SCRANTON QUINCY CLINIC COMPANY LLC (NPI# 1902183304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902183304 |
Entity Type | Organization |
Organization Name | SCRANTON QUINCY CLINIC COMPANY LLC |
Other Organization Name | PHYSICIANS HEALTH ALLIANCE |
Practice Address |
748 Quincy Ave Suite 1a Scranton PA 18510-1739 |
Mailing Address |
Po Box 689022 Franklin TN 37068-9022 |
Practice Telephone | 5703479600 |
Practice Fax Number | 5703420681 |
Mailing Telephone | 8773095312 |
Mailing Fax Number | 6154652877 |
Enumeration Date | 2011-11-14 |
Last Update Date | 2012-03-22 |
Authorized Official Name | DEBBIE THORN BREWER (DIRECTOR) |
Authorized Official Telephone | 8778929813 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers | ||
N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
Podiatric Medicine & Surgery Service Providers | ||
Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 102669377-0002 | 05 |
Other Name | Type Code |
---|---|
Physicians Health Alliance | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548547946 | Scranton Quincy Clinic Company LLC | Obstetrics & Gynecology | 521 Mt Pleasant Dr, Suite 101, Scranton, PA 18503-1987 | 2011-11-14 |
1346527744 | Scranton Quincy Clinic Company LLC | Obstetrics & Gynecology | 748 Quincy Ave, Suite 2a, Scranton, PA 18510-1739 | 2011-11-14 |
1528345931 | Scranton Quincy Clinic Company LLC | Internal Medicine | 748 Quincy Ave, Suite 1a, Scranton, PA 18510-1739 | 2011-11-14 |
1619254026 | Scranton Quincy Clinic Company LLC | Pediatrics | 700 Quincy Ave, Scranton, PA 18510-1724 | 2011-11-14 |
1508143074 | Scranton Quincy Clinic Company LLC | Internal Medicine | 748 Quincy Ave, Suite 1a, Scranton, PA 18510-1739 | 2011-11-10 |
Street Address |
748 QUINCY AVE SUITE 1A |
City | SCRANTON |
State | PA |
Zip Code | 18510-1739 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699762302 | Kristine Mcnulty | Obstetrics & Gynecology | 748 Quincy Ave, Ste 2a, Scranton, PA 18510-1739 | 2005-09-29 |
1346527744 | Scranton Quincy Clinic Company LLC | Obstetrics & Gynecology | 748 Quincy Ave, Suite 2a, Scranton, PA 18510-1739 | 2011-11-14 |
1528345931 | Scranton Quincy Clinic Company LLC | Internal Medicine | 748 Quincy Ave, Suite 1a, Scranton, PA 18510-1739 | 2011-11-14 |
1508143074 | Scranton Quincy Clinic Company LLC | Internal Medicine | 748 Quincy Ave, Suite 1a, Scranton, PA 18510-1739 | 2011-11-10 |
1689976730 | Physicians Health Alliance Inc | Internal Medicine | 748 Quincy Ave, 1a, Scranton, PA 18510-1739 | 2010-11-23 |
1669794707 | Jennifer Marie Swenski | Obstetrics & Gynecology | 748 Quincy Ave, Suite 2a, Scranton, PA 18510-1739 | 2010-02-16 |
1851555403 | Physicians Health Alliance Inc | Podiatrist | 748 Quincy Ave, Suite 1a, Scranton, PA 18510-1739 | 2008-07-14 |
1922275320 | Physicians Health Alliance Inc | Advanced Practice Midwife | 748 Quincy Ave, Suite 2a, Scranton, PA 18510-1739 | 2008-05-14 |
1104925999 | Gerri A Evans | Registered Nurse | 748 Quincy Ave, Ste 2a, Scranton, PA 18510-1739 | 2006-09-21 |
1700816782 | Pancoast & Fagerburg Associates | Internal Medicine | 748 Quincy Ave, Suite 301b, Scranton, PA 18510-1739 | 2006-07-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427432335 | Marla Osborne Dempsey | Family Medicine | 1141 Clay Ave Ste 1, Dunmore, PA 18510 | 2015-07-10 |
1669620043 | Mary Jane Miskovsky | Nurse Practitioner | 800 Linden Street, University of Scranton Student Health Service, Scranton, PA 18510 | 2008-08-28 |
1427174739 | Cheryl Friedman | Registered Nurse | 1710 Mulberry Street, Scranton, PA 18510 | 2007-03-21 |
1619092970 | Susan Rudalavage | Dietitian, Registered | 640 Madison Avenue, Scranton, PA 18510 | 2007-03-19 |
1851469738 | Lackawanna Surgery Center LLC | Clinic/Center | 415 Adams Avenue, Scranton, PA 18510 | 2006-12-01 |
1679666150 | Nicholas M. Rocco | Nurse Anesthetist, Certified Registered | 700 Quincy Ave., Scranton, PA 18510 | 2006-10-02 |
1710927587 | Care Plus Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Jefferson Ave, Scranton, PA 18510 | 2006-06-08 |
1619934189 | James M Haggerty | Podiatrist | 521 Ash Street, Dunmore, PA 18510 | 2006-04-28 |
1962461145 | Kevin G Madden | Psychiatry & Neurology | 802 Jefferson Avenue, Scranton, PA 18510 | 2006-03-17 |
1720058795 | Mark Trently | Nurse Anesthetist, Certified Registered | 1822 Jmulberry St, Scranton, PA 18510 | 2006-01-24 |
Find all providers in zip 18510 |
Taxonomy Code | 213E00000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548288749 | Martin J Snyder | Podiatrist | 1003 Pittston Ave, Scranton, PA 18505-4110 | 2006-07-17 |
1861422313 | Vincent N Grattolino | Podiatrist | 203 N Main Ave, Scranton, PA 18504-3303 | 2006-07-03 |
1902884745 | Richard T Meredick Dpm PC | Podiatrist | 201 N Main Ave, Scranton, PA 18504-3303 | 2006-01-03 |
1760789499 | Martin J Snyder Dpm PC | Podiatrist | 1003 Pittston Ave, Scranton, PA 18505-4110 | 2011-02-15 |
1649584764 | Ellianne Marie Nasser | Podiatrist | 1800 Mulberry St, Scranton, PA 18510-2369 | 2010-07-30 |
1851555403 | Physicians Health Alliance Inc | Podiatrist | 748 Quincy Ave, Suite 1a, Scranton, PA 18510-1739 | 2008-07-14 |
1750578555 | Vincent N Grattolino Dpm | Podiatrist | 203 N Main Ave, Scranton, PA 18504-3303 | 2007-09-26 |
1215004387 | Larry Jay Grossinger | Podiatrist | 321 Spruce Street, 6th Floor, Scranton, PA 18503-1400 | 2006-11-30 |
1427136985 | Thomas Joseph Rittenhouse | Podiatrist | 327 N Washington Ave, Suite 911, Scranton, PA 18503-1549 | 2006-11-01 |
1336195031 | Mark J Micciche | Podiatrist | 1800 Mulberry St, Scranton, PA 18510-2369 | 2006-05-25 |
Find all providers in SCRANTON |
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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.