STALWART EMERGENCY PHYSICIANS, PPLC (NPI# 1871965897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871965897 |
| Entity Type | Organization |
| Organization Name | STALWART EMERGENCY PHYSICIANS, PPLC |
| Practice Address |
211 N 12th St Lehighton PA 18235-1138 |
| Mailing Address |
Po Box 80094 Philadelphia PA 19101-0094 |
| Practice Telephone | 4694012386 |
| Mailing Telephone | 4694012386 |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2015-11-19 |
| Authorized Official Name | RUSSELL HARRIS (OFFICER) |
| Authorized Official Telephone | 4694012386 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861864886 | Stalwart Emergency Physicians, Pplc | Physician Assistant | 503 N 21st St, Camp Hill, PA 17011-2204 | 2015-10-29 |
| 1306218326 | Stalwart Emergency Physicians, Pplc | Physician Assistant | 1034 Grove St, Meadville, PA 16335-2945 | 2015-10-29 |
| 1588036503 | Stalwart Emergency Physicians, Pplc | Physician Assistant | 215 E Water St, Muncy, PA 17756-8828 | 2015-10-29 |
| Street Address |
211 N 12TH ST |
| City | LEHIGHTON |
| State | PA |
| Zip Code | 18235-1138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982602181 | Yih-shyong Ko | Anesthesiology | 211 N 12th St, Lehighton, PA 18235-1138 | 2005-07-12 |
| 1144827999 | Lesley A Destefano | Physical Medicine & Rehabilitation | 211 N 12th St, Lehighton, PA 18235-1138 | 2020-10-05 |
| 1255976395 | William Goodland | Physician Assistant | 211 N 12th St, Lehighton, PA 18235-1138 | 2019-11-13 |
| 1366900714 | Denise Ann Frey | Dietitian, Registered | 211 N 12th St, Lehighton, PA 18235-1138 | 2019-03-05 |
| 1598283483 | Knd Development 59, LLC | Hospitalist | 211 N 12th St, Lehighton, PA 18235-1138 | 2017-08-31 |
| 1861865115 | Jason Howay | Pharmacist | 211 N 12th St, Lehighton, PA 18235-1138 | 2015-11-09 |
| 1508256488 | Kristin Meckes | Nurse Practitioner | 211 N 12th St, Lehighton, PA 18235-1138 | 2015-01-29 |
| 1558768721 | Timothy Joseph Donaghy | Nurse Practitioner | 211 N 12th St, Lehighton, PA 18235-1138 | 2014-12-03 |
| 1629479084 | Eric Schultz | Physician Assistant | 211 N 12th St, Lehighton, PA 18235-1138 | 2014-09-04 |
| 1265855670 | Saranya Birdsall | Nurse Practitioner | 211 N 12th St, Lehighton, PA 18235-1138 | 2014-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689274375 | Susan Mary Featro | Counselor | Nickischer and Associates, 1738 Blakeslee Blvd. W., Lehighton, PA 18235 | 2020-10-30 |
| 1215452461 | Lehighton Family Dentistry LLC | Dentist | 233 S 3rd Street, Lehighton, PA 18235 | 2017-08-09 |
| 1093262727 | Gina Provisiero | Social Worker | 777 Blakeslee Blvd Dr E, Suite 3, Lehighton, PA 18235 | 2016-09-11 |
| 1487023156 | Joanne Trotman | General Acute Care Hospital | 6 Second Avenue, Lehighton, PA 18235 | 2015-09-23 |
| 1740698000 | Wendy Ann Hauser | Behavioral Analyst | 2112 Long Run Road, Lehighton, PA 18235 | 2014-07-30 |
| 1356778542 | Decosy Hercules | Family Medicine | 575 S 9th St Ste 5, Lehighton, PA 18235 | 2013-10-02 |
| 1891046348 | Chaya Shuchat | Nurse Practitioner | 281 N 12th St Ste E, Lehighton, PA 18235 | 2012-09-24 |
| 1316297096 | Evelyn Mccullian | Speech-Language Pathologist | 428 South 7 Street, Lehighton, PA 18235 | 2012-09-11 |
| 1639487242 | Wal-mart Stores East Lp | Technician/Technologist | 1731 Blakeslee Blvd Dr E, Lehighton, PA 18235 | 2010-09-16 |
| 1912132762 | Wendy S. Lawson | Psychologist | 811 Blakeslee Boulevard Drive East, Suite 80, Lehighton, PA 18235 | 2009-05-22 |
| Find all providers in zip 18235 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386185452 | The Carbon Schuylkill Community Hospital, Inc. | Emergency Medicine | 575 South 9th Street, Suite 7, Lehighton, PA 18235-1218 | 2017-03-09 |
| 1659705259 | Broad Mountain Emergency Physicians, Pllc | Emergency Medicine | 211 N 12th St, Lehighton, PA 18235-1138 | 2013-08-30 |
| 1407833999 | Lehighton Emergency Medical Associates PC | Emergency Medicine | 211 N 12th St, Lehighton, PA 18235 | 2005-12-27 |
| 1386620839 | Mehran Armen | Emergency Medicine | 211 N 12th St, Lehighton, PA 18235-1138 | 2005-12-16 |
| 1063498509 | Frank R Penater | Emergency Medicine | 211 N 12th St, Lehighton, PA 18235-1138 | 2005-12-16 |
| 1760468219 | Gene J Upanavage | Emergency Medicine | 211 N 12th St, Lehighton, PA 18235-1138 | 2005-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194324798 | Raymond Joseph Roberge | Emergency Medicine | 5909 Hampton St, Pittsburgh, PA 15206-1617 | 2020-10-23 |
| 1053910232 | Carbon - Schuylkill Community Hospital Inc | Emergency Medicine | 201 W Centre St, Mahanoy City, PA 17948-2505 | 2020-10-20 |
| 1780295733 | Geisinger Clinic | Emergency Medicine | 545 Fair Street, Bloomsburg, PA 17815 | 2020-08-13 |
| 1033748488 | Abhishek Patel | Emergency Medicine | 205 South Front Street Brady 3, Harrisburg, PA 17104 | 2020-04-07 |
| 1437796497 | Elizabeth Megan Heyer | Emergency Medicine | 1500 Lansdowne Aveune, Darby, PA 19023 | 2019-12-09 |
| 1437716313 | Syndikos Investments LLC | Emergency Medicine | 127 E Cunningham St Ste 102, Butler, PA 16001-5936 | 2019-05-25 |
| 1891254744 | Neil Leon Darby | Emergency Medicine | 706a S Colorado St, Philadelphia, PA 19146-1915 | 2019-03-19 |
| 1720545320 | Medexpress Urgent Care, PC - Pennsylvania | Emergency Medicine | 4 Clover Dr, Saint Clair, PA 17970-2200 | 2019-03-01 |
| 1780149963 | St. Luke's Hospital | Emergency Medicine | 2550 Route 100 Ste 110, Macungie, PA 18062-9652 | 2019-02-01 |
| 1780179986 | Megan Minor | Emergency Medicine | 801 Ostrum St Ste 1, Bethlehem, PA 18015 | 2018-06-29 |
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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.