Michael Tanitsky (NPI# 1326014580, PAC ID# 1355301417) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1326014580 |
| PAC ID by PECOS | 1355301417 |
| Professional Enrollment ID | I20101027000259 |
| Full Name | Michael Tanitsky |
| Address |
150 Farmstead Ln State College PA 16803-3339 |
| Phone Number | 8142357675 |
| Gender | M |
| Credential | DO |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1974 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390268 | MOUNT NITTANY MEDICAL CENTER |
| 390048 | GEISINGER-LEWISTOWN HOSPITAL |
| 390256 | MILTON S HERSHEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 294 Discovery Dr, Boalsburg, PA 16827-2505 | 8148086800 | |
| 122 Wynnwood Dr, Wynnwood House, Centre Hall, PA 16828-8519 | 8143649770 | |
| 550 W College Ave, Pleasant Gap, PA 16823-7401 | 8143595620 | |
| 150 Farmstead Ln, State College, PA 16803-3339 | 8142357675 |
| Street Address |
150 FARMSTEAD LN |
| City | STATE COLLEGE |
| State | PA |
| Zip | 16803-3339 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joanne Shultz | Nurse Practitioner | Nittany Valley Medical Associates, P.C. | 361 Presidents Dr, State College, PA 16803 |
| Krista Lin Sharer | Physician Assistant | Geisinger Clinic | 1630 N Atherton St, State College, PA 16803-1416 |
| Jonathan White | Physician Assistant | Geisinger Clinic | 1630 N Atherton St, State College, PA 16803-1416 |
| Morgan Johns | Physician Assistant | Geisinger Clinic | 1630 N Atherton St, State College, PA 16803-1416 |
| Kelli J Simco | Physician Assistant | Geisinger Clinic | 1630 N Atherton St, State College, PA 16803-1416 |
| Heather A Shevchik Obrien | Physician Assistant | Geisinger Clinic | 1630 N Atherton St, State College, PA 16803-1416 |
| Joyce R Kantner | Nurse Practitioner | Geisinger Clinic | 1630 N Atherton St, State College, PA 16803-1416 |
| Hil Rizvi | Emergency Medicine | 2214 N Atherton St, Suite 100, State College, PA 16803-1544 | |
| Geronami P Kattupalli | Family Medicine | 2214 N Atherton St, Suite 100, State College, PA 16803-1544 | |
| Brian T Reid | Physician Assistant | Mount Nittany Medical Center Health Services Inc | 1700 Old Gatesburg Rd, State College, PA 16803-2276 |
| Find all physicians in zip 16803 | |||
| City | STATE COLLEGE |
| Zip Code | 16803 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | STATE COLLEGE + INTERNAL MEDICINE |
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| 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.