Martin D Blidner (NPI# 1598827792, PAC ID# 3072790583) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RHEUMATOLOGY.
| Nation Provider ID (NPI) | 1598827792 |
| PAC ID by PECOS | 3072790583 |
| Professional Enrollment ID | I20110610000137 |
| Full Name | Martin D Blidner |
| Organization Legal Name | INTERMOUNTAIN MEDICAL GROUP INC |
| Address |
150 Mundy St Wilkes Barre PA 18702-6830 |
| Phone Number | 5708247117 |
| Gender | M |
| Graduation Year | 1975 |
| Primary Specialty | RHEUMATOLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 7810894987 |
| Number of Group Practice Members | 73 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390137 | WILKES-BARRE GENERAL HOSPITAL |
| 390270 | GEISINGER WYOMING VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 610 Wyoming Ave, Suite 2, Kingston, PA 18704-3702 | INTERMOUNTAIN MEDICAL GROUP INC | |
| 618 Wyoming Ave, Kingston, PA 18704-3702 | 5702839063 | INTERMOUNTAIN MEDICAL GROUP INC |
| 150 Mundy St, Wilkes Barre, PA 18702-6830 | 5708247117 | INTERMOUNTAIN MEDICAL GROUP INC |
| Organization Legal Name | INTERMOUNTAIN MEDICAL GROUP INC |
| Physicians | 69 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Rittenberg | Urology | Intermountain Medical Group Inc | 423 3rd Ave, Suite B, Kingston, PA 18704-5809 |
| Tarah Zajaczkowski | Physician Assistant | Intermountain Medical Group Inc | 16 Luzerne Ave, Suite 125, West Pittston, PA 18643-2817 |
| Kelly Sabaluski | Nurse Practitioner | Intermountain Medical Group Inc | 445 Wyoming Ave, Kingston, PA 18704-3601 |
| Kelly Babinski | Nurse Practitioner | Intermountain Medical Group Inc | 743 Jefferson Ave, Suite 203, Scranton, PA 18510-1638 |
| Kevin K Musto | Internal Medicine | Intermountain Medical Group Inc | 901 Wyoming Ave, West Pittston, PA 18643-2742 |
| Fred Usoh | Anesthesiology | Intermountain Medical Group Inc | 468 Northampton St, Kingston, PA 18704-4566 |
| Kimberly T Serine | Physician Assistant | Intermountain Medical Group Inc | 1099 S Township Blvd, Pittston, PA 18640-3247 |
| Noelle Altavilla | Registered Dietitian Or Nutrition Professional | Intermountain Medical Group Inc | 2 Poplar St, Kingston, PA 18704-3709 |
| Kamlesh R Patel | Internal Medicine | Intermountain Medical Group Inc | 500 Scott St, Wilkes Barre, PA 18702-5616 |
| Daniel J Dudrick | Family Medicine | Intermountain Medical Group Inc | 610 Wyoming Ave, Suite 2, Kingston, PA 18704-3702 |
| Street Address |
150 MUNDY ST |
| City | WILKES BARRE |
| State | PA |
| Zip | 18702-6830 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Denise A Zavada | Clinical Social Worker | 150 Mundy St, Wilkes Barre, PA 18702-6830 | |
| Gnanesh R Patel | Rheumatology | Intermountain Medical Group Inc | 150 Mundy St, Wilkes Barre, PA 18702-6830 |
| Nancy J Bodman Goy | Nurse Practitioner | Northeastern Rehabilitation Associates, PC | 150 Mundy St, Wilkes Barre, PA 18702-6830 |
| William R Prebola | Physical Medicine and Rehabilitation | Northeastern Rehabilitation Associates, PC | 150 Mundy St, Wilkes Barre, PA 18702-6830 |
| Vinit K Pande | Physical Medicine and Rehabilitation | Northeastern Rehabilitation Associates, PC | 150 Mundy St, Wilkes Barre, PA 18702-6830 |
| Enid Melendez Pacheco | Physical Medicine and Rehabilitation | Northeastern Rehabilitation Associates, PC | 150 Mundy St, Wilkes Barre, PA 18702-6830 |
| Peter Alan Feinstein | Orthopedic Surgery | 150 Mundy St, Wilkes Barre, PA 18702-6830 | |
| Joan Behm | Clinical Social Worker | 150 Mundy St, Suite 4, Wilkes Barre, PA 18702-6830 | |
| Christopher James Connor | Physical Medicine and Rehabilitation | Northeastern Rehabilitation Associates, PC | 150 Mundy St, Wilkes Barre, PA 18702-6830 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Elizabeth J Sokach | Family Practice | Rural Health Corporation of Northeastern Pennsylvania | 1084 Route 315, Wilkes Barre, PA 18702-1606 |
| Raymond J Joseph | Internal Medicine | 165 Carey Ave, Wilkes Barre, PA 18702-2112 | |
| Sharon Miller | Physical Therapy | Northeast Physical Therapy, PC | 216 N River St, Suite 101, Wilkes Barre, PA 18702-2517 |
| Marianne Turosky | Physical Therapy | Northeast Physical Therapy, PC | 216 N River St, Suite 101, Wilkes Barre, PA 18702-2517 |
| Elizabeth A Gernhardt | Family Medicine | 300 Courtright St, Wilkes Barre, PA 18702-2526 | |
| Alexis H Felsman | Obstetrics/gynecology | Ob-gyn Associates, LLC | 545 N River St, Wilkes Barre, PA 18702-2600 |
| Jaromir Kohout | General Surgery | Commonwealth Physician Network LLC | 545 N River St, Suite 130, Wilkes Barre, PA 18702-2600 |
| Maria C Escano | General Surgery | Commonwealth Physician Network LLC | 545 N River St, Suite 130, Wilkes Barre, PA 18702-2600 |
| Lori Delgaudio | Obstetrics/gynecology | Ob-gyn Associates, LLC | 545 N River St, Wilkes Barre, PA 18702-2600 |
| Akram Zalatimo | Obstetrics/gynecology | 545 N River St, Suite 110, Wilkes Barre, PA 18702-2600 | |
| Find all physicians in zip 18702 | |||
| City | WILKES BARRE |
| Zip Code | 18702 |
| Specialty | RHEUMATOLOGY |
| City + Specialty | WILKES BARRE + RHEUMATOLOGY |
Please comment or provide details below to improve the information on Martin D Blidner.
| 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.