DR. ROMAN W MATLAGA (NPI# 1881688315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881688315 |
| Entity Type | Individual |
| Full Name | DR. ROMAN W MATLAGA |
| Credential | DO |
| Practice Address |
103 Spruce St Hawley PA 18428-1149 |
| Mailing Address |
15 Bodine Ln Honesdale PA 18431-4047 |
| Practice Telephone | 5703904545 |
| Practice Fax Number | 5703904546 |
| Mailing Telephone | 5702539164 |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2010-12-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | OS008779L | PA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | OS008779L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001539491 | 05 | |
| PA | BLUE SHIELD | 785660 | 01 |
| PA | FIRST PRIORITY HEALTH | 814113 | 01 |
| Street Address |
103 SPRUCE ST |
| City | HAWLEY |
| State | PA |
| Zip Code | 18428-1149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484544 | Alyssa Mary Kasheta | Nurse Practitioner | 103 Spruce St, Hawley, PA 18428-1149 | 2020-07-07 |
| 1881916989 | Lake Region Urgent Care, PC | Internal Medicine | 103 Spruce St, Suite 201, Hawley, PA 18428-1149 | 2010-02-17 |
| 1194739979 | The Wright Center Medical Group | Internal Medicine | 103 Spruce St, Hawley, PA 18428-1149 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497225619 | Julia Catherine Blaskiewicz | Physical Medicine & Rehabilitation | 2489 Us 6 Greshams Landing, Hawley, PA 18428 | 2018-11-30 |
| 1881108033 | Susan Ratki, O.t., LLC | Occupational Therapist | 1313 Hemlock Farms, Hawley, PA 18428 | 2017-11-27 |
| 1932644960 | Anthony S. Diecidue P.C. | Optometrist | 2571 Rte 6, Suite 1, Hawley, PA 18428 | 2016-12-29 |
| 1134675739 | Lindsay Masker | Behavioral Analyst | 2858 Hemlock Farms, Lords Valley, PA 18428 | 2016-09-01 |
| 1700201787 | The Singer Group, LLC | Nurse Practitioner | 2489 Us Route 6, Hawley, PA 18428 | 2014-02-27 |
| 1376833343 | Shetaye Gulelat | Pharmacist | 667 Route 739, Hawley, PA 18428 | 2011-04-12 |
| 1679886261 | Eileen Riley | Social Worker | 110 Hemlock Farms Road, Lords Valley, PA 18428 | 2010-07-23 |
| 1689803181 | Frank Deluca | Psychologist | 134 Fetlock Drive, Lords Valley, PA 18428 | 2009-07-07 |
| 1902066996 | Kelly S Lawrence | Counselor | 8 Silk Mill Drive, Suite 201, Hawley, PA 18428 | 2008-06-12 |
| 1366613812 | Carl Dennis Muehlbauer | Pharmacist | Rt 6 590 Palmrya Township, Lake Regional Center, Hawley, PA 18428 | 2008-03-12 |
| Find all providers in zip 18428 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
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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.