JACQUELINE CAIN


Address: 610 Wyoming Ave, Suite 2, Kingston, PA 18704-3702
Phone: 5702886627

JACQUELINE CAIN (NPI# 1891708533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891708533
Entity Type Individual
Full Name JACQUELINE CAIN
Credential DO
Practice Address 610 Wyoming Ave
Suite 2
Kingston
PA 18704-3702
Mailing Address 610 Wyoming Ave
Kingston
PA 18704-3702
Practice Telephone 5702886627
Practice Fax Number 5702886699
Mailing Telephone 5702885441
Mailing Fax Number 5702885842
Enumeration Date 2006-08-14
Last Update Date 2012-09-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine OS006939L PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA 001232233 05

Office Location

Street Address 610 WYOMING AVE
SUITE 2
City KINGSTON
State PA
Zip Code 18704-3702

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356397673 Intermountain Medical Group, Inc Dietitian, Registered 610 Wyoming Ave, Kingston, PA 18704-3702 2006-05-26
1740723675 Ashley K Marsh Physician Assistant 610 Wyoming Ave, Suite 1, Kingston, PA 18704-3702 2016-11-26
1558513168 Kalyani R Meduri Internal Medicine 610 Wyoming Ave, Kingston, PA 18704-3702 2008-10-14
1780847657 Seema Kumari Family Medicine 610 Wyoming Ave, Kingston, PA 18704-3702 2008-07-09
1710151527 Karthik Penumetsa Internal Medicine 610 Wyoming Ave, Kingston, PA 18704-3702 2008-04-14
1245423367 Jaromir Kohout Surgery 610 Wyoming Ave, Kingston, PA 18704-3702 2007-08-22
1932271624 Intermountain Medical Group, Inc Clinical Medical Laboratory 610 Wyoming Ave, Kingston, PA 18704-3702 2006-11-15
1487755591 David F Rimple Internal Medicine 610 Wyoming Ave, Kingston, PA 18704-3702 2006-09-25
1265545990 Richard Abramowitz Internal Medicine 610 Wyoming Ave, Kingston, PA 18704-3702 2006-08-16
1568475820 Daniel K Silverstein Internal Medicine 610 Wyoming Ave, Kingston, PA 18704-3702 2006-08-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013557552 Millmark Health Inc. Psychiatry & Neurology 511 Pierce Street, Kingston, PA 18704 2020-01-13
1427550334 Michael Anthony Waltich Military Health Care Provider 82 Cooper Street, Pringle, PA 18704 2018-03-06
1376088435 Jae LLC Massage Therapist 512 Northhampton Street, Edwardsville, PA 18704 2016-12-28
1306278288 Mohammad Khaled Tashkandi Internal Medicine 490 Northampton St Ste 1, Edwardsville, PA 18704 2013-08-02
1396180014 Sammie Craven IIi Pharmacist 96 1st Avenue, Kingston, PA 18704 2013-05-08
1447693114 Catherine Mary Harding Nurse Practitioner 141 South Maple Ave, Kingston, PA 18704 2013-04-12
1861781403 Jennifer Ann Richards Pharmacist 22 West Side Mall, Edwardsville, PA 18704 2011-04-05
1558512772 Jolon Theresa Sherin Speech-Language Pathologist 1825 Sans Souci Highway, Hanover, PA 18704 2008-10-07
1932361102 Kari Ann Pietralczyk Audiologist 190 Welles Street, Forty-fort, PA 18704 2008-06-30
1467584151 John Christopher Storti Chiropractor 180 United Penn Plaza, Kingston, PA 18704 2007-03-09
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053714881 Mikael Dawit Tulloch-reid Internal Medicine Heart Institute of The Caribbean, 23 Balmoral Avenue, Kingston, KINGSTON KINGSTON 10 2014-10-07
1407909021 John E. Hoey Internal Medicine 324 Plaza Rd, Kingston, NY 12401-2975 2007-01-18
1588722979 Adnan Kamel El-amine Internal Medicine 11 Tremont St, Kingston, MA 02364-1231 2006-12-05
1912016692 Wyoming Valley Internal Medicine Internal Medicine 571 Wyoming Avenue, Kingston, PA 18704-3719 2006-08-29
1659399210 B E Ohara Internal Medicine 327 Albany Ave, Kingston, NY 12401-2544 2006-07-18
1376596445 Raymond Lippert Internal Medicine 89 John St, Kingston, NY 12401 2006-05-18
1861444671 Lee Isabell Internal Medicine 334 Plaza Road, Kingston, NY 12401 2006-05-17
1376508119 Reham I El-shaer Internal Medicine 301 Hurley Ave, Kingston, NY 12401 2006-04-17
1174598965 Rachel Dela Cruz Canseco-berbano Internal Medicine 445 Wyoming Avenue, Kingston, PA 18704 2006-02-23
1396723466 Edward Simon Internal Medicine 25989 Barber Cut Off Rd Ne, Suite A3, Kingston, WA 98346-8455 2006-01-09
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Competitor

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City KINGSTON
Zip Code 18704

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Dataset Information

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.

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