Mark J Micciche (NPI# 1336195031, PAC ID# 1759353618) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1336195031 |
| PAC ID by PECOS | 1759353618 |
| Professional Enrollment ID | I20040811000159 |
| Full Name | Mark J Micciche |
| Organization Legal Name | LAPORTA AND ASSOCIATES, PC |
| Address |
414 E Drinker St Suite 101 Dunmore PA 18512-2469 |
| Phone Number | 5703481757 |
| Gender | M |
| Credential | DPM |
| Medical School | PENNSYLVANIA COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 8022919281 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390125 | WAYNE MEMORIAL HOSPITAL |
| 390001 | GEISINGER-COMMUNITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 414 E Drinker St, Suite 101, Dunmore, PA 18512-2469 | 5703481757 | LAPORTA AND ASSOCIATES, PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 95% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 75% | |
| MIPS_EC_154_overall | Falls: Risk Assessment | 1% | |
| MIPS_EC_155_overall | Falls: Plan of Care | 1% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 96% |
| Organization Legal Name | LAPORTA AND ASSOCIATES, PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Guido A Laporta | Podiatry | Laporta and Associates, PC | 414 E Drinker St, Suite 101, Dunmore, PA 18512-2469 |
| Elaine A Odonnell | Podiatry | Laporta and Associates, PC | 414 E Drinker St, Suite 101, Dunmore, PA 18512-2469 |
| Street Address |
414 E DRINKER ST SUITE 101 |
| City | DUNMORE |
| State | PA |
| Zip | 18512-2469 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Guido A Laporta | Podiatry | Laporta and Associates, PC | 414 E Drinker St, Suite 101, Dunmore, PA 18512-2469 |
| Elaine A Odonnell | Podiatry | Laporta and Associates, PC | 414 E Drinker St, Suite 101, Dunmore, PA 18512-2469 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary J Cassone | Urology | 100 Dumore St, Throop, PA 18512 | |
| Thomas R Himes | Pathology | Pathology Associates of Ne Pa Ltd | 781 Keystone Industrial Pk, Dunmore, PA 18512-1530 |
| James C Steinmetz | Pathology | Pathology Associates of Ne Pa Ltd | 781 Keystone Industrial Pk, Dunmore, PA 18512-1530 |
| Ellen Shiffer | Physician Assistant | Donna Eget PC | 1208 Oneill Hwy, Dunmore, PA 18512-1709 |
| Karen Ellen Arscott | Addiction Medicine | Donna Eget PC | 1208 Oneill Hwy, Dunmore, PA 18512-1709 |
| Mark J Albert | Emergency Medicine | Donna Eget PC | 1208 Oneill Hwy, Dunmore, PA 18512-1709 |
| Donna M Eget | Emergency Medicine | Donna Eget PC | 1208 Oneill Hwy, Dunmore, PA 18512-1709 |
| Kathryn Morgan Paradise | Nurse Practitioner | Donna Eget PC | 1208 Oneill Hwy, Dunmore, PA 18512-1709 |
| Heather E Okun Demuth | Physician Assistant | Donna Eget PC | 1208 Oneill Hwy, Dunmore, PA 18512-1709 |
| Patricia Sweeney | Nurse Practitioner | Donna Eget PC | 1208 Oneill Hwy, Dunmore, PA 18512-1709 |
| Find all physicians in zip 18512 | |||
| City | DUNMORE |
| Zip Code | 18512 |
| Specialty | PODIATRY |
| City + Specialty | DUNMORE + PODIATRY |
Please comment or provide details below to improve the information on Mark J Micciche.
| 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.