Leon Sidorek (NPI# 1336145085, PAC ID# 6709913718) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
Nation Provider ID (NPI) | 1336145085 |
PAC ID by PECOS | 6709913718 |
Professional Enrollment ID | I20100423000114 |
Full Name | Leon Sidorek |
Address |
12 Grace Dr Suite 2 Tunkhannock PA 18657-9120 |
Phone Number | 5708363668 |
Gender | M |
Medical School | DR. WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE |
Graduation Year | 1985 |
Primary Specialty | PODIATRY |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
390270 | GEISINGER WYOMING VALLEY MEDICAL CENTER |
390192 | TYLER MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
12 Grace Dr, Suite 2, Tunkhannock, PA 18657-9120 | 5708363668 |
Street Address |
12 GRACE DR SUITE 2 |
City | TUNKHANNOCK |
State | PA |
Zip | 18657-9120 |
Name | Specialty | Organization | Address |
---|---|---|---|
Erica Hope Gallagher | Qualified Audiologist | 5950 Rte, Suite 6, Tunkhannock, PA 18657 | |
Kara B Golden | Clinical Social Worker | 130 Bridge St, Suite 5, Tunkhannock, PA 18657-1354 | |
Elissa Jacob | Physical Therapy | Pivot Physical Therapy of Pennsylvania LLC | 25 W St, Procare Physical Therapy, Tunkannock, PA 18657-1405 |
Christopher R Boroch | Physical Therapy | Pivot Physical Therapy of Pennsylvania LLC | 25 W St, Procare Physical Therapy, Tunkannock, PA 18657-1405 |
Bo Marcy | Physical Therapy | Pivot Physical Therapy of Pennsylvania LLC | 25 W St, Procare Physical Therapy, Tunkannock, PA 18657-1405 |
Timothy J Kerestes | Physical Therapy | Pivot Physical Therapy of Pennsylvania LLC | 25 W St, Procare Physical Therapy, Tunkannock, PA 18657-1405 |
Tiffany Hawkins | Qualified Speech Language Pathologist | Pivot Physical Therapy of Pennsylvania LLC | 25 W St, Procare Physical Therapy, Tunkannock, PA 18657-1405 |
Laura L Sickler | Registered Dietitian Or Nutrition Professional | 51 Franklin Ave, Tunkhannock, PA 18657-1414 | |
Sandra B Lane | Chiropractic | 166 W Tioga St, Tunkhannock, PA 18657-1466 | |
Stacey E Ishley | Nurse Practitioner | Childrens Service Center of Wyoming Valley Inc | 133 W Tioga St, Rcc Tunkhannock, Tunkhannock, PA 18657-1496 |
Find all physicians in zip 18657 |
City | TUNKHANNOCK |
Zip Code | 18657 |
Specialty | PODIATRY |
City + Specialty | TUNKHANNOCK + PODIATRY |
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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.