Robert Grzonka (NPI# 1750374633, PAC ID# 9830127422) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1750374633 |
| PAC ID by PECOS | 9830127422 |
| Professional Enrollment ID | I20140729000390 |
| Full Name | Robert Grzonka |
| Organization Legal Name | SUSQUEHANNA PHYSICIAN SERVICES |
| Address |
1705 Warren Ave Suite 101 103 Williamsport PA 17701-2647 |
| Phone Number | 5703212020 |
| Gender | M |
| Credential | MD |
| Medical School | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
| Graduation Year | 1985 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 2264336460 |
| Number of Group Practice Members | 358 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390045 | WILLIAMSPORT REGIONAL MEDICAL CENTER |
| 390071 | LOCK HAVEN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1705 Warren Ave, Suite 101 103, Williamsport, PA 17701-2647 | 5703212020 | SUSQUEHANNA PHYSICIAN SERVICES |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 80% | |
| MIPS_EC_047_overall | Care Plan | 80% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 60% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 60% |
| Organization Legal Name | SUSQUEHANNA PHYSICIAN SERVICES |
| Physicians | 364 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn M Morton | Otolaryngology | Susquehanna Physician Services | 1705 Warren, 205 Suite U4 Susquehanna Health Ent, Williamsport, PA 17701-2647 |
| Suarna Mehulic | Hospitalist | Susquehanna Physician Services | 24 Cree Dr, Lock Haven, PA 17745-2639 |
| Michael Pearl | Physician Assistant | Susquehanna Physician Services | 610 High St, Lock Haven, PA 17745-3031 |
| Georgios Klironomos | Neurosurgery | Susquehanna Physician Services | 740 High St, Suite 3002, Williamsport, PA 17701-3102 |
| Andrew Boiywo | Nurse Practitioner | Susquehanna Physician Services | 1705 Warren Ave, Suite 206, Williamsport, PA 17701-2664 |
| Ashokkumar H Gaba | Hospitalist | Susquehanna Physician Services | 700 High St, Williamsport, PA 17701-3100 |
| Steven A Barrows | Family Medicine | Susquehanna Physician Services | 10 Shady Ln, Suite 101, Muncy, PA 17756-8807 |
| Steven M Hawley | Podiatry | Susquehanna Physician Services | 1100 Grampian Blvd, Williamsport, PA 17701-1909 |
| Jennifer R Rager | Otolaryngology | Susquehanna Physician Services | 330 N 12th St, Suite D Community Care Ear Nose and Throat, Sunbury, PA 17801-1654 |
| Nathaniel David Hare | Allergy/immunology | Susquehanna Physician Services | 451 River Ave, Williamsport, PA 17701-3722 |
| Street Address |
1705 WARREN AVE SUITE 101 103 |
| City | WILLIAMSPORT |
| State | PA |
| Zip | 17701-2647 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Boiywo | Nurse Practitioner | Susquehanna Physician Services | 1705 Warren Ave, Suite 206, Williamsport, PA 17701-2664 |
| Ashley E Vanord | Physician Assistant | Susquehanna Physician Services | 1705 Warren Ave, Suite 101 103, Williamsport, PA 17701-2647 |
| Felicia Ann Kelly | Nurse Practitioner | Susquehanna Physician Services | 1705 Warren Ave, 303 Susquehanna Health Family Medicine, Williamsport, PA 17701-2665 |
| Alicia Meadows | Rheumatology | Susquehanna Physician Services | 1705 Warren Ave, Suite 101 103, Williamsport, PA 17701-2647 |
| A Scott Niditch | Urology | Susquehanna Physician Services | 1705 Warren Ave, Suite 206, Williamsport, PA 17701-2664 |
| Annette L Mileto | Physician Assistant | Susquehanna Physician Services | 1705 Warren Ave, 303 Susquehanna Health Family Medicine, Williamsport, PA 17701-2665 |
| Glenn T Bloiso | Urology | Susquehanna Physician Services | 1705 Warren Ave, Suite 206, Williamsport, PA 17701-2664 |
| Alfred Konopka Bachiller | Family Medicine | Susquehanna Physician Services | 1705 Warren Ave, 303 Susquehanna Health Family Medicine, Williamsport, PA 17701-2665 |
| Christopher E Reilly | Urology | Susquehanna Physician Services | 1705 Warren Ave, Suite 206, Williamsport, PA 17701-2664 |
| Kelly D Douglass | Nurse Practitioner | Susquehanna Physician Services | 1705 Warren Ave, 303 Susquehanna Health Family Medicine, Williamsport, PA 17701-2665 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer R Zelewicz | Clinical Social Worker | Rear 1012 Washington Blvd, Williamsport, PA 17701-1012 | |
| Russell L Gombosi | Internal Medicine | 3155 Lycoming Creek Rd, Williamsport, PA 17701-1032 | |
| Darrin Lynn Wascher | Chiropractic | 2403 Lycoming Creek Rd, Williamsport, PA 17701-1163 | |
| Thomas Robert Piccirilli | Optometry | Independence Corporation | 1831 Lycoming Creek Rd, Williamsport, PA 17701-1523 |
| David G Wascher | Chiropractic | 1905 Mill Ln, Williamsport, PA 17701-1527 | |
| Damon G Wascher | Chiropractic | 1905 Mill Ln, Williamsport, PA 17701-1527 | |
| Gregory A Johnson | Chiropractic | 730 Wildwood Blvd, Williamsport, PA 17701-1648 | |
| Brett L Johnson | Chiropractic | 730 Wildwood Blvd, Williamsport, PA 17701-1648 | |
| Danielle Farer | Nurse Practitioner | Gps Physician Group, PC | 1201 Rural Ave, Williamsport, PA 17701-1669 |
| Lee Michael Ciccarelli | Geriatric Medicine | 1251 Rural Ave, Williamsport, PA 17701-1697 | |
| Find all physicians in zip 17701 | |||
| City | WILLIAMSPORT |
| Zip Code | 17701 |
| Specialty | UROLOGY |
| City + Specialty | WILLIAMSPORT + UROLOGY |
Please comment or provide details below to improve the information on Robert Grzonka.
| 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.