MICHAEL C RAKLEWICZ (NPI# 1770595027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770595027 |
| Entity Type | Individual |
| Full Name | MICHAEL C RAKLEWICZ |
| Credential | MD |
| Practice Address |
390 Pierce St Kingston PA 18704-5532 |
| Mailing Address |
Po Box 1463 Kingston PA 18704-0463 |
| Practice Telephone | 5702883535 |
| Practice Fax Number | 5702880804 |
| Mailing Telephone | 5702883535 |
| Mailing Fax Number | 5702880804 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | MD014960E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0006104670005 | 05 | |
| PA | BLUE SHIELD | 90067 | 01 |
| Street Address |
390 PIERCE ST |
| City | KINGSTON |
| State | PA |
| Zip Code | 18704-5532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417955618 | Carl J. Urbanski | Optometrist | 390 Pierce St, Kingston, PA 18704-5532 | 2005-07-12 |
| 1942782321 | Nayab Davis | Optometrist | 390 Pierce St, Kingston, PA 18704-5532 | 2018-09-03 |
| 1104279850 | Stephanie Grencavage | Nurse Practitioner | 390 Pierce St, Kingston, PA 18704-5532 | 2016-07-18 |
| 1578820668 | Andrews and Verazin Surgical Consultants | Surgery | 390 Pierce St, Kingston, PA 18704-5532 | 2012-04-13 |
| 1780836296 | Steven Milewski | Physician Assistant | 390 Pierce St, Kingston, PA 18704-5532 | 2008-10-15 |
| 1114179637 | Kelly Ann Bevilaqua-tracy | Physician Assistant | 390 Pierce St, Kingston, PA 18704-5532 | 2008-10-15 |
| 1437200367 | William D Hottenstein Md PC | Internal Medicine | 390 Pierce St, Kingston, PA 18704-5532 | 2007-01-16 |
| 1437228020 | Frank O'brien M.d. P.C. | Orthopaedic Surgery | 390 Pierce St, Kingston, PA 18704-5532 | 2006-11-07 |
| 1114939451 | Orthopaedic Consultants of Wyoming Valley LLC | Orthopaedic Surgery | 390 Pierce St, Kingston, PA 18704-5532 | 2006-08-13 |
| 1528070778 | James M Mattucci | Orthopaedic Surgery | 390 Pierce St, Kingston, PA 18704-5532 | 2006-08-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013557552 | Millmark Health Inc. | Psychiatry & Neurology | 511 Pierce Street, Kingston, PA 18704 | 2020-01-13 |
| 1427550334 | Michael Anthony Waltich | Military Health Care Provider | 82 Cooper Street, Pringle, PA 18704 | 2018-03-06 |
| 1376088435 | Jae LLC | Massage Therapist | 512 Northhampton Street, Edwardsville, PA 18704 | 2016-12-28 |
| 1306278288 | Mohammad Khaled Tashkandi | Internal Medicine | 490 Northampton St Ste 1, Edwardsville, PA 18704 | 2013-08-02 |
| 1396180014 | Sammie Craven IIi | Pharmacist | 96 1st Avenue, Kingston, PA 18704 | 2013-05-08 |
| 1447693114 | Catherine Mary Harding | Nurse Practitioner | 141 South Maple Ave, Kingston, PA 18704 | 2013-04-12 |
| 1861781403 | Jennifer Ann Richards | Pharmacist | 22 West Side Mall, Edwardsville, PA 18704 | 2011-04-05 |
| 1558512772 | Jolon Theresa Sherin | Speech-Language Pathologist | 1825 Sans Souci Highway, Hanover, PA 18704 | 2008-10-07 |
| 1932361102 | Kari Ann Pietralczyk | Audiologist | 190 Welles Street, Forty-fort, PA 18704 | 2008-06-30 |
| 1467584151 | John Christopher Storti | Chiropractor | 180 United Penn Plaza, Kingston, PA 18704 | 2007-03-09 |
| Find all providers in zip 18704 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093009920 | Jerry D Cockerell | Orthopaedic Surgery | Hc 72 Box 329, Kingston, OK 73439-8521 | 2011-06-08 |
| 1770667339 | Mary T Godesky | Orthopaedic Surgery | 253 Lucas Avenue, Kingston, NY 12401 | 2006-10-24 |
| 1700032513 | Richard W. Moscowitz, M.d., P.a., P.C. | Orthopaedic Surgery | 373 Broadway, Kingston, NY 12401-5151 | 2008-08-12 |
| 1437228020 | Frank O'brien M.d. P.C. | Orthopaedic Surgery | 390 Pierce St, Kingston, PA 18704-5532 | 2006-11-07 |
| 1114939451 | Orthopaedic Consultants of Wyoming Valley LLC | Orthopaedic Surgery | 390 Pierce St, Kingston, PA 18704-5532 | 2006-08-13 |
| 1528070778 | James M Mattucci | Orthopaedic Surgery | 390 Pierce St, Kingston, PA 18704-5532 | 2006-08-13 |
| 1205848462 | William P Charlton | Orthopaedic Surgery | 390 Pierce St, Kingston, PA 18704-5532 | 2006-08-13 |
| 1215924162 | Frank Obrien | Orthopaedic Surgery | 390 Pierce St, Kingston, PA 18704-5532 | 2005-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708492 | Sunnyvale Orthopaedic and Rehabilitation Clinic | Orthopaedic Surgery | 1419 N 75th St, Philadelphia, PA 19151-2901 | 2020-10-25 |
| 1932722881 | Stc Pediatrics LLC | Orthopaedic Surgery | 301 S 7th Ave Ste 3120, West Reading, PA 19611-1495 | 2020-05-27 |
| 1770103723 | Steel City Spine and Orthopedic Center LLC | Orthopaedic Surgery | 27 Heckel Rd Ste 203, Mc Kees Rocks, PA 15136-1673 | 2020-04-20 |
| 1053951251 | Lvhn Scranton Orthopedic Specialists | Orthopaedic Surgery | 334 Main St Ste 1, Dickson City, PA 18519-1668 | 2020-01-15 |
| 1689214488 | Geisinger Clinic | Orthopaedic Surgery | 112 N 15th St, Lewisburg, PA 17837-1224 | 2020-01-09 |
| 1770120537 | Marcel Orthopedics LLC | Orthopaedic Surgery | 3717 Chestnut St Apt 202.m, Philadelphia, PA 19104-3164 | 2019-11-28 |
| 1568023737 | Nathan William White | Orthopaedic Surgery | 801 Ostrum Street Priscilla Payne Hurd Bldg, Bethlehem, PA 18015 | 2019-06-27 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1205393006 | Theodore Roosevelt Moran | Orthopaedic Surgery | 30 Salem Rd, Greenville, PA 16125-8409 | 2019-02-27 |
| 1689160731 | Integrated Medical Group, P.C. | Orthopaedic Surgery | 700 Schuylkill Manor Rd Ste 1, Pottsville, PA 17901-3849 | 2018-07-02 |
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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.