DR. DUANE E. DEIVERT (NPI# 1992771158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992771158 |
| Entity Type | Individual |
| Full Name | DR. DUANE E. DEIVERT |
| Credential | D.O. |
| Practice Address |
675 Baltimore Dr Wilkes Barre PA 18702-7900 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-3034 |
| Practice Telephone | 5708085757 |
| Practice Fax Number | 5708085753 |
| Mailing Telephone | 5702716144 |
| Mailing Fax Number | 5702716578 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2020-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
OS012660 | PA | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | OS012660 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 101355085 | 05 |
| Street Address |
675 BALTIMORE DR |
| City | WILKES BARRE |
| State | PA |
| Zip Code | 18702-7900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275539215 | Leighton Huey | Psychiatry & Neurology | 675 Baltimore Dr, Wilkes Barre, PA 18702 | 2005-06-23 |
| 1427694355 | Yardley Marie Phillips | Surgery | 675 Baltimore Dr, Wilkes Barre, PA 18702-7900 | 2019-11-26 |
| 1487209599 | Swana Thomas | Pharmacist | 675 Baltimore Dr, Wilkes Barre, PA 18702-7900 | 2019-08-06 |
| 1306313069 | Madysen Kacey Jones | Physician Assistant | 675 Baltimore Dr, Wilkes Barre, PA 18702-7900 | 2018-10-30 |
| 1447746631 | Danielle Marie Scartelli | Physician Assistant | 675 Baltimore Dr, Wilkes Barre, PA 18702 | 2018-07-10 |
| 1659882603 | Amanda Katherine Keegan | Physician Assistant | 675 Baltimore Dr, Wilkes Barre, PA 18702-7900 | 2017-10-17 |
| 1720598691 | Renae Ann Keiper | Physician Assistant | 675 Baltimore Dr, Wilkes Barre, PA 18702-7900 | 2017-10-05 |
| 1225498132 | Brittany Williams | Psychologist | 675 Baltimore Dr, Wilkes Barre, PA 18702-7900 | 2016-03-04 |
| 1003234865 | Jui Pandya | Ophthalmology | 675 Baltimore Dr, Wilkes Barre, PA 18702-7900 | 2014-03-30 |
| 1013343805 | Channing Elizabeth Boback | Physician Assistant | 675 Baltimore Dr, Wilkes Barre, PA 18702-7900 | 2013-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153161 | Joann Bonn | Pharmacist | 441 Wilkes-barre Township Blvd, Wilkes-barre, PA 18702 | 2020-10-30 |
| 1689213167 | Megan Grace Zanghi | Pharmacist | 58-60 Public Square, 4th Floor, Wilkes-barre, PA 18702 | 2019-12-31 |
| 1467013292 | Kelly Rose Sones | Pharmacist | 58/60 Public Square, Wilkes-barre, PA 18702 | 2019-06-24 |
| 1528520186 | Adam Olivetti | Pharmacist | 58-60 Public Square, Wilkes-barre, PA 18702 | 2019-04-03 |
| 1295220648 | Dental Associates of Nepa PC | Dentist | 360 Kidder Street, Suite 5, Wilkes Barre, PA 18702 | 2018-06-28 |
| 1568983245 | Bio-medical Applications of Pennsylavania, Inc. | Clinic/Center | 309 Laird St, Wilkes-barre, PA 18702 | 2017-07-03 |
| 1538615166 | Elsa Gates | Nurse Practitioner | 100 East Mountain Blvd, Geisinger, Wilkes Barre, PA 18702 | 2016-09-01 |
| 1972990455 | Epeople Health Care Inc. | Home Health | 1092 Route 315, Ste 3, Wilkes Barre, PA 18702 | 2015-04-22 |
| 1063819001 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 277 Mundy St, Suite 101, Wilkes Barre, PA 18702 | 2014-11-19 |
| 1356764013 | Jill Stacchiotti | Speech-Language Pathologist | 2 Salem Drive, Laflin, PA 18702 | 2014-01-30 |
| Find all providers in zip 18702 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932293594 | Joseph John Andrews | Internal Medicine | 87 East Main St, Wilkes Barre, PA 18705-2811 | 2006-10-03 |
| 1447406954 | Yakub I. Khan | Internal Medicine | 675 Baltimore Dr, Wilkes Barre, PA 18702-7900 | 2008-08-15 |
| 1184645129 | Masoud Firouzi | Internal Medicine | 675 Baltimore Dr, Wilkes Barre, PA 18702-7900 | 2006-07-23 |
| 1639134281 | Kevin M. Parent | Internal Medicine | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871060707 | Gastrointestinal Wellness Clinic LLC | Internal Medicine | 301 Oxford Valley Rd # Units804, Yardley, PA 19067-7706 | 2018-10-29 |
| 1003394545 | Lyanne Marie Caraballo | Internal Medicine | 1000 Integrity Dr Ste 110, Pittsburgh, PA 15235-3332 | 2018-08-06 |
| 1073047205 | Margaret Spinosa | Internal Medicine | 1627 Chew St Ste 101, Allentown, PA 18102-3648 | 2017-04-14 |
| 1881131472 | Paul Frey Spears | Internal Medicine | 490 Shady Dell Rd, York, PA 17403-4483 | 2017-01-20 |
| 1801258686 | Wai Kan Chiu | Internal Medicine | 200 Lothrop Street, Mezzanine Level, C-wing, Puh, Pittsburgh, PA 15213 | 2016-03-22 |
| 1598189631 | Richard B. Lynn | Internal Medicine | 204 Rhyle Ln, Bala Cynwyd, PA 19004-2324 | 2014-02-10 |
| 1427390822 | Meeta Desai | Internal Medicine | Gastroenterology & Hepatology, M.c. Hu33, 500 University Drive, Hershey, PA 17033-0850 | 2013-03-23 |
| 1225372519 | Scott Howell Wright | Internal Medicine | 1118 Riverview Ln, Conshohocken, PA 19428-2964 | 2012-11-27 |
| 1952665481 | Excela Health Physician Practices, Inc. | Internal Medicine | 530 South St Ste G, Greensburg, PA 15601-2775 | 2012-06-29 |
| 1033479704 | William Blake Huntington | Internal Medicine | 1088 W Baltimore Pike Ste 2407, Media, PA 19063 | 2012-05-29 |
| Find all providers with the same taxonomy | ||||
| City | WILKES BARRE |
| Zip Code | 18702 |
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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.