Richard Chwastiak


Address: 617 E Broad St, Tamaqua, PA 18252-2206
Phone: 5706685170

Richard Chwastiak (NPI# 1083615918, PAC ID# 1153461819) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.

Physician Overview

Nation Provider ID (NPI) 1083615918
PAC ID by PECOS 1153461819
Professional Enrollment ID I20091211000042
Full Name Richard Chwastiak
Address 617 E Broad St
Tamaqua
PA 18252-2206
Phone Number 5706685170
Gender M
Medical School PENNSYLVANIA COLLEGE OF PODIATRIC MEDICINE
Graduation Year 1980
Primary Specialty PODIATRY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
390183 ST LUKE'S MINERS MEMORIAL HOSPITAL

Other Locations

Address Phone Organization
617 E Broad St, Tamaqua, PA 18252-2206 5706685170

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 100%
MIPS_EC_126_overall Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation 100%

Organization Information

Office Location

Street Address 617 E BROAD ST
City TAMAQUA
State PA
Zip 18252-2206

Physicians in the same location

Name Specialty Organization Address
Jeffrey W Bush Family Medicine 617 E Broad St, Suite A, Eufaula, AL 36027-1710
Nicole A Chwastiak Podiatry 617 E Broad St, Tamaqua, PA 18252-2206

Physicians in the same zip code

Name Specialty Organization Address
Emily N Kaledas Physician Assistant St Lukes Physician Group Inc 120 Pine St, Tamaqua, PA 18252-1409
Barry Alan Schneider Optometry 223 W Broad St, Tamaqua, PA 18252-1834
Mary Lou Gorzelic Clinical Social Worker 105 W Broad St, Tamaqua, PA 18252-1916
Robert F Marcin Optometry 125 W Broad St, Tamaqua, PA 18252-1916
Joseph M Washko Chiropractic 245 E Broad St, Tamaqua, PA 18252-2009
Michael J Trainer Chiropractic 458 E Broad St, Tamaqua, PA 18252-2193
Albert E Rocuskie Jr. Chiropractic 51 Mahanoy Ave, Tamaqua, PA 18252-4005
Jillian M Mcardle Nurse Practitioner Hazleton Professional Services 241 Claremont Ave, Tamaqua, PA 18252-4302
Rebecca J Odorizzi Family Medicine Hazleton Professional Services 241 Claremont Ave, Tamaqua, PA 18252-4302
Jane R Lagan Family Practice Hazleton Professional Services 241 Claremont Ave, Tamaqua, PA 18252-4302
Find all physicians in zip 18252

Competitor

Search similar physicians

City TAMAQUA
Zip Code 18252
Specialty PODIATRY
City + Specialty TAMAQUA + PODIATRY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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