 | 2007-01-11 |
| 1619046711 | Thomas E. Winningham | Durable Medical Equipment & Medical Supplies | 232 W Main St, Bradford, AR 72020-0130 | 2006-11-06 |
| 1578654174 | The Whittier Pharmacist Inc | Durable Medical Equipment & Medical Supplies | 145 Ward Hill Ave, Bradford, MA 01835-6928 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477066 | All American Sleep Alternatives LLC | Durable Medical Equipment & Medical Supplies | 7 N Morgantown St, Fairchance, PA 15436-1180 | 2020-11-03 |
| 1487254967 | Gvm-us Inc. | Durable Medical Equipment & Medical Supplies | 274 Milton Dr, Malvern, PA 19355-8760 | 2020-10-26 |
| 1043819287 | Flores Medical Supplies | Durable Medical Equipment & Medical Supplies | 465 Pike Rd Ste 113, Huntingdon Valley, PA 19006-1622 | 2020-10-19 |
| 1174121982 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 807 Lawn Ave Ste 104, Sellersville, PA 18960-1549 | 2020-10-14 |
| 1275131476 | Igor Pavlo | Durable Medical Equipment & Medical Supplies | 2399 S Whittmore St, Furlong, PA 18925-1549 | 2020-10-12 |
| 1306443502 | Ati Holding LLC | Durable Medical Equipment & Medical Supplies | 5038 Pennell Rd, Aston, PA 19014-1868 | 2020-10-01 |
| 1912511270 | Aspire Home Care Services LLC | Durable Medical Equipment & Medical Supplies | 295 Wyoming Ave Suite 2f, Wyoming, PA 18644-0274 | 2020-09-03 |
| 1710590534 | Restorative Medical Equipment and Supplies | Durable Medical Equipment & Medical Supplies | 1516 N 5th St Unit 327, Philadelphia, PA 19122-3679 | 2020-08-31 |
| 1982217253 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 245 W Race St Ste 115, Somerset, PA 15501-1922 | 2020-08-26 |
| 1609488485 | Rayaan Dhungel | Durable Medical Equipment & Medical Supplies | 814 Green Ridge St, Scranton, PA 18509-1908 | 2020-08-21 |
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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.