RUSSELL DROZIAK, M.D. (NPI# 1881832749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881832749 |
| Entity Type | Organization |
| Organization Name | RUSSELL DROZIAK, M.D. |
| Other Organization Name | CLYMER FAMILY MEDICINE |
| Practice Address |
349 Franklin St Clymer PA 15728-1173 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 7242544314 |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2012-10-23 |
| Authorized Official Name | KENNY HEINE (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8586252990 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | MD027632 | PA | Suppliers |
| Other Name | Type Code |
|---|---|
| Clymer Family Medicine | Doing Business As Name - Organization |
| Street Address |
349 FRANKLIN ST |
| City | CLYMER |
| State | PA |
| Zip Code | 15728-1173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144294588 | Russell Drozdiak | Family Medicine | 349 Franklin St, Clymer, PA 15728-1173 | 2006-02-14 |
| 1639311384 | Russell Drozdiak | Family Medicine | 349 Franklin St, Clymer, PA 15728-1173 | 2009-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649244088 | Amanda J Vaglia | Family Medicine | 349 Franklin Street, Clymer, PA 15728 | 2006-02-14 |
| 1669484267 | Arwen E Bassler | Family Medicine | 349 Franklin Street, Clymer, PA 15728 | 2006-08-12 |
| 1891892113 | Mary Agnes Fletcher | Physical Therapist | 405 Franklin Street, Clymer, PA 15728-0153 | 2006-09-20 |
| 1972501757 | Mahoning Physical Therapy Inc | Physical Therapist | 405 Franklin St, Clymer, PA 15728-1174 | 2005-07-14 |
| 1730457870 | Melissa Ann Gett | Occupational Therapist | 405 Franklin St, Clymer, PA 15728-1174 | 2011-12-04 |
| 1376890574 | Home Nursing Agency & Visiting Nurse Association | Home Health | 320 Franklin Street, Home Health - Nw, Clymer, PA 15728-1181 | 2012-08-07 |
| 1093062218 | Home Nursing Agency & Visiting Nurse Association | Hospice Care, Community Based | 320 Franklin Street Hospice, Clymer, PA 15728-1181 | 2012-08-07 |
| 1144452251 | Crossbridge Physical Therapy | Clinic/Center | 568 Franklin St, Clymer, PA 15728-1183 | 2009-08-23 |
| 1285868703 | Brandon Lee Haggerty | Physical Therapist | 568 Franklin St, Clymer, PA 15728-1183 | 2009-05-12 |
| 1295888162 | Mary Beth Marcoline | Durable Medical Equipment & Medical Supplies | 530 Franklin St, Clymer, PA 15728-1183 | 2007-01-22 |
| Find all providers in zip 15728 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932723806 | Cerner Health Connections, Inc | Non-Pharmacy Dispensing Site | 719 Dresher Rd Ste B, Horsham, PA 19044-2205 | 2020-06-05 |
| 1144844507 | Diamond Drugs, Inc. | Non-Pharmacy Dispensing Site | 665 Kolter Dr, Indiana, PA 15701-3570 | 2020-06-02 |
| 1023655602 | Dedicated Pennsylvania Holding, LLC | Non-Pharmacy Dispensing Site | 330 W Oregon Ave # 170, Philadelphia, PA 19148-4723 | 2019-12-03 |
| 1275193336 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 103 Nesbitt Rd, New Castle, PA 16105-3401 | 2019-06-19 |
| 1770141491 | R&r Eyewear Imports, Inc. | Non-Pharmacy Dispensing Site | 311 W Moreland Rd, Willow Grove, PA 19090-3107 | 2019-05-29 |
| 1174089858 | Centers for Advanced Urology, LLC | Non-Pharmacy Dispensing Site | 400 Davis Dr Ste 200a, Plymouth Meeting, PA 19462-1718 | 2019-02-18 |
| 1811469760 | Dermatology and Mohs Surgery Center PC | Non-Pharmacy Dispensing Site | 920 Lawn Ave Ste 6, Sellersville, PA 18960-1560 | 2018-12-17 |
| 1437624244 | Highpoint Pain & Rehabilitation Physicians | Non-Pharmacy Dispensing Site | 2 Village Road, Horsham, PA 19044 | 2018-10-08 |
| 1649768110 | Qpharma Inc | Non-Pharmacy Dispensing Site | 20 Highland Park Dr Ste 202, Uniontown, PA 15401-8968 | 2018-04-30 |
| 1215424536 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 1321 Fifth Ave Ste 1, Mckeesport, PA 15132-2403 | 2018-04-23 |
| 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.