Timothy James Legg (NPI# 1063427417, PAC ID# 6507027364) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1063427417 |
| PAC ID by PECOS | 6507027364 |
| Professional Enrollment ID | I20120423000395 |
| Full Name | Timothy James Legg |
| Organization Legal Name | PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES |
| Address |
1451 Hillside Dr Clarks Summit PA 18411-9504 |
| Phone Number | 5708577251 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0547168064 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1451 Hillside Dr, Clarks Summit, PA 18411-9504 | 5708577251 | PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES |
| 340 Montage Mountain Rd, Moosic, PA 18507-1707 | 5703463686 | MATTHEW A BERGER MD PC |
| Organization Legal Name | PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Simpson | Internal Medicine | Pennsylvania Department of Human Services | 200 State Hospital Dr, Danville, PA 17821-9103 |
| Lawrence Laszlo Von Rago | Psychiatry | Pennsylvania Department of Human Services | 827 Oley Valley Rd, White Haven, PA 18661-3043 |
| Eileen P Neely | Internal Medicine | Pennsylvania Department of Human Services | 1 Lakewood Cir, Polk, PA 16342-5511 |
| Robert G Yager Jr. | Psychiatry | Pennsylvania Department of Human Services | 1451 Hillside Dr, Clarks Summit, PA 18411-9504 |
| Brian P Andrews | Psychologist, Clinical | Pennsylvania Department of Human Services | 10058 S Mountain Rd, South Mountain, PA 17261-0900 |
| Susan E. Lightbourn | Internal Medicine | Pennsylvania Department of Human Services | 4501 Admiral Peary Hwy, Ebensburg, PA 15931-4332 |
| Consolacion A Alcantara | Psychiatry | Pennsylvania Department of Human Services | 1001 Sterigere St, Norristown, PA 19401-5300 |
| Theodore L Hetrick | Emergency Medicine | Pennsylvania Department of Human Services | 1000 Us Hwy 522, Selinsgrove, PA 17870-8707 |
| Gina Marie Gazdak | Nurse Practitioner | Pennsylvania Department of Human Services | 33 Main Dr, North Warren, PA 16365-5001 |
| Joseph Selim Soliman | Internal Medicine | Pennsylvania Department of Human Services | 1451 Hillside Dr, Clarks Summit, PA 18411-9504 |
| Street Address |
1451 HILLSIDE DR |
| City | CLARKS SUMMIT |
| State | PA |
| Zip | 18411-9504 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert G Yager Jr. | Psychiatry | Pennsylvania Department of Human Services | 1451 Hillside Dr, Clarks Summit, PA 18411-9504 |
| Joseph Selim Soliman | Internal Medicine | Pennsylvania Department of Human Services | 1451 Hillside Dr, Clarks Summit, PA 18411-9504 |
| Michael F Hennigan | Nurse Practitioner | Pennsylvania Department of Human Services | 1451 Hillside Dr, Clarks Summit, PA 18411-9504 |
| Kenneth H Rudolph | Internal Medicine | Pennsylvania Department of Human Services | 1451 Hillside Dr, Clarks Summit, PA 18411-9504 |
| Marsha E Modery | Internal Medicine | Pennsylvania Department of Human Services | 1451 Hillside Dr, Clarks Summit, PA 18411-9504 |
| Jonathan W Bortz | Internal Medicine | Pennsylvania Department of Human Services | 1451 Hillside Dr, Clarks Summit, PA 18411-9504 |
| 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 |
| Jeffrey M Montgomery | Family Medicine | Scranton Quincy Clinic Company LLC | 407 N State St, Physicians Health Alliance, Clarks Summit, PA 18411-1061 |
| Edward J Dzielak | Internal Medicine | Scranton Quincy Clinic Company LLC | 407 N State St, Physicians Health Alliance, Clarks Summit, PA 18411-1061 |
| John P Deleon Jr. | Chiropractic | 402 N State St, Clarks Summit, PA 18411-1062 | |
| Find all physicians in zip 18411 | |||
| City | CLARKS SUMMIT |
| Zip Code | 18411 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CLARKS SUMMIT + NURSE PRACTITIONER |
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| 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.