Michael E Fath (NPI# 1487631214, PAC ID# 9335043009) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1487631214 |
| PAC ID by PECOS | 9335043009 |
| Professional Enrollment ID | I20031124000566 |
| Full Name | Michael E Fath |
| Organization Legal Name | INTERMOUNTAIN MEDICAL GROUP INC |
| Address |
500 Scott St Wilkes Barre PA 18702-5616 |
| Phone Number | 5708241700 |
| Gender | M |
| Credential | DO |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7810894987 |
| Number of Group Practice Members | 73 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390137 | WILKES-BARRE GENERAL HOSPITAL |
| 390270 | GEISINGER WYOMING VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 500 Scott St, Wilkes Barre, PA 18702-5616 | 5708241700 | INTERMOUNTAIN MEDICAL GROUP INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 95% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 27% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 98% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 84% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 6% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 73% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 6% | |
| MIPS_EC_039_overall | Screening for Osteoporosis for Women Aged 65-85 Years of Age | 54% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 70% | |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 59% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 98% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 95% |
| Organization Legal Name | INTERMOUNTAIN MEDICAL GROUP INC |
| Physicians | 69 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Rittenberg | Urology | Intermountain Medical Group Inc | 423 3rd Ave, Suite B, Kingston, PA 18704-5809 |
| Tarah Zajaczkowski | Physician Assistant | Intermountain Medical Group Inc | 16 Luzerne Ave, Suite 125, West Pittston, PA 18643-2817 |
| Kelly Sabaluski | Nurse Practitioner | Intermountain Medical Group Inc | 445 Wyoming Ave, Kingston, PA 18704-3601 |
| Kelly Babinski | Nurse Practitioner | Intermountain Medical Group Inc | 743 Jefferson Ave, Suite 203, Scranton, PA 18510-1638 |
| Kevin K Musto | Internal Medicine | Intermountain Medical Group Inc | 901 Wyoming Ave, West Pittston, PA 18643-2742 |
| Fred Usoh | Anesthesiology | Intermountain Medical Group Inc | 468 Northampton St, Kingston, PA 18704-4566 |
| Kimberly T Serine | Physician Assistant | Intermountain Medical Group Inc | 1099 S Township Blvd, Pittston, PA 18640-3247 |
| Noelle Altavilla | Registered Dietitian Or Nutrition Professional | Intermountain Medical Group Inc | 2 Poplar St, Kingston, PA 18704-3709 |
| Kamlesh R Patel | Internal Medicine | Intermountain Medical Group Inc | 500 Scott St, Wilkes Barre, PA 18702-5616 |
| Daniel J Dudrick | Family Medicine | Intermountain Medical Group Inc | 610 Wyoming Ave, Suite 2, Kingston, PA 18704-3702 |
| Street Address |
500 SCOTT ST |
| City | WILKES BARRE |
| State | PA |
| Zip | 18702-5616 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kamlesh R Patel | Internal Medicine | Intermountain Medical Group Inc | 500 Scott St, Wilkes Barre, PA 18702-5616 |
| Michael G Grasso | Internal Medicine | Intermountain Medical Group Inc | 500 Scott St, Wilkes Barre, PA 18702-5616 |
| Michael F Robatin | Nurse Practitioner | Intermountain Medical Group Inc | 500 Scott St, Wilkes Barre, PA 18702-5616 |
| Ernest L Julius | Family Medicine | Intermountain Medical Group Inc | 500 Scott St, Wilkes Barre, PA 18702-5616 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Elizabeth J Sokach | Family Practice | Rural Health Corporation of Northeastern Pennsylvania | 1084 Route 315, Wilkes Barre, PA 18702-1606 |
| Raymond J Joseph | Internal Medicine | 165 Carey Ave, Wilkes Barre, PA 18702-2112 | |
| Sharon Miller | Physical Therapy | Northeast Physical Therapy, PC | 216 N River St, Suite 101, Wilkes Barre, PA 18702-2517 |
| Marianne Turosky | Physical Therapy | Northeast Physical Therapy, PC | 216 N River St, Suite 101, Wilkes Barre, PA 18702-2517 |
| Elizabeth A Gernhardt | Family Medicine | 300 Courtright St, Wilkes Barre, PA 18702-2526 | |
| Alexis H Felsman | Obstetrics/gynecology | Ob-gyn Associates, LLC | 545 N River St, Wilkes Barre, PA 18702-2600 |
| Jaromir Kohout | General Surgery | Commonwealth Physician Network LLC | 545 N River St, Suite 130, Wilkes Barre, PA 18702-2600 |
| Maria C Escano | General Surgery | Commonwealth Physician Network LLC | 545 N River St, Suite 130, Wilkes Barre, PA 18702-2600 |
| Lori Delgaudio | Obstetrics/gynecology | Ob-gyn Associates, LLC | 545 N River St, Wilkes Barre, PA 18702-2600 |
| Akram Zalatimo | Obstetrics/gynecology | 545 N River St, Suite 110, Wilkes Barre, PA 18702-2600 | |
| Find all physicians in zip 18702 | |||
| City | WILKES BARRE |
| Zip Code | 18702 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WILKES BARRE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Michael E Fath.
| 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.