NORTH EAST FAMILY PRACTICE (NPI# 1003064924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003064924 |
| Entity Type | Organization |
| Organization Name | NORTH EAST FAMILY PRACTICE |
| Practice Address |
115 E Main St North East PA 16428-1330 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 8147258774 |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2012-10-23 |
| Authorized Official Name | KENNY HEINE (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8586252990 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | OS006274L | PA | Suppliers |
| Street Address |
115 E MAIN ST |
| City | NORTH EAST |
| State | PA |
| Zip Code | 16428-1330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215491873 | Sarah Jane Wick | Physician Assistant | 115 E Main St, North East, PA 16428-1330 | 2019-01-29 |
| 1427100049 | Dudzinski Enterprises Inc | Clinical Medical Laboratory | 115 E Main St, North East, PA 16428-1330 | 2007-01-16 |
| 1154490480 | Dudzinski Enterprises, Inc. | Family Medicine | 115 E Main St, North East, PA 16428-1330 | 2006-11-08 |
| 1366409062 | Philip Charles Devore | Family Medicine | 115 E Main St, North East, PA 16428-1330 | 2006-04-27 |
| 1174580070 | John Eric Dudzinski | Family Medicine | 115 E Main St, North East, PA 16428-1330 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225454176 | Home 4 You Home Care | Home Health | 1 1/2 East Main St, Suite 216, North East, PA 16428 | 2014-03-14 |
| 1871703413 | Julianne L Watts | Physical Therapist | 12100 Trinity Road, North East, PA 16428 | 2007-05-23 |
| 1346257573 | Joseph M Oleary | Dentist | 35 W Main St, North East, PA 16428 | 2006-08-01 |
| 1881693661 | Jennifer Diane Majewski | Physician Assistant | 2060 N Pearl St, Vineyard Primary Care, North East, PA 16428 | 2005-07-14 |
| 1699890871 | Megan A Johnson | Specialist | 16 W Division St, North East, PA 16428-1008 | 2007-03-20 |
| 1386181600 | Meghan Short | Specialist/Technologist | 16 W Division St, North East, PA 16428-1008 | 2017-01-24 |
| 1780687913 | Community Nursing Services of North East | Hospice Care, Community Based | 7 Park St, North East, PA 16428-1016 | 2005-05-23 |
| 1679609580 | Michael F Turner | Dentist | 40 Gibson St, North East, PA 16428-1049 | 2007-02-26 |
| 1326113655 | Julie Marie Haas | Speech-Language Pathologist | 61 W Main St, North East, PA 16428-1103 | 2006-11-21 |
| 1609190701 | Richard A Rose | Pharmacist | 105 W Main St, North East, PA 16428-1119 | 2010-03-17 |
| Find all providers in zip 16428 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588704787 | Hamot Health Foundation | Non-Pharmacy Dispensing Site | 41 W Main St, North East, PA 16428-1135 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932723806 | Cerner Health Connections, Inc | Non-Pharmacy Dispensing Site | 719 Dresher Rd Ste B, Horsham, PA 19044-2205 | 2020-06-05 |
| 1144844507 | Diamond Drugs, Inc. | Non-Pharmacy Dispensing Site | 665 Kolter Dr, Indiana, PA 15701-3570 | 2020-06-02 |
| 1023655602 | Dedicated Pennsylvania Holding, LLC | Non-Pharmacy Dispensing Site | 330 W Oregon Ave # 170, Philadelphia, PA 19148-4723 | 2019-12-03 |
| 1275193336 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 103 Nesbitt Rd, New Castle, PA 16105-3401 | 2019-06-19 |
| 1770141491 | R&r Eyewear Imports, Inc. | Non-Pharmacy Dispensing Site | 311 W Moreland Rd, Willow Grove, PA 19090-3107 | 2019-05-29 |
| 1174089858 | Centers for Advanced Urology, LLC | Non-Pharmacy Dispensing Site | 400 Davis Dr Ste 200a, Plymouth Meeting, PA 19462-1718 | 2019-02-18 |
| 1811469760 | Dermatology and Mohs Surgery Center PC | Non-Pharmacy Dispensing Site | 920 Lawn Ave Ste 6, Sellersville, PA 18960-1560 | 2018-12-17 |
| 1437624244 | Highpoint Pain & Rehabilitation Physicians | Non-Pharmacy Dispensing Site | 2 Village Road, Horsham, PA 19044 | 2018-10-08 |
| 1649768110 | Qpharma Inc | Non-Pharmacy Dispensing Site | 20 Highland Park Dr Ste 202, Uniontown, PA 15401-8968 | 2018-04-30 |
| 1215424536 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 1321 Fifth Ave Ste 1, Mckeesport, PA 15132-2403 | 2018-04-23 |
| Find all providers with the same taxonomy | ||||
| City | NORTH EAST |
| Zip Code | 16428 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.