Shaina Anne Grego (NPI# 1780169821, PAC ID# 2062756109) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1780169821 |
| PAC ID by PECOS | 2062756109 |
| Professional Enrollment ID | I20190516002154 |
| Full Name | Shaina Anne Grego |
| Organization Legal Name | HAZLETON PROFESSIONAL SERVICES |
| Address |
128 W 14th St Hazleton PA 18201-3266 |
| Phone Number | 5704557677 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8022110402 |
| Number of Group Practice Members | 85 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390185 | LEHIGH VALLEY HOSPITAL - HAZLETON |
| Address | Phone | Organization |
|---|---|---|
| 1000 Alliance Dr, Hazleton, PA 18202-3234 | 5705016400 | HAZLETON PROFESSIONAL SERVICES |
| 1000 Alliance Dr, Suite 10, Hazleton, PA 18202-3234 | 5705016450 | HAZLETON PROFESSIONAL SERVICES |
| 128 W 14th St, Hazleton, PA 18201-3266 | 5704557677 | HAZLETON PROFESSIONAL SERVICES |
| 700 E Broad St, Fl 6, Hazleton, PA 18201-6835 | 5705014620 | HAZLETON PROFESSIONAL SERVICES |
| Organization Legal Name | HAZLETON PROFESSIONAL SERVICES |
| Physicians | 56 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard L Canlas | Family Medicine | Hazleton Professional Services | 50 Moisey Dr, Suite 202, Hazle Township, PA 18202-9297 |
| Jillian M Mcardle | Nurse Practitioner | Hazleton Professional Services | 241 Claremont Ave, Tamaqua, PA 18252-4302 |
| Candice Widuch-mert | Family Medicine | Hazleton Professional Services | 149 N Vine St, Hazleton, PA 18201-5852 |
| Adrian Secheresiu | Internal Medicine | Hazleton Professional Services | 500 1st St, Weatherly, PA 18255-1506 |
| Thomas J Ciotola | Cardiovascular Disease (cardiology) | Hazleton Professional Services | 141 N Vine St, Hazleton, PA 18201-5852 |
| Robin J Bohanan | Nurse Practitioner | Hazleton Professional Services | 642 State Route 93 Hwy, Suite 1, Sugarloaf, PA 18249-3127 |
| Eugene D Gorski | Family Medicine | Hazleton Professional Services | 102 Banks Ave, Sugarloaf, PA 18249-3709 |
| Robert Yamulla | Internal Medicine | Hazleton Professional Services | 128 W 14th St, Hazleton, PA 18201-3266 |
| Philip J Benyo | Internal Medicine | Hazleton Professional Services | 144 S Old Turnpike Rd, Drums, PA 18222-1720 |
| Harvey J Hotchner | Hematology/oncology | Hazleton Professional Services | 384 Airport Rd, Hazle Township, PA 18202-3325 |
| Street Address |
128 W 14TH ST |
| City | HAZLETON |
| State | PA |
| Zip | 18201-3266 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Yamulla | Internal Medicine | Hazleton Professional Services | 128 W 14th St, Hazleton, PA 18201-3266 |
| Allison Rostocki | Nurse Practitioner | Hazleton Professional Services | 128 W 14th St, Hazleton, PA 18201-3266 |
| Edward S Polashenski | Internal Medicine | Hazleton Professional Services | 128 W 14th St, Hazleton, PA 18201-3266 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle A Davenport | Certified Registered Nurse Anesthetist (crna) | Professional Anesthesia Providers, PC | 1062 N Church St, Hazleton Ambulatory, Hazleton, PA 18201 |
| Leonard F Romanowski | Certified Registered Nurse Anesthetist (crna) | Professional Anesthesia Providers, PC | 1062 N Church St, Hazleton Ambulatory, Hazleton, PA 18201 |
| Minaben D Patel | Internal Medicine | 851 Mcnair St, Hazleton, PA 18201-2275 | |
| Dilipkuma J Patel | Pulmonary Disease | 851 Mcnair St, Hazleton, PA 18201-2275 | |
| Anthony Urillo | Physical Therapy | Modern Therapeutics Inc | 1109 W 15th St, Hazleton, PA 18201-2616 |
| Thomas Plaza | Physical Therapy | Modern Therapeutics Inc | 1109 W 15th St, Hazleton, PA 18201-2616 |
| Tammy R Marushin | Occupational Therapy | Modern Therapeutics Inc | 1109 W 15th St, Hazleton, PA 18201-2616 |
| Ericka Mary Ondeck | Occupational Therapy | 1109 W 15th St, Hazleton, PA 18201-2616 | |
| Jeffrey R Platek | Physical Therapy | Modern Therapeutics Inc | 1109 W 15th St, Hazleton, PA 18201-2616 |
| Anthony R Griguoli | Chiropractic | 1109 W 15th St, Hazleton, PA 18201-2616 | |
| Find all physicians in zip 18201 | |||
| City | HAZLETON |
| Zip Code | 18201 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | HAZLETON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Shaina Anne Grego.
| 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.