Theodore L Hetrick (NPI# 1619904497, PAC ID# 7012806797) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1619904497 |
| PAC ID by PECOS | 7012806797 |
| Professional Enrollment ID | I20041018000850 |
| Full Name | Theodore L Hetrick |
| Organization Legal Name | PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES |
| Address |
1000 Us Hwy 522 Selinsgrove PA 17870-8707 |
| Phone Number | 5703725601 |
| Gender | M |
| Credential | MD |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 0547168064 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390084 | SUNBURY COMMUNITY HOSPITAL |
| 390006 | GEISINGER MEDICAL CENTER |
| 390013 | EVANGELICAL COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1000 Us Hwy 522, Selinsgrove, PA 17870-8707 | 5703725601 | PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES |
| 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 |
| Gina Marie Gazdak | Nurse Practitioner | Pennsylvania Department of Human Services | 33 Main Dr, North Warren, PA 16365-5001 |
| Timothy James Legg | Nurse Practitioner | 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 |
| Street Address |
1000 US HWY 522 |
| City | SELINSGROVE |
| State | PA |
| Zip | 17870-8707 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Saralyn Vogel | Pediatric Medicine | Geisinger Clinic | 620 University Ave, Selinsgrove, PA 17870-1154 |
| Jill Susan Sweigard | Nurse Practitioner | Geisinger Clinic | 620 University Ave, Selinsgrove, PA 17870-1154 |
| Allison L Schuessler | Pediatric Medicine | Geisinger Clinic | 620 University Ave, Selinsgrove, PA 17870-1154 |
| Robin Heintz Adams | Nurse Practitioner | Geisinger Clinic | 620 University Ave, Selinsgrove, PA 17870-1154 |
| Nancy Nickles | Pediatric Medicine | Geisinger Clinic | 620 University Ave, Selinsgrove, PA 17870-1154 |
| Richard E Sheaffer | Optometry | Richard E Sheaffer and Phillip L Wise | 326 N Broad St, Selinsgrove, PA 17870-1512 |
| Phillip L Wise | Optometry | Richard E Sheaffer and Phillip L Wise | 326 N Broad St, Selinsgrove, PA 17870-1512 |
| Diane R Michalik-bonner | Psychologist, Clinical | 3 S Market St, Selinsgrove, PA 17870-1801 | |
| Thomas G Pronek | Chiropractic | 119 N Market St, Selinsgrove, PA 17870-1905 | |
| David S Bodmer | Podiatry | 29 N Market St, Suite B, Selingrove, PA 17870-1924 | |
| Find all physicians in zip 17870 | |||
| City | SELINSGROVE |
| Zip Code | 17870 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | SELINSGROVE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Theodore L Hetrick.
| 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.