INDIANA HEALTHCARE PHYSICIAN SERVICES, INC (NPI# 1821195033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821195033 |
| Entity Type | Organization |
| Organization Name | INDIANA HEALTHCARE PHYSICIAN SERVICES, INC |
| Other Organization Name | D/B/A PUNXSUTAWNEY PHYSICIAN GROUP |
| Practice Address |
81 Hillcrest Dr Punxsutawney PA 15767-2605 |
| Practice Telephone | 8149381451 |
| Practice Fax Number | 8149381451 |
| Mailing Telephone | 8149381451 |
| Mailing Fax Number | 8149381451 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2019-03-20 |
| Authorized Official Name | BRETT BRAUN (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 8884524762 |
| Is Organization Subpart | Y |
| Parent Organization Name | INDIANA HEALTHCARE PHYSICIAN SERVICES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204R00000X | Electrodiagnostic Medicine | MD450924 | PA | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | MD450155 | PA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | MD447392 | PA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | MD446903 | PA | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| N | 208D00000X | General Practice | MD037172L | PA | Allopathic & Osteopathic Physicians |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP012816 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 208D00000X | General Practice | MD417193 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | UPMC | BO65 | 01 |
| PA | 0015479580004 | 05 |
| Other Name | Type Code |
|---|---|
| D/B/A Punxsutawney Physician Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578523429 | Indiana Healthcare Physician Services, Inc | Internal Medicine | 640 Kolter Dr, Indiana, PA 15701-3570 | 2006-03-24 |
| 1417409186 | Indiana Healthcare Physician Services, Inc | Internal Medicine | 640 Kolter Dr, Indiana, PA 15701-3570 | 2016-10-28 |
| Street Address |
81 HILLCREST DR |
| City | PUNXSUTAWNEY |
| State | PA |
| Zip Code | 15767-2605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922003284 | Kyle A Lingenfelter | Surgery | 81 Hillcrest Dr, Ste 2600, Punxsutawney, PA 15767-2605 | 2005-06-14 |
| 1639781362 | Lindsay Kae Brocious | Occupational Therapist | 81 Hillcrest Dr, Punxsutawney, PA 15767-2605 | 2020-08-24 |
| 1457962904 | Jadie Marie Smith | Speech-Language Pathologist | 81 Hillcrest Dr, Punxsutawney, PA 15767-2605 | 2020-08-10 |
| 1568097525 | Punxsutawney Area Hospital Inc | Radiology | 81 Hillcrest Dr, Punxsutawney, PA 15767-2605 | 2020-03-10 |
| 1114490430 | Katie Walker | Speech-Language Pathologist | 81 Hillcrest Dr, Punxsutawney, PA 15767-2605 | 2019-01-09 |
| 1003305178 | Nicole Leigh Pomeroy I | Registered Nurse | 81 Hillcrest Dr, Punxsutawney, PA 15767-2605 | 2018-05-04 |
| 1255849683 | Punxsutawney Medical Services, Inc | Anesthesiology | 81 Hillcrest Dr, Punxsutawney Anesthesia Service, Punxsutawney, PA 15767-2605 | 2018-01-19 |
| 1881102374 | Punxsutawney Medical Services, Inc | Anesthesiology | 81 Hillcrest Dr, Punxsutawney, PA 15767-2605 | 2018-01-18 |
| 1730534595 | Punxsutawney Medical Services, Inc | Clinic/Center | 81 Hillcrest Dr, Punxsutawney, PA 15767-2605 | 2016-04-29 |
| 1063810547 | Morgan A Janocha | Dietitian, Registered | 81 Hillcrest Dr, Punxsutawney, PA 15767-2605 | 2014-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134754765 | Bearing Hope LLC | Counselor | 103 N Gilpin Street, Suite 314, Punxsutawney, PA 15767 | 2020-03-04 |
| 1679947378 | George Carlson | Health Maintenance Organization | 6068 Route 119, Punxsutawney, PA 15767 | 2015-11-18 |
| 1104211515 | Danielle Marie Nelson | Counselor | 200 Prushnok Drive Suite #103, Punxsutawney, PA 15767 | 2015-04-02 |
| 1124413539 | Amanda Marie Rowland | Counselor | 200 Prushnok Drive, Suite #103, Punxsutawney, PA 15767 | 2015-04-02 |
| 1821492083 | Collin Ross Nordby | Counselor | 200 Prushnok Drive, Suite 103, Punxsutawney, PA 15767 | 2014-10-17 |
| 1245545813 | Maureen Murphy Ginsburg | Physical Medicine & Rehabilitation | 551 W Mahoning St, Punxsutawney, PA 15767 | 2010-08-08 |
| 1932384138 | Donald M. Pallone | Nurse Practitioner | 531 North Main Street, Punxsutawney, PA 15767 | 2008-01-07 |
| 1952521106 | Anita Irene Baker | Physical Therapist | 217 Mcgee Lane, Punxsutawney, PA 15767 | 2007-04-30 |
| 1639290091 | Community Guidance Center | Clinic/Center | 200 Prushnok Drive - Lever Street, Suite 103, Punxsutawney, PA 15767 | 2007-04-03 |
| 1487602983 | Mulberry Square Elder Care and Rehabilitation Center LLC | Skilled Nursing Facility | 411 1/2 West Mahoning Street, Punxsutawney, PA 15767 | 2006-05-05 |
| Find all providers in zip 15767 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396709630 | Gaspar A Santos | General Practice | 203 Lane Ave, Punxsutawney, PA 15767-2118 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609494798 | Heather L Levan | General Practice | 919 Gravel Pike, Palm, PA 18070-1204 | 2020-07-06 |
| 1124642996 | Wound Pros Medical Group | General Practice | 1500 Market Street 12th Floor, East Tower, Philadelphia, PA 19102-2152 | 2020-06-08 |
| 1861024390 | Daniel James Leonard IIi | General Practice | 397 Fifth Street, Nanty Glo, PA 15943 | 2020-02-12 |
| 1831755735 | Good Hope Health Center Corp | General Practice | 7712 Buist Ave, Philadelphia, PA 19153-1705 | 2019-05-15 |
| 1366008260 | Ltc Treatment Center Inc | General Practice | 7712 Buist Ave Apt B, Philadelphia, PA 19153-1705 | 2019-05-15 |
| 1003479825 | Marsha Frances Santangelo | General Practice | 107 Sawgrass Drive, Blue Bell, PA 19422 | 2019-04-17 |
| 1972072288 | Paula Alejandra Pino Pommer | General Practice | 3551 North Broad St., Philadelphia, PA 19140-4160 | 2018-11-15 |
| 1033686159 | Star Wellness Center, Inc | General Practice | 511 E 3rd St Ste 202, Bethlehem, PA 18015-2180 | 2018-10-26 |
| 1891277620 | Donald C. Cameron | General Practice | 718 Kennett Pike, Chadds Ford, PA 19317 | 2018-08-29 |
| 1124510888 | Healing Place Medical, P.C. | General Practice | 1600 Horizon Dr Ste 122123, Chalfont, PA 18914-4100 | 2018-05-30 |
| Find all providers with the same taxonomy | ||||
| City | PUNXSUTAWNEY |
| Zip Code | 15767 |
Please comment or provide details below to improve the information on INDIANA HEALTHCARE PHYSICIAN SERVICES, INC.
| 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.