Humberto Dorta (NPI# 1629044128, PAC ID# 6103877253) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1629044128 |
| PAC ID by PECOS | 6103877253 |
| Professional Enrollment ID | I20051021000022 |
| Full Name | Humberto Dorta |
| Organization Legal Name | MEADVILLE MEDICAL CENTER |
| Address |
640 Alden St Meadville PA 16335-2348 |
| Phone Number | 8143732976 |
| Gender | M |
| Credential | MD |
| Medical School | UMDNJ-NEW JERSEY MEDICAL SCHOOL |
| Graduation Year | 2000 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 4284535790 |
| Number of Group Practice Members | 52 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390113 | MEADVILLE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 18201 Conneaut Lake Rd, Mind Body Well Ctr, Meadville, PA 16335-3757 | 8143335060 | MEADVILLE MEDICAL CENTER |
| 640 Alden St, Meadville, PA 16335-2348 | 8143732976 | MEADVILLE MEDICAL CENTER |
| 640 Alden St, Meadville, PA 16335-2348 | 8143735255 | TITUSVILLE AREA HOSPITAL |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 83% |
| Organization Legal Name | MEADVILLE MEDICAL CENTER |
| Physicians | 49 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shamus C Reimold | Family Medicine | Meadville Medical Center | 751 Liberty St, Meadville, PA 16335-2559 |
| Lee Spain | Psychiatry | Meadville Medical Center | 747 Terrace St, Meadville, PA 16335-1737 |
| Haibin Wang | Anesthesiology | Meadville Medical Center | 1015 Grove St, Meadville Pain Management, Meadville, PA 16335-2945 |
| Randy S Zelen | Internal Medicine | Meadville Medical Center | 486 S Main St, Route 7, Andover, OH 44003-9602 |
| Sharon H Palotas | Nurse Practitioner | Meadville Medical Center | 18201 Conneaut Lake Rd, Meadville, PA 16335-3757 |
| Jason Wayne Brown | Medical Oncology | Meadville Medical Center | 16792 Conneaut Lake Rd, Meadville, PA 16335-3748 |
| Diane M Horneman | Nurse Practitioner | Meadville Medical Center | 1034 Grove St, Meadville, PA 16335-2945 |
| Curtis Helgert | Family Medicine | Meadville Medical Center | 751 Liberty St, Meadville, PA 16335-2559 |
| Heather M Haskins | Physician Assistant | Meadville Medical Center | 1015 Grove St, Meadville Pain Management, Meadville, PA 16335-2945 |
| Hakeem Sam | Dermatology | Meadville Medical Center | 149 N Main St, Dermatology and Skin Surg Inst, Meadville, PA 16335-1112 |
| Street Address |
640 ALDEN ST |
| City | MEADVILLE |
| State | PA |
| Zip | 16335-2348 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristy D Netkowicz | Family Medicine | Titusville Area Hospital | 640 Alden St, Meadville, PA 16335-2348 |
| Alexis B Pearson | Nurse Practitioner | Titusville Area Hospital | 640 Alden St, Meadville, PA 16335-2348 |
| Hope M Thomas | Clinical Social Worker | Titusville Area Hospital | 640 Alden St, Meadville, PA 16335-2348 |
| Shabia Singh | Family Medicine | Titusville Area Hospital | 640 Alden St, Meadville, PA 16335-2348 |
| Kelly K Bidwell | Clinical Social Worker | Titusville Area Hospital | 640 Alden St, Meadville, PA 16335-2348 |
| Cherish H Church | Family Medicine | Titusville Area Hospital | 640 Alden St, Meadville, PA 16335-2348 |
| Joseph Mercurio | Family Medicine | Titusville Area Hospital | 640 Alden St, Meadville, PA 16335-2348 |
| James L Eppelbaum | Family Medicine | Titusville Area Hospital | 640 Alden St, Meadville, PA 16335-2348 |
| Derek A Mckay | Psychologist, Clinical | Titusville Area Hospital | 640 Alden St, Meadville, PA 16335-2348 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hakeem Sam | Dermatology | Meadville Medical Center | 149 N Main St, Dermatology and Skin Surg Inst, Meadville, PA 16335-1112 |
| Donald Kineston | Dermatology | Meadville Medical Center | 149 N Main St, Dermatology and Skin Surg Inst, Meadville, PA 16335-1112 |
| Tiffany A Replogle | Physician Assistant | Meadville Medical Center | 149 N Main St, Dermatology and Skin Surg Inst, Meadville, PA 16335-1112 |
| Paul F. Oyler | Internal Medicine | 390 Park Ave, Meadville, PA 16335-1243 | |
| Lee Spain | Psychiatry | Meadville Medical Center | 747 Terrace St, Meadville, PA 16335-1737 |
| Elizabeth A Ramsey | Psychiatry | Meadville Medical Center | 747 Terrace St, Meadville, PA 16335-1737 |
| John W Hilson Jr. | Physical Therapy | 764 Bessemer St, Suite 102, Meadville, PA 16335-1862 | |
| Kimberley S Coddington | Psychologist, Clinical | 667 N Main St, Meadville, PA 16335-1907 | |
| Juvia P Heuchert | Clinical Psychologist | 667 N Main St, Meadville, PA 16335-1907 | |
| Kelsey M Snyder | Physician Assistant | Meadville Physician Services | 764 Kennedy St, Suite 101, Meadville, PA 16335-2209 |
| Find all physicians in zip 16335 | |||
| City | MEADVILLE |
| Zip Code | 16335 |
| Specialty | PSYCHIATRY |
| City + Specialty | MEADVILLE + PSYCHIATRY |
Please comment or provide details below to improve the information on Humberto Dorta.
| 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.