Edward J Dzielak (NPI# 1386611440, PAC ID# 5092737114) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1386611440 |
| PAC ID by PECOS | 5092737114 |
| Professional Enrollment ID | I20100317000163 |
| Full Name | Edward J Dzielak |
| Organization Legal Name | SCRANTON QUINCY CLINIC COMPANY LLC |
| Address |
407 N State St Physicians Health Alliance Clarks Summit PA 18411-1061 |
| Phone Number | 5705861134 |
| Gender | M |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0143487389 |
| Number of Group Practice Members | 83 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390119 | MOSES TAYLOR HOSPITAL |
| 390137 | WILKES-BARRE GENERAL HOSPITAL |
| 390001 | GEISINGER - COMMUNITY MEDICAL CENTER |
| 390125 | WAYNE MEMORIAL HOSPITAL |
| 390237 | REGIONAL HOSPITAL OF SCRANTON |
| Address | Phone | Organization |
|---|---|---|
| 822 Mcalpine St, Avoca, PA 18641-1140 | 5704141080 | SCRANTON QUINCY CLINIC COMPANY LLC |
| 822 Mcalpine St, Suite 6, Avoca, PA 18641-1140 | 5704141080 | SCRANTON QUINCY CLINIC COMPANY LLC |
| 751 E 16th St, Berwick, PA 18603-2321 | 5708025740 | SCRANTON QUINCY CLINIC COMPANY LLC |
| 751 E 16th St, Suite 100, Berwick, PA 18603-2321 | 5708025740 | SCRANTON QUINCY CLINIC COMPANY LLC |
| 3151 Columbia Blvd, Bloomsburg, PA 17815-8889 | 5704160460 | SCRANTON QUINCY CLINIC COMPANY LLC |
| 150 Brooklyn St, Carbondale, PA 18407-2274 | 5708766470 | SCRANTON QUINCY CLINIC COMPANY LLC |
| 150 Brooklyn St, Physicians Health Alliance, Carbondale, PA 18407-2274 | 5708766470 | SCRANTON QUINCY CLINIC COMPANY LLC |
| 407 N State St, Physicians Health Alliance, Clarks Summit, PA 18411-1061 | 5705861134 | SCRANTON QUINCY CLINIC COMPANY LLC |
| 407 N State St, Clarks Summit, PA 18411-1061 | 5705861134 | SCRANTON QUINCY CLINIC COMPANY LLC |
| 260 Daleville Highway, 103 Physicians Health Alliance, Covington Township, PA 18444-7951 | 5708427746 | SCRANTON QUINCY CLINIC COMPANY LLC |
| 260 Daleville Highway, Covington Township, PA 18444-7951 | 5708427746 | SCRANTON QUINCY CLINIC COMPANY LLC |
| 890 Viewmont Dr, Dickson City, PA 18519-1699 | 5702074360 | SCRANTON QUINCY CLINIC COMPANY LLC |
| 1141 Clay Ave, Suite 1, Dunmore, PA 18510-1191 | 5703431722 | SCRANTON QUINCY CLINIC COMPANY LLC |
| 1141 Clay Ave, Dunmore, PA 18510-1191 | 5703431722 | SCRANTON QUINCY CLINIC COMPANY LLC |
| 521 Ash St, 1 Physicians Health Alliance, Dunmore, PA 18509-2909 | 5703442244 | SCRANTON QUINCY CLINIC COMPANY LLC |
| 521 Ash St, Dunmore, PA 18509-2909 | 5703442244 | SCRANTON QUINCY CLINIC COMPANY LLC |
| 24 Main St, Luzerne, PA 18709-1212 | 5707141444 | SCRANTON QUINCY CLINIC COMPANY LLC |
| 315 S Main St, Physicians Health Alliance, Old Forge, PA 18518-1606 | 5704578364 | SCRANTON QUINCY CLINIC COMPANY LLC |
| 315 S Main St, Old Forge, PA 18518-1606 | 5704578364 | SCRANTON QUINCY CLINIC COMPANY LLC |
| 1400 Main St, Peckville, PA 18452-2078 | 5703077600 | SCRANTON QUINCY CLINIC COMPANY LLC |
| 670 N River St, Suite 201, Plains, PA 18705-1029 | 5702080150 | SCRANTON QUINCY CLINIC COMPANY LLC |
| 670 N River St, Plains, PA 18705-1029 | 5702080150 | SCRANTON QUINCY CLINIC COMPANY LLC |
| 672 N River St, Plains, PA 18705-1033 | 5705521750 | SCRANTON QUINCY CLINIC COMPANY LLC |
| 672 N River St, Suite 111, Plains, PA 18705-1033 | 5705521750 | SCRANTON QUINCY CLINIC COMPANY LLC |
| Physicians Health Alliance, 670 North River Street Suite 201, Plains, PA 18705-1029 | 5702080150 | SCRANTON QUINCY CLINIC COMPANY LLC |
| Physicians Health Alliance, Plains, PA 18705-1029 | 5702080150 | SCRANTON QUINCY CLINIC COMPANY LLC |
| 1032 N Washington Ave, Scranton, PA 18509-2918 | 5705588660 | SCRANTON QUINCY CLINIC COMPANY LLC |
| 521 Mt Pleasant Dr, Scranton, PA 18503-1987 | 5703467338 | SCRANTON QUINCY CLINIC COMPANY LLC |
| 521 Mt Pleasant Dr, 101 Physicians Health Alliance, Scranton, PA 18503-1987 | 5703467338 | SCRANTON QUINCY CLINIC COMPANY LLC |
| 700 Quincy Ave, Physicians Health Alliance, Scranton, PA 18510-1724 | 8665190457 | SCRANTON QUINCY CLINIC COMPANY LLC |
| 700 Quincy Ave, Scranton, PA 18510-1724 | 8665190457 | SCRANTON QUINCY CLINIC COMPANY LLC |
| 743 Jefferson Ave, Scranton, PA 18510-1636 | 5703449457 | SCRANTON QUINCY CLINIC COMPANY LLC |
| 743 Jefferson Ave, Suite 104, Scranton, PA 18510-1636 | 5703449457 | SCRANTON QUINCY CLINIC COMPANY LLC |
| 743 Jefferson Ave, Scranton, PA 18510-1635 | SCRANTON QUINCY CLINIC COMPANY LLC | |
| 743 Jefferson Ave, Suite 302, Scranton, PA 18510-1639 | 5703449457 | SCRANTON QUINCY CLINIC COMPANY LLC |
| 746 Jefferson Ave, Scranton, PA 18510-1697 | 5703405079 | SCRANTON QUINCY CLINIC COMPANY LLC |
| 748 Quincy Ave, Scranton, PA 18510-1739 | SCRANTON QUINCY CLINIC COMPANY LLC | |
| 611 Morgan Hwy, South Abington Township, PA 18411-9128 | 5708566637 | SCRANTON QUINCY CLINIC COMPANY LLC |
| 5950 State Route 6, Tunkhannock, PA 18657-7905 | 5708366808 | SCRANTON QUINCY CLINIC COMPANY LLC |
| 5950 State Route 6, 4th Floor, Tunkhannock, PA 18657-7905 | 5708366808 | SCRANTON QUINCY CLINIC COMPANY LLC |
| 545 N River St, Suite 200, Wilkes-barre, PA 18702-2643 | 5707141750 | SCRANTON QUINCY CLINIC COMPANY LLC |
| 545 N River St, Wilkes-barre, PA 18702-2643 | 5707141750 | SCRANTON QUINCY CLINIC COMPANY LLC |
| Organization Legal Name | SCRANTON QUINCY CLINIC COMPANY LLC |
| Physicians | 97 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Renata Meyer | Internal Medicine | Scranton Quincy Clinic Company LLC | 260 Daleville Hwy, Suite 103, Covington Township, PA 18444-7951 |
| Kelsey Madden | Nurse Practitioner | Scranton Quincy Clinic Company LLC | 611 Morgan Hwy, South Abington Township, PA 18411-9128 |
| Michael Vito Brown | Family Medicine | Scranton Quincy Clinic Company LLC | 5950 State Route 6, 4th Floor, Tunkhannock, PA 18657-7905 |
| Jennifer Swenski | Obstetrics/gynecology | Scranton Quincy Clinic Company LLC | 748 Quincy Ave, Suite 2a, Scranton, PA 18510-1739 |
| Peter Cognetti | Family Medicine | Scranton Quincy Clinic Company LLC | 822 Mcalpine St, Suite 6, Avoca, PA 18641-1140 |
| Nalini G Kakimallaiah | Internal Medicine | Scranton Quincy Clinic Company LLC | 700 Quincy Ave, Scranton, PA 18510-1724 |
| James A Sheerer | Internal Medicine | Scranton Quincy Clinic Company LLC | 1032 N Washington Ave, Scranton, PA 18509-2918 |
| Barry Lee Green | Obstetrics/gynecology | Scranton Quincy Clinic Company LLC | 150 Brooklyn St, Carbondale, PA 18407-2274 |
| Richard T Behlke | Obstetrics/gynecology | Scranton Quincy Clinic Company LLC | 521 Mt Pleasant Dr, Suite 101, Scranton, PA 18503-1993 |
| Dana M Montgomery | Family Medicine | Scranton Quincy Clinic Company LLC | 315 S Main St, Old Forge, PA 18518-1606 |
| Street Address |
407 N STATE ST PHYSICIANS HEALTH ALLIANCE |
| City | CLARKS SUMMIT |
| State | PA |
| Zip | 18411-1061 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alison M Burd | Optometry | 407 N State St, Desloge, MO 63601-3053 | |
| Jeffrey M Montgomery | Family Medicine | Scranton Quincy Clinic Company LLC | 407 N State St, Physicians Health Alliance, Clarks Summit, PA 18411-1061 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Denise Marie Karpowicz | Chiropractic | 210 N State St, Suite 3 Karpowicz Chiropractic Center, Clarks Summit, PA 18411-1008 | |
| Andrew James Hawley | Chiropractic | 210 N State St, Clarks Summit, PA 18411-1008 | |
| Sheela Prahalad | Internal Medicine | 319 N State St, Clarks Summit, PA 18411-1059 | |
| Linda D Barrasse | Cardiovascular Disease (cardiology) | Samir B Pancholy LLC | 401 N State St, Clarks Summit, PA 18411-1061 |
| Haitham Abughnia | Cardiovascular Disease (cardiology) | Samir B Pancholy LLC | 401 N State St, Clarks Summit, PA 18411-1061 |
| Samir Bipin Pancholy | Cardiovascular Disease (cardiology) | Samir B Pancholy LLC | 401 N State St, Clarks Summit, PA 18411-1061 |
| Ann G Arcurie | Nurse Practitioner | Samir B Pancholy LLC | 401 N State St, Clarks Summit, PA 18411-1061 |
| John P Deleon Jr. | Chiropractic | 402 N State St, Clarks Summit, PA 18411-1062 | |
| Jeffrey W Muir | Podiatry | 412 N State St, Clarks Summit, PA 18411-1062 | |
| Patricia Joanna Fox | Psychologist, Clinical | 203 Greenwood Ave, Suite 1, Clarks Summit, PA 18411-1409 | |
| Find all physicians in zip 18411 | |||
| City | CLARKS SUMMIT |
| Zip Code | 18411 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CLARKS SUMMIT + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Edward J Dzielak.
| 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.