CRAWFORD COUNTY SUB-SPECIALISTS GROUP (NPI# 1962729830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962729830 |
| Entity Type | Organization |
| Organization Name | CRAWFORD COUNTY SUB-SPECIALISTS GROUP |
| Practice Address |
765 Liberty Street Suite 203 Liberty Street Surgery Meadville PA 16335 |
| Practice Telephone | 8143335697 |
| Practice Fax Number | 8143732989 |
| Mailing Telephone | 8143335697 |
| Mailing Fax Number | 8143732989 |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2010-05-07 |
| Authorized Official Name | RENATO J. SUNTAY (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 8143335031 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255585691 | Crawford County Sub-specialists Group | Obstetrics & Gynecology | 765 Liberty St., Suite 204, Meadville Women's Care, Meadville, PA 16335 | 2008-11-12 |
| 1558537308 | Crawford County Sub-specialists Group | Clinic/Center | 764 Kennedy St Suite 303, Infectious Disease and Travel Health of Meadville, Meadville, PA 16335 | 2008-05-01 |
| 1699077669 | Crawford County Sub-specialists Group | Family Medicine | 1009 Water St, Meadville, PA 16335-3465 | 2010-11-24 |
| 1225047335 | Crawford County Sub-specialists Group | Orthopaedic Surgery | 640 Alden St, Meadville, PA 16335-2348 | 2006-08-07 |
| Street Address |
765 LIBERTY STREET, SUITE 203 LIBERTY STREET SURGERY |
| City | MEADVILLE |
| State | PA |
| Zip Code | 16335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811533508 | Stacey Lynette Lantz | Physical Therapy Assistant | 11277 Vernon Place Road, Meadville, PA 16335 | 2019-11-18 |
| 1952874794 | Amy Lynn Weaver | Social Worker | Parkside Psychological Associates, 435 Chestnut Street, Meadville, PA 16335 | 2019-01-04 |
| 1013437789 | Raymond Walter Keller Jr. | Family Medicine | 735 Liberty St, Meadville, PA 16335 | 2017-06-23 |
| 1750735742 | Nicole Fies | Counselor | 201 Chestnut Street, Floor 2, Meadville, PA 16335 | 2016-04-16 |
| 1760894422 | Amie S Coffman | Psychiatry & Neurology | 765 Liberty St Ste 303, Meadville, PA 16335 | 2014-05-28 |
| 1649609710 | Gina Marie Michalak | Pharmacist | 379 North Street, Meadville, PA 16335 | 2013-11-08 |
| 1518396704 | Cassandra Lynn Ketler | Physician Assistant | 847 North Main Street, Meadville, PA 16335 | 2013-11-07 |
| 1194159913 | Judy Mcelwain | Speech-Language Pathologist | 31 N Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1649604463 | Jonelle Elizabeth Taylor | Occupational Therapist | 31 North Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1699046961 | James Richard Mclamb | Orthopaedic Surgery | 6060 Ehrgott Rd, Meadville, PA 16335 | 2012-01-19 |
| Find all providers in zip 16335 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 |
|---|---|---|---|---|
| 1548494115 | Victor John Pilewski | Surgery | 765 Liberty St Ste 105, Meadville, PA 16335-2567 | 2009-05-11 |
| 1376802348 | Meadville Physician Services | Surgery | 765 Liberty St, Suite 105, Meadville, PA 16335-2566 | 2012-05-11 |
| 1801884796 | Meadville Surgical Associates PC | Surgery | 765 Liberty St, Suite 311, Meadville, PA 16335-2566 | 2005-10-13 |
| 1689661514 | Christopher Joseph Weibel | Surgery | 765 Liberty St, Suite 311, Meadville, PA 16335-2566 | 2005-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060655 | Western Pa Surgery Center, Beaver County Branch, LLC | Surgery | 103 Pleasant Dr, Aliquippa, PA 15001-1333 | 2020-10-12 |
| 1558977546 | Abington Memorial Hospital | Surgery | 2701 Blair Mill Rd Ste 17, Willow Grove, PA 19090-1041 | 2020-09-16 |
| 1518579762 | St. Luke's Physician Group Inc. | Surgery | 3735 Nazareth Rd Ste 303, Easton, PA 18045-8338 | 2020-08-19 |
| 1417565847 | St. Luke's Physician Group Inc. | Surgery | 5325 Northgate Dr Ste 204, Bethlehem, PA 18017-9413 | 2020-07-22 |
| 1073135935 | Amr Mohamed Elsayed | Surgery | 36 N 13th St Apt 2, Allentown, PA 18102-4300 | 2020-05-14 |
| 1346878436 | Beaver Valley Foot Clinic PC | Surgery | 20555 Route 19 Ste D, Cranberry Township, PA 16066-7525 | 2020-04-01 |
| 1922653914 | Tower Health Medical Group | Surgery | 301 S 7th Ave Ste 3070, West Reading, PA 19611-1495 | 2019-08-06 |
| 1558916833 | Allegheny Clinic | Surgery | 4815 Liberty Avenue Suite 215, Pittsburgh, PA 15224-2156 | 2019-08-05 |
| 1548820350 | St. Luke's Physician Group, Inc | Surgery | 575 S 9th St Ste 8, Lehighton, PA 18235-2517 | 2019-06-14 |
| 1538725700 | Golla Ent | Surgery | 107 Gamma Dr Ste 110, Pittsburgh, PA 15238-2917 | 2019-05-14 |
| 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.