STATE COLLEGE FAMILY MEDICINE (NPI# 1003894163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003894163 |
| Entity Type | Organization |
| Organization Name | STATE COLLEGE FAMILY MEDICINE |
| Practice Address |
2188 Sandy Dr. Suite A State College PA 16803 |
| Mailing Address |
2188 Sandy Dr. Suite A. State College PA 16803 |
| Practice Telephone | 8142781977 |
| Practice Fax Number | 8142720070 |
| Mailing Telephone | 8142781977 |
| Mailing Fax Number | 8142720070 |
| Enumeration Date | 2006-01-08 |
| Last Update Date | 2014-10-03 |
| Authorized Official Name | DR. CHASTITY MCCLEARY (OWNER) |
| Authorized Official Telephone | 8142781977 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
2188 SANDY DR. SUITE A |
| City | STATE COLLEGE |
| State | PA |
| Zip Code | 16803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831177997 | Brian R. Mccleary | Family Medicine | 2188 Sandy Dr., Suite A, State College, PA 16803 | 2006-01-08 |
| 1386622447 | Chastity Lynn-wilkinson Mccleary. | Family Medicine | 2188 Sandy Dr., Suite A., State College, PA 16803 | 2006-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851581 | Tammy Lynn Terosky | Massage Therapist | 2134 Sandy Drive, Suite 6, State College, PA 16803 | 2020-08-12 |
| 1548748973 | Molly Gomez | Occupational Therapist | 260 Lions Hill Road, State College, PA 16803 | 2018-07-28 |
| 1568981827 | David Scott Kautz | Pharmacist | 1665 North Atherton Place, State College, PA 16803 | 2017-09-18 |
| 1245751023 | Zenovia Tarmohamed | Student in an Organized Health Care Education/Training Program | 1850 East Park Avenue, Suite 207, Penn State Health At Mount Nittany Medical Center, State College, PA 16803 | 2017-06-30 |
| 1407205362 | Alka Sood | Student in an Organized Health Care Education/Training Program | 1850 E. Park Avenue, State College, PA 16803 | 2016-06-10 |
| 1588018766 | Daniel Frankel | Student in an Organized Health Care Education/Training Program | 1850 East Park Avenue, Suite 207, State College, PA 16803 | 2016-04-14 |
| 1154791903 | Megan Widener | Physician Assistant | 2520 Green Tech Dr., Ste. D, State College, PA 16803 | 2015-10-05 |
| 1114301330 | Phuong Tran Courtney | Physician Assistant | 1613 North Atherton Street, Suite B, State College, PA 16803 | 2015-07-17 |
| 1164806840 | Amit Thatte | Student in an Organized Health Care Education/Training Program | 1850 East Park Ave., Suite 207, Penn State Hershey Medical Group, State College, PA 16803 | 2015-07-13 |
| 1245588946 | Phoenix Rehabilitation and Health Services, Inc. | Chiropractor | 1700 Old Gatesburg Road, Suite 210, State College, PA 16803 | 2012-08-28 |
| Find all providers in zip 16803 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467748996 | Christopher Robert Heron | Family Medicine | 1850 E Park Ave Ste 207, State College, PA 16803-6706 | 2011-06-23 |
| 1609187905 | Advanced Urgent Care PC | Family Medicine | 2615 E College Ave, State College, PA 16801-7512 | 2010-07-01 |
| 1255568796 | Katherine Turco | Family Medicine | 2188 Sandy Dr, Suite A, State College, PA 16803-2288 | 2009-06-11 |
| 1104025311 | Rogers Dubose Mclane | Family Medicine | 251 Easterly Parkway, Suite 102, State College, PA 16801 | 2007-07-17 |
| 1992901433 | Geronami Paul Kattupalli | Family Medicine | 341 Science Park Rd Ste 202, State College, PA 16803-2287 | 2007-06-22 |
| 1649475963 | Joshua D Handbury | Family Medicine | 1850 E. Park Avenue, Suite 207, Mc: Up08, Penn State Hershey Family Medicine Residency, State College, PA 16803 | 2007-06-18 |
| 1083710297 | Gary Franklin Schell | Family Medicine | 140 W North Hills Pl, State College, PA 16803-2919 | 2006-09-15 |
| 1790736957 | Kristen M Grine | Family Medicine | 476 Rolling Ridge Dr Ste 101, State College, PA 16801-7639 | 2006-05-12 |
| 1740245885 | Edward Zuroweste Zuroweste II | Family Medicine | 878 N Allen St, State College, PA 16803-2963 | 2006-04-20 |
| 1639134562 | Angelique Clemson | Family Medicine | 2023 Cato Ave Ste 101, State College, PA 16801-2765 | 2006-04-20 |
| Find all providers in STATE COLLEGE | ||||
| City | STATE COLLEGE |
| Zip Code | 16803 |
Please comment or provide details below to improve the information on STATE COLLEGE FAMILY MEDICINE.
| 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.