Waldemar P Szczupak (NPI# 1962459701, PAC ID# 8729977939) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1962459701 |
| PAC ID by PECOS | 8729977939 |
| Professional Enrollment ID | I20040315000763 |
| Full Name | Waldemar P Szczupak |
| Organization Legal Name | KEYSTONE MEDICAL SERVICES OF BRADFORD PC |
| Address |
116 Interstate Pkwy Bradford PA 16701-1036 |
| Phone Number | 8143684143 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1975 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | GENERAL SURGERY |
| Group Practice PAC ID | 6901189562 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 391313 | CHARLES COLE MEMORIAL HOSPITAL |
| 330103 | OLEAN GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 116 Interstate Pkwy, Bradford, PA 16701-1036 | 8143684143 | KEYSTONE MEDICAL SERVICES OF BRADFORD PC |
| Organization Legal Name | KEYSTONE MEDICAL SERVICES OF BRADFORD PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Cliffo Edwards | Emergency Medicine | Keystone Medical Services of Bradford PC | 116 Interstate Pkwy, Bradford, PA 16701-1036 |
| Charles J Thurston | Emergency Medicine | Keystone Medical Services of Bradford PC | 116 Interstate Pkwy, Bradford, PA 16701-1036 |
| John Douglas Breznik | Family Medicine | Keystone Medical Services of Bradford PC | 116 Interstate Pkwy, Bradford, PA 16701-1036 |
| Street Address |
116 INTERSTATE PKWY |
| City | BRADFORD |
| State | PA |
| Zip | 16701-1036 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Marino | Anesthesiology | Great Lakes Anesthesiology PC | 116 Interstate Pkwy, Bradford, PA 16701-1036 |
| Darlene G Venezia-skaggs | Nurse Practitioner | Apogee Medical Group of Pennsylvania PC | 116 Interstate Pkwy, Bradford, PA 16701-1036 |
| Jill M Owens | Hospitalist | Apogee Medical Group of Pennsylvania PC | 116 Interstate Pkwy, Bradford, PA 16701-1036 |
| Michele M Wooten | Nurse Practitioner | Olean General Hospital | 116 Interstate Pkwy, Bradford, PA 16701-1036 |
| Javaid A Malik | Pain Management | Olean General Hospital | 116 Interstate Pkwy, Bradford, PA 16701-1036 |
| Andrew J Davidson | Nurse Practitioner | Apogee Medical Group of Pennsylvania PC | 116 Interstate Pkwy, Bradford, PA 16701-1036 |
| Frank Arnal | Pulmonary Disease | Olean General Hospital | 116 Interstate Pkwy, Bradford, PA 16701-1036 |
| Stephen C Wei | Diagnostic Radiology | Regional Radiology Associates, PC | 116 Interstate Pkwy, Bradford, PA 16701-1036 |
| Karen M Mcclain | Nurse Practitioner | Olean General Hospital | 116 Interstate Pkwy, Bradford, PA 16701-1036 |
| Latroy M Navaroli | Nurse Practitioner | 116 Interstate Pkwy, Bradford, PA 16701-1036 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Asim Makhdom | Orthopedic Surgery | Olean General Hospital | 159 Interstate Pkwy, Bradford, PA 16701-1013 |
| Aris Gredzens | Obstetrics/gynecology | Olean General Hospital | 159 Interstate Pkwy, Bradford, PA 16701-1013 |
| Donald Lee Hay | General Surgery | Olean General Hospital | 159 Interstate Pkwy, Bradford, PA 16701-1013 |
| William Lytollis | Hospitalist | Apogee Medical Group of Pennsylvania PC | 116 Interstate Pkwy, Bradford, PA 16701-1036 |
| Mark A Morici | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesiology PC | 116 Interstate Pkwy, Bradford, PA 16701-1036 |
| David K Godfrey | Urology | Olean General Hospital | 116 Interstate Pkwy, Bradford, PA 16701-1036 |
| Syed A Ally | Pathology | Olean General Hospital | 116 Interstate Pkwy, Bradford, PA 16701-1036 |
| James Cliffo Edwards | Emergency Medicine | Keystone Medical Services of Bradford PC | 116 Interstate Pkwy, Bradford, PA 16701-1036 |
| Tracey L Fowler | Nurse Practitioner | Olean General Hospital | 116 Interstate Pkwy, Bradford, PA 16701-1036 |
| Steven C Herrmann | Cardiovascular Disease (cardiology) | General Physician PC | 116 Interstate Pkwy, Bradford, PA 16701-1036 |
| Find all physicians in zip 16701 | |||
| City | BRADFORD |
| Zip Code | 16701 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BRADFORD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Waldemar P Szczupak.
| 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.