MIDDLETOWN FUNCTIONAL CENTER PC (NPI# 1003291063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003291063 |
| Entity Type | Organization |
| Organization Name | MIDDLETOWN FUNCTIONAL CENTER PC |
| Practice Address |
586 Fulling Mill Rd Middletown PA 17057-2966 |
| Mailing Address |
3781 Westerre Pkwy Suite C Richmond VA 23233-1328 |
| Practice Telephone | 7176163318 |
| Mailing Telephone | 8045540355 |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2015-10-29 |
| Authorized Official Name | ROBERT DARLING (CEO) |
| Authorized Official Telephone | 8045540355 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0010603620005 | 05 |
| Street Address |
586 FULLING MILL RD |
| City | MIDDLETOWN |
| State | PA |
| Zip Code | 17057-2966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316923543 | Cynthia G West | Internal Medicine | 586 Fulling Mill Rd, Middletown, PA 17057-2966 | 2005-12-20 |
| 1811543911 | R-health Primary Care Medical Home Pa, LLC | Internal Medicine | 586 Fulling Mill Rd, Middletown, PA 17057-2966 | 2019-08-14 |
| 1184978843 | Jane E Snyder | Nurse Practitioner | 586 Fulling Mill Rd, Middletown, PA 17057-2966 | 2012-11-02 |
| 1629356902 | Mary Ellen Francescani | Registered Nurse | 586 Fulling Mill Rd, Middletown, PA 17057-2966 | 2011-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205388105 | Jeffrey Giovino | Driver | 3265 Fulling Mill Road, Middletown, PA 17057 | 2016-10-27 |
| 1619330123 | David I Shatto Jr. | Pharmacist | 1581 Woodridge Drive, Middletown, PA 17057 | 2016-04-01 |
| 1528440344 | Alexis Rose Falcone | Occupational Therapist | 1020 N. Union Street, Middletown, PA 17057 | 2015-06-29 |
| 1477992329 | Melinda Ann Ramberger | Physical Therapy Assistant | 1020 North Union St, Middletown, PA 17057 | 2013-06-24 |
| 1700906963 | Londonderry Fire Company No.1 | Ambulance | 2655 Foxianna Road, Middletown, PA 17057 | 2007-03-30 |
| 1780711333 | Bruce S Bashline D.o. Inc. | Family Medicine | 1100 Spring Garden Drive, Middletown, PA 17057 | 2007-02-28 |
| 1619036142 | Ck Kc Inc | Pharmacy | 436 East Main Street, Middletown Pharmacy & Gift Shop, Middletown, PA 17057 | 2006-12-08 |
| 1518065242 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1565 Wharrisburg Pk, Middletown, PA 17057 | 2006-09-20 |
| 1235242512 | Andrew V Welkie | Dentist | 244 Adelia St, Middletown, PA 17057 | 2006-08-17 |
| 1790757094 | Gregory Albert Anoia Sr. | Optometrist | 120 West Water Street, Box 160, Middletown, PA 17057 | 2006-02-02 |
| Find all providers in zip 17057 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427347194 | Savio M Kumar | Internal Medicine | 200 Medical Center Dr Ste 360, Middletown, OH 45005 | 2011-04-04 |
| 1316923543 | Cynthia G West | Internal Medicine | 586 Fulling Mill Rd, Middletown, PA 17057-2966 | 2005-12-20 |
| 1457614182 | Amit Kumar Rajput | Internal Medicine | 200 Medical Center Dr Ste 360, Middletown, OH 45005-5179 | 2012-06-18 |
| 1003190711 | Rafeel O Syed | Internal Medicine | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2011-09-30 |
| 1679730162 | Roja Chimakurthi | Internal Medicine | 200 Medical Center Dr, Ste 360, Middletown, OH 45005-5200 | 2008-05-21 |
| 1689877995 | Midstate Nephrology Associates PC | Internal Medicine | 85 Church St, Middletown, CT 06457 | 2007-06-06 |
| 1407067986 | Middletown Nephrology Pllc | Internal Medicine | 225 Dolson Ave, Suite 301, Middletown, NY 10940 | 2007-05-25 |
| 1477689792 | Snehal Suryakant Patel | Internal Medicine | 200 Medical Center Dr, Ste 360, Middletown, OH 45005-5200 | 2007-02-23 |
| 1669544953 | Frantz Michel Duffoo | Internal Medicine | 707 E Main St, Middletown, NY 10940-2650 | 2006-11-14 |
| 1376626689 | Augusto Rosas | Internal Medicine | 510 E Main St, Middletown, NY 10940-2632 | 2006-10-23 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 17057 |
Please comment or provide details below to improve the information on MIDDLETOWN FUNCTIONAL CENTER PC.
| 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.