WOMEN'S WELLNESS CENTER, P.C. (NPI# 1073570859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073570859 |
| Entity Type | Organization |
| Organization Name | WOMEN'S WELLNESS CENTER, P.C. |
| Practice Address |
743 Jefferson Ave Suite 206 Scranton PA 18510-1635 |
| Practice Telephone | 5703419818 |
| Practice Fax Number | 5703419950 |
| Mailing Telephone | 5703419818 |
| Mailing Fax Number | 5703419950 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2008-09-18 |
| Authorized Official Name | DR. J MICHAEL TEDESCO (PRESIDENT) |
| Authorized Official Telephone | 5703419818 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | OS003900L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | STATE LICENSE | OS0039OOL | 01 |
| PA | DEA | BT0825767 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | WOMEN'S WELLNESS CENTER, P.C. | 4170 Pennsylvania Ave., Dubuque, IA 52001 |
| Street Address |
743 JEFFERSON AVE SUITE 206 |
| City | SCRANTON |
| State | PA |
| Zip Code | 18510-1635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518950914 | Barbara Plucknett | Obstetrics & Gynecology | 743 Jefferson Ave, Suite 203, Scranton, PA 18510-1635 | 2005-08-31 |
| 1972988327 | Karen Zikosky | Nurse Practitioner | 743 Jefferson Ave, Suite 104, Scranton, PA 18510-1639 | 2015-07-28 |
| 1134536105 | Lori Bonafede | Nurse Practitioner | 743 Jefferson Ave, Suite 203, Scranton, PA 18510-1635 | 2014-07-22 |
| 1306070735 | Nishant Sethi | Internal Medicine | 743 Jefferson Ave, Suite 305, Scranton, PA 18510-1635 | 2009-05-13 |
| 1750526141 | Pardeep Bansal | Internal Medicine | 743 Jefferson Ave, Suite 104, Scranton, PA 18510-1639 | 2008-12-13 |
| 1972765063 | Barbara Plucknett Md | Obstetrics & Gynecology | 743 Jefferson Ave, Suite 203, Scranton, PA 18510-1635 | 2008-06-30 |
| 1073770533 | Scranton Hematology Oncology | Internal Medicine | 743 Jefferson Ave, Suite 205, Scranton, PA 18510-1635 | 2008-05-21 |
| 1639251820 | Gregory H Enders | Specialist | 743 Jefferson Ave, Suite 104, Scranton, PA 18510-1639 | 2006-10-19 |
| 1194815167 | Terrence P Lenahan | Internal Medicine | 743 Jefferson Ave, Scranton, PA 18510-1635 | 2006-10-13 |
| 1538175724 | Kenneth M Jacobs | Internal Medicine | 743 Jefferson Ave, Suite 303, Scranton, PA 18510-1635 | 2006-07-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427432335 | Marla Osborne Dempsey | Family Medicine | 1141 Clay Ave Ste 1, Dunmore, PA 18510 | 2015-07-10 |
| 1669620043 | Mary Jane Miskovsky | Nurse Practitioner | 800 Linden Street, University of Scranton Student Health Service, Scranton, PA 18510 | 2008-08-28 |
| 1427174739 | Cheryl Friedman | Registered Nurse | 1710 Mulberry Street, Scranton, PA 18510 | 2007-03-21 |
| 1619092970 | Susan Rudalavage | Dietitian, Registered | 640 Madison Avenue, Scranton, PA 18510 | 2007-03-19 |
| 1851469738 | Lackawanna Surgery Center LLC | Clinic/Center | 415 Adams Avenue, Scranton, PA 18510 | 2006-12-01 |
| 1679666150 | Nicholas M. Rocco | Nurse Anesthetist, Certified Registered | 700 Quincy Ave., Scranton, PA 18510 | 2006-10-02 |
| 1710927587 | Care Plus Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Jefferson Ave, Scranton, PA 18510 | 2006-06-08 |
| 1619934189 | James M Haggerty | Podiatrist | 521 Ash Street, Dunmore, PA 18510 | 2006-04-28 |
| 1962461145 | Kevin G Madden | Psychiatry & Neurology | 802 Jefferson Avenue, Scranton, PA 18510 | 2006-03-17 |
| 1720058795 | Mark Trently | Nurse Anesthetist, Certified Registered | 1822 Jmulberry St, Scranton, PA 18510 | 2006-01-24 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942427455 | Maternal & Family Health Services, Inc. | Obstetrics & Gynecology | 315 Colfax Ave, Third Floor, Scranton, PA 18510-2524 | 2007-04-19 |
| 1801905583 | Antoine A Naim | Obstetrics & Gynecology | 521 Mt Pleasant Dr Ste 101, Scranton, PA 18503-1993 | 2006-08-29 |
| 1104896042 | Andrea Marissa Tomassoni | Obstetrics & Gynecology | 521 Mt Pleasant Dr, Suite 101, Scranton, PA 18503-1987 | 2006-01-24 |
| 1699762302 | Kristine Mcnulty | Obstetrics & Gynecology | 748 Quincy Ave, Ste 2a, Scranton, PA 18510-1739 | 2005-09-29 |
| 1518950914 | Barbara Plucknett | Obstetrics & Gynecology | 743 Jefferson Ave, Suite 203, Scranton, PA 18510-1635 | 2005-08-31 |
| 1861498321 | Richard John Burns Jr. | Obstetrics & Gynecology | 321 Spruce St, Ste 609, Scranton, PA 18503-1409 | 2005-06-21 |
| 1114306123 | Anthony Christopher Lewis | Obstetrics & Gynecology | 531 Mt Pleasant Dr, Scranton, PA 18503-1987 | 2015-05-22 |
| 1407240633 | Megan Beaton | Obstetrics & Gynecology | 531 Mt Pleasant Dr, Scranton, PA 18503-1987 | 2015-03-25 |
| 1043638240 | Melissa Grace Marji | Obstetrics & Gynecology | 521 Mt Pleasant Dr Ste 101, Scranton, PA 18503 | 2014-04-03 |
| 1669794707 | Jennifer Marie Swenski | Obstetrics & Gynecology | 748 Quincy Ave, Suite 2a, Scranton, PA 18510-1739 | 2010-02-16 |
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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.