EDMUNDO MANUEL GRAB (NPI# 1790786457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790786457 |
| Entity Type | Individual |
| Full Name | EDMUNDO MANUEL GRAB |
| Credential | M.D. |
| Practice Address |
1701 12th Ave Building A Altoona PA 16601-3100 |
| Practice Telephone | 8149447097 |
| Practice Fax Number | 8149445557 |
| Mailing Telephone | 8149447097 |
| Mailing Fax Number | 8149445557 |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | MD016323E | PA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0006902800003 | 05 |
| Street Address |
1701 12TH AVE BUILDING A |
| City | ALTOONA |
| State | PA |
| Zip Code | 16601-3100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013443639 | Erin M Yesenosky | Nurse Practitioner | 1701 12th Ave, Altoona, PA 16601-3100 | 2017-05-02 |
| 1578098125 | Dawn M Mcmahon | Nurse Practitioner | 1701 12th Ave, Altoona, PA 16601-3100 | 2017-04-20 |
| 1952642670 | Rhino Care Inc | Family Medicine | 1701 12th Ave, Suite G-1, Altoona, PA 16601-3100 | 2013-03-05 |
| 1215272794 | Joshua Strickland | Hearing Instrument Specialist | 1701 12th Ave, Altoona, PA 16601-3100 | 2012-12-10 |
| 1750647749 | Jocelyn Renee Divido | Nurse Anesthetist, Certified Registered | 1701 12th Ave, Suite G-2, Altoona, PA 16601-3100 | 2012-04-04 |
| 1982973814 | Troy A Sorchilla | Nurse Anesthetist, Certified Registered | 1701 12th Ave, Altoona, PA 16601-3100 | 2011-12-21 |
| 1265676647 | Altoona Hand and Wrist Surgery, LLC | Orthopaedic Surgery | 1701 12th Ave, Suite C2, Altoona, PA 16601-3100 | 2009-04-29 |
| 1164660866 | Shadab Kalim | Internal Medicine | 1701 12th Ave, Altoona, PA 16601-3100 | 2009-02-03 |
| 1447496567 | Reinhardt Family Practice PC | Family Medicine | 1701 12th Ave, G1, Altoona, PA 16601-3100 | 2008-12-18 |
| 1053580886 | Primary Health Network | Clinic/Center | 1701 12th Ave, Altoona, PA 16601-3100 | 2008-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205456498 | Divya Venkata Tumuluru | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue-suite F2 Altoona Family Physicians, Altoona, PA 16601 | 2020-04-17 |
| 1114574787 | Neil Pietrolungo | Counselor | 1216 11th Avenue, St. 215, Altoona, PA 16601 | 2019-08-19 |
| 1326509621 | Lucas L Warton | Student in an Organized Health Care Education/Training Program | Altoona Family Physicians, 501 Howard Ave, Ste F2, Altoona, PA 16601 | 2019-03-28 |
| 1669932141 | Edmiston Physical Therapy Co | Physical Therapist | 2927 Beale Ave. Suite E101, Altoona, PA 16601 | 2019-03-21 |
| 1871052407 | Ji Won Lee | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue Altoona Family Physicians, Suite F2, Altoona, PA 16601 | 2019-03-13 |
| 1982199774 | Shikha Salhotra | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue Altoona Family Physicians, Suite F2, Altoona, PA 16601 | 2018-06-25 |
| 1679063655 | Sarah Ann Bier | Registered Nurse | 2900 Plank Rd, Altoona, PA 16601 | 2018-05-15 |
| 1306334073 | Mohammad Omar Bukhari | Student in an Organized Health Care Education/Training Program | Altoona Family Physicians 501 Howard Avenue, Suite F2, Altoona, PA 16601 | 2018-04-27 |
| 1730676164 | Kathleen Elizabeth Woods | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue Suite F2, Altoona Family Physicians, Altoona, PA 16601 | 2018-04-20 |
| 1386082485 | Zachary Charles Haulman | Physical Medicine & Rehabilitation | 2900 Beale Ave Ste 110, Altoona, PA 16601 | 2013-06-11 |
| Find all providers in zip 16601 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164420717 | Mark Edward Tilyou | Legal Medicine | 222 Chestnut Ave, Altoona, PA 16601-4928 | 2005-07-08 |
| 1821095084 | Elizabeth Marya Seymour | Legal Medicine | 2529 Broad Ave, Altoona, PA 16601-1912 | 2005-07-03 |
| 1356342752 | John T. Waibel | Legal Medicine | 1701 12th Ave, Building A, Altoona, PA 16601-3100 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194252882 | Jeffrey Timlin | Legal Medicine | 3382 East Boulevard, Bethlehem, PA 18020 | 2017-05-12 |
| 1972877223 | Ahmed Samir Abdel Salam | Legal Medicine | 572 Hodgson Cir, West Grove, PA 19390-1372 | 2012-03-05 |
| 1093049090 | Louise Pyles | Legal Medicine | 124 S Chestnut St, Butler, PA 16001-6906 | 2009-09-23 |
| 1174756175 | Wayne Gibbons | Legal Medicine | 1944 Susquehanna Rd, Abington, PA 19001-4517 | 2009-08-25 |
| 1316115751 | Work Recovery Center | Legal Medicine | 8235 Schantz Rd, Breinigsville, PA 18031 | 2008-02-20 |
| 1407032105 | Wimis, Ltd | Legal Medicine | 1600 6th Ave Ste 117, York, PA 17403-2627 | 2008-01-14 |
| 1992981567 | Sue Lynn Sheehan | Legal Medicine | 129 South Main Street, Richlandtown, PA 18955 | 2008-01-14 |
| 1144400680 | Vector Corporation | Legal Medicine | 5901 N 6th St, Philadelphia, PA 19120-1304 | 2007-11-13 |
| 1508057886 | Armstrong Vein Clinic | Legal Medicine | 1360 Old Freeport Rd Ste 1a, Pittsburgh, PA 15238-4102 | 2007-08-05 |
| 1023213527 | Muriel L Young | Legal Medicine | 807 Stratford Ave, Elkins Park, PA 19027-3502 | 2007-06-15 |
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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.