DR. JOHN ANTHONY GUERRIERO III (NPI# 1952525958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952525958 |
| Entity Type | Individual |
| Full Name | DR. JOHN ANTHONY GUERRIERO III |
| Credential | D.O. |
| Practice Address |
695 E 16th St Suite F Berwick PA 18603-2320 |
| Practice Telephone | 5708025276 |
| Mailing Telephone | 5708025276 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2016-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
OS014128 | PA | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
5101017002 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 101963740-0001 | 05 | |
| PA | GEISINGER | 109763 | 01 |
| CAQH | 11753900 | 01 | |
| PA | FPH | 822306 | 01 |
| PA | HIGHMARK BS | GU1977502 | 01 |
| AETNA | 9487067 | 01 | |
| PA | CBC KEYSTONE | 50072241 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184849648 | John Joseph Guerriero Jr. | Pharmacist | 4106 Desiard St, Monroe, LA 71203-4526 | 2007-04-17 |
| 1679541270 | John Antonio Guerriero | Physical Therapist | 17 Old Main Street, Fishkill, NY 12524 | 2006-03-09 |
| Street Address |
695 E 16TH ST SUITE F |
| City | BERWICK |
| State | PA |
| Zip Code | 18603-2320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295733418 | Roger F Crake | Surgery | 695 E 16th St, Suite C, Berwick, PA 18603-2320 | 2005-07-12 |
| 1033269378 | Valley Spine Specialists, PC | Orthopaedic Surgery | 695 E 16th St, Suite F, Berwick, PA 18603-2320 | 2007-01-11 |
| 1568521425 | Gary Douglas Kanouse | Internal Medicine | 695 E 16th St, Suite D, Berwick, PA 18603-2320 | 2006-12-07 |
| 1790859783 | Kanouse Medical Group PC | Internal Medicine | 695 E 16th St, Suite D, Berwick, PA 18603-2320 | 2006-11-20 |
| 1760440853 | Ramesh M. Shah | Internal Medicine | 695 E 16th St, Suite A, Berwick, PA 18603-2320 | 2006-05-01 |
| 1194780643 | Zeferino Martinez | Orthopaedic Surgery | 695 E 16th St, Suite F, Berwick, PA 18603-2320 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267841 | Eugene W Moisey | Dental Hygienist | 107 S. Market St, Suite #2, Berwick, PA 18603 | 2019-10-24 |
| 1831571413 | Wyoming Valley Alchol and Drug Services, Inc. | Counselor | 120 East Third Street, Berwick, PA 18603 | 2015-06-19 |
| 1639592942 | Julia Grocki | Dietitian, Registered | 203 E Front St, Berwick, PA 18603 | 2014-01-23 |
| 1144507856 | Ashley Linn Reese | Occupational Therapy Assistant | 801 East 16th Street, Berwick, PA 18603 | 2011-11-09 |
| 1477758407 | Bloomsburg Physicians Services | Family Medicine | 101 West 9th Street, Berwick, PA 18603 | 2007-06-19 |
| 1659591956 | David Curfman | Physical Therapist | 1701 Fowler Avenue, Berwick, PA 18603 | 2007-04-27 |
| 1538287537 | Dental Health Clinic | Dentist | 107 South Market Street, Suite 2, Berwick, PA 18603 | 2007-03-27 |
| 1285724203 | Frank J Giugliano | Family Medicine | 523 Fowler Avenue, Berwick, PA 18603 | 2006-10-13 |
| 1265522098 | Maliyakkal J John | Internal Medicine | 1453 West Front St, Berwick, PA 18603 | 2006-10-13 |
| 1861586497 | Niharika Mehta | Obstetrics & Gynecology | 695 East 16th Street, Suite E, Berwick, PA 18603 | 2006-10-03 |
| Find all providers in zip 18603 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720630650 | Broad Street Professional Medical Services LLC | Surgery | 2033 S Broad St Ste A, Philadelphia, PA 19148-5505 | 2019-07-11 |
| 1124670922 | Broad Street Medical LLC | Surgery | 2033 S Broad St Ste B, Philadelphia, PA 19148-5505 | 2019-07-11 |
| 1932610755 | Vascular Surgical Specialists Pllc | Surgery | 1450 E Boot Rd Ste 600b, West Chester, PA 19380-5968 | 2017-10-19 |
| 1336515956 | Aria Health Physician Services | Surgery | 9501 Roosevelt Blvd Ste 312, Philadelphia, PA 19114-1028 | 2015-08-18 |
| 1437525490 | Advanced Vein and Laser Center Lancaster, LLC | Surgery | 896a Plaza Blvd, Lancaster, PA 17601-2745 | 2015-08-13 |
| 1447658877 | Center for Vein Restoration Pa Pllc | Surgery | 1338 Bristol Pike Ste 205, Bensalem, PA 19020-5679 | 2014-12-17 |
| 1023423167 | Catherine Go | Surgery | 420 S Aiken Ave, Apt A6, Pittsburgh, PA 15232-1226 | 2014-06-27 |
| 1659703635 | Walter J. Fagan | Surgery | 211 Center Ave, Jim Thorpe, PA 18229-1205 | 2013-08-01 |
| 1346521267 | Usa Vein Clinics of Philadelphia LLC | Surgery | 51 Cameron Rd, Huntingdon Valley, PA 19006-1401 | 2011-09-06 |
| 1124314893 | Nathan Loren Liang | Surgery | 200 Lothrop St # A-1017, Pittsburgh, PA 15213-2536 | 2011-06-21 |
| 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.