LUZERNE COUNTY GENERAL PRACTICE ASSOCIATES LLC (NPI# 1790961274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790961274 |
| Entity Type | Organization |
| Organization Name | LUZERNE COUNTY GENERAL PRACTICE ASSOCIATES LLC |
| Practice Address |
1701 Wyoming Ave Exeter PA 18643-1491 |
| Practice Telephone | 5706552959 |
| Practice Fax Number | 5706559213 |
| Mailing Telephone | 5706552959 |
| Mailing Fax Number | 5706559213 |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-05-02 |
| Authorized Official Name | ANDREW J STUKA (SOLE MBR) |
| Authorized Official Telephone | 5706552959 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS003170L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | FIRST PRIORITY LIFE INSURANCE | 1999580 | 01 |
| PA | FIRST PRIORITY HEALTH | 1289 | 01 |
| PA | HIGHMARK BLUE SHIELD | 1999580 | 01 |
| Street Address |
1701 WYOMING AVE |
| City | EXETER |
| State | PA |
| Zip Code | 18643-1491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467402305 | Andrew J Stuka | Family Medicine | 1701 Wyoming Ave, Exeter, PA 18643-1491 | 2006-05-11 |
| 1861504870 | Kara Ann Inc | Pharmacy | 1701 Wyoming Ave, Exeter, PA 18643-1491 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861904195 | Willis Curtis Barnes Jr. | Anesthesiology | 311 Race St., West Pittston, PA 18643 | 2017-10-26 |
| 1114173887 | Ronald J Siejak | Physical Therapist | 1 Black Street, Ashley, PA 18643 | 2008-08-14 |
| 1528284098 | Linda Roseann Benson | Counselor | 341 Wyoming Ave, Suite #3, West Pittston, PA 18643 | 2007-04-17 |
| 1114042355 | John E Mcgurk | Physical Therapist | Rr4 Box 646, Encore Therapy Services Inc, W Pittston, PA 18643 | 2007-03-20 |
| 1306923768 | Ernani M Pagliarini | Dentist | 1291 Wyoming Ave, Exeter, PA 18643 | 2006-11-01 |
| 1780782425 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 960 Wyoming Ave, Exeter, PA 18643 | 2006-09-20 |
| 1588169601 | Jennifer Lynn Zimmerman Dnp Crnp LLC | Nurse Practitioner | 308 Terrace Ave, Harding, PA 18643 | 2018-03-29 |
| 1285140608 | Abs Group Inc. | Behavioral Analyst | 1122 Wyoming Ave, Exeter, PA 18643 | 2017-12-21 |
| 1457571002 | Jennifer L Montross | Occupational Therapist | Rr 4 Box 646, Encore Therapy Services Inc, W Pittston, PA 18643 | 2007-04-26 |
| 1568587798 | Janine H Dymond | Occupational Therapist | Rr4 Box 646, Encore Therapy Services Inc, W Pittston, PA 18643 | 2007-03-20 |
| Find all providers in zip 18643 | ||||
| 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 |
|---|---|---|---|---|
| 1336402452 | Robert Kelly | Family Medicine | 21 Hampton Rd Bldg 32nd, Exeter, NH 03833-4831 | 2012-06-22 |
| 1356422778 | Marc Douglas Sopher | Family Medicine | 27 Hampton Rd, Exeter, NH 03833-4842 | 2006-10-19 |
| 1700972577 | Frank B. Dibble | Family Medicine | 136 Kingston Rd, Exeter, NH 03833-4357 | 2006-10-05 |
| 1659488757 | Gueorgui D Dimov | Family Medicine | 6 Hampton Rd, Bldg 3, Exeter, NH 03833-4854 | 2006-08-24 |
| 1942221171 | R Douglas Owen Do Inc | Family Medicine | 244 N Kaweah Ave, Exeter, CA 93221 | 2006-07-22 |
| 1912944265 | Robert S Munger | Family Medicine | 9 Buzell Avenue, Exeter, NH 03833 | 2006-06-02 |
| 1467402305 | Andrew J Stuka | Family Medicine | 1701 Wyoming Ave, Exeter, PA 18643-1491 | 2006-05-11 |
| 1497714505 | Elizabeth Ann Buchanan | Family Medicine | 20 Hampton Rd, Exeter, NH 03833-4823 | 2006-03-20 |
| 1477530376 | Core Health Services Inc | Family Medicine | 21 Hampton Road, Exeter, NH 03833 | 2005-12-30 |
| 1639163520 | Vincent Tan | Family Medicine | 21 Hampton Rd, Bldg 3, Exeter, NH 03833-4831 | 2005-09-07 |
| Find all providers in EXETER | ||||
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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.