DR. GREGORY FAMIGLIO (NPI# 1992908503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992908503 |
| Entity Type | Individual |
| Full Name | DR. GREGORY FAMIGLIO |
| Credential | M.D. |
| Practice Address |
1101 E 3rd St Williamsport PA 17701-5411 |
| Mailing Address |
197 Cindy Ave Montgomery PA 17752-8795 |
| Practice Telephone | 5705053180 |
| Practice Fax Number | 5705053184 |
| Mailing Telephone | 5705053180 |
| Mailing Fax Number | 5705053184 |
| Enumeration Date | 2007-06-09 |
| Last Update Date | 2020-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | ME58589 | FL | Allopathic & Osteopathic Physicians |
| N | 207LA0401X |
Anesthesiology Specialization: Addiction Medicine |
MD042726L | PA | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
MD042726L | PA | Allopathic & Osteopathic Physicians |
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
MD042726L | PA | Allopathic & Osteopathic Physicians |
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
MD042726L | PA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | MD042726L | PA | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
MD042726L | PA | Allopathic & Osteopathic Physicians |
| N | 207LP3000X |
Anesthesiology Specialization: Pediatric Anesthesiology |
MD042726L | PA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1243 Skytop Mountain Rd Ste 2, Port Matilda, PA 168707725 | 8148677030 | 8148677032 |
| Street Address |
1101 E 3RD ST |
| City | WILLIAMSPORT |
| State | PA |
| Zip Code | 17701-5411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225005408 | Linda M. Famiglio | Psychiatry & Neurology | 1101 E 3rd St, Williamsport, PA 17701 | 2006-03-07 |
| 1982069555 | Pain Recovery Center LLC | Pain Medicine | 1101 E 3rd St, Williamsport, PA 17701-5411 | 2015-12-23 |
| 1588905723 | Gregory Famiglio, Md, LLC | Family Medicine | 1101 E 3rd St, Williamsport, PA 17701-5411 | 2013-03-13 |
| 1821347667 | Donna M Rung | Technician, Other | 1101 E 3rd St, Williamsport, PA 17701-5411 | 2012-09-07 |
| 1679841415 | Williamsport Physical Medicine, Inc. | Nurse Practitioner | 1101 E 3rd St, Williamsport, PA 17701-5411 | 2011-12-08 |
| 1033487871 | Williamsport Physical Medicine, Inc. | Physical Therapist | 1101 E 3rd St, Williamsport, PA 17701-5411 | 2011-12-08 |
| 1891063624 | Williamsport Physical Medicine, Inc. | Chiropractor | 1101 E 3rd St, Williamsport, PA 17701-5411 | 2011-12-07 |
| 1518123140 | Williamsport Physical Medicine, Inc. | Chiropractor | 1101 E 3rd St, Williamsport, PA 17701-5411 | 2008-08-04 |
| 1770747198 | Xiaping Xie | Psychiatry & Neurology | 1101 E 3rd St, Family Recoverey Solutions, Williamsport, PA 17701-5411 | 2008-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
| 1396395299 | Susan E Fetzer | Occupational Therapy Assistant | Upmc Susquehanna,625 West Edwin Street, Williamsport, PA 17701 | 2019-09-13 |
| 1184280984 | Craig Andrew Tuller | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 | 2019-05-16 |
| 1760048045 | Michael Harvey | Student in an Organized Health Care Education/Training Program | 740 High St. Suite 4001, Williamsport, PA 17701 | 2019-05-13 |
| 1275196008 | Olivia Fladmark | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 | 2019-04-17 |
| 1528551231 | Mark Hampton Chiropractic Inc. | Durable Medical Equipment & Medical Supplies | 1111 East 3rd Street, Williamsport, PA 17701 | 2018-06-08 |
| 1548710882 | Central Pennsylvania Rehabilitation Medicine, Inc | Physical Medicine & Rehabilitation | 460 River Ave Ste 1, Williamsport, PA 17701 | 2016-10-11 |
| 1376096784 | Christine Kessler | Physician Assistant | One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 | 2016-08-02 |
| 1629440276 | Matthew Ray Rebuck | Specialist/Technologist | 220 N Reach Rd, Williamsport, PA 17701 | 2015-10-22 |
| 1508237223 | Neihl Williamson | Physician Assistant | 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 | 2015-10-08 |
| Find all providers in zip 17701 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588905723 | Gregory Famiglio, Md, LLC | Family Medicine | 1101 E 3rd St, Williamsport, PA 17701-5411 | 2013-03-13 |
| 1174570618 | Susquehanna Physician Services | Family Medicine | 904 Campbell St, Suite 202, Williamsport, PA 17701-3165 | 2006-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851958763 | Hope Recovery Services LLC | Family Medicine | 200 Mcknight Park Dr Ste 201, Pittsburgh, PA 15237-6507 | 2019-05-27 |
| 1992281125 | Aurora Recovery Services, LLC | Family Medicine | 993 Brodhead Rd Ste 201, Moon Twp, PA 15108 | 2018-07-11 |
| 1821503038 | Philly Newlife Suboxone Clinics | Family Medicine | 3477 Saint Vincent St, Philadelphia, PA 19149-1628 | 2017-12-11 |
| 1447609565 | Recovery Care LLC | Family Medicine | 2057 State Route 130 # 3, Jeannette, PA 15644-3801 | 2016-06-09 |
| 1366806358 | Victory Life Health Services | Family Medicine | 95 E High St Ste 104, Waynesburg, PA 15370-1853 | 2016-04-06 |
| 1154662062 | William Francis Hushion I | Family Medicine | 1066 Putnam Blvd, Wallingford, PA 19086-6747 | 2013-03-04 |
| 1740570886 | Germantown Pain Management & Physical Therapy | Family Medicine | 6334 Germantown Ave, Philadelphia, PA 19144-1935 | 2011-04-11 |
| 1649584459 | Meridian Recovery Services Inc | Family Medicine | 2626 Sigsbee St, Erie, PA 16508-1721 | 2010-08-04 |
| 1265754998 | Amc Health | Family Medicine | 2626 Sigsbee Street, Erie, PA 16508-1808 | 2010-02-22 |
| 1629201314 | Cottman & Castor Pain Management | Family Medicine | 1934 Cottman Ave, Philadelphia, PA 19111-3817 | 2009-08-27 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSPORT |
| Zip Code | 17701 |
Please comment or provide details below to improve the information on DR. GREGORY FAMIGLIO.
| 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.