MATTHEW MCDONNELL (NPI# 1093255747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093255747 |
| Entity Type | Individual |
| Full Name | MATTHEW MCDONNELL |
| Practice Address |
501 Madison Ave Scranton PA 18510-2401 |
| Practice Telephone | 5703432383 |
| Mailing Telephone | 5703432383 |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2017-02-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861452922 | Matthew Thomas Mcdonnell | Chiropractor | 913 Post Rd, Suite 2b, Wells, ME 04090-4114 | 2006-03-24 |
| 1841291507 | Matthew C Mcdonnell | Otolaryngology | 970 East Washington Street, Suite 6a, Medina, OH 44256 | 2005-08-03 |
| 1770785883 | Matthew Mcdonnell | Orthopaedic Surgery | 2 Worlds Fair Dr, Somerset, NJ 08873-1369 | 2007-06-01 |
| Street Address |
501 MADISON AVE |
| City | SCRANTON |
| State | PA |
| Zip Code | 18510-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275519530 | Julio A Ramos | Internal Medicine | 501 Madison Ave, Scranton, PA 18510-2401 | 2005-12-19 |
| 1114547361 | Brian Semanek | Student in an Organized Health Care Education/Training Program | 501 Madison Ave, Scranton, PA 18510-2401 | 2020-04-17 |
| 1457971715 | Jigar Shah | Student in an Organized Health Care Education/Training Program | 501 Madison Ave, Scranton, PA 18510-2401 | 2020-04-16 |
| 1992368708 | Jessica Beebe | Student in an Organized Health Care Education/Training Program | 501 Madison Ave, Scranton, PA 18510-2401 | 2019-04-17 |
| 1548750557 | Syed Haider | Student in an Organized Health Care Education/Training Program | 501 Madison Ave, Scranton, PA 18510-2401 | 2018-05-15 |
| 1801385331 | Dara Gammon | Family Medicine | 501 Madison Ave, Scranton, PA 18510 | 2018-05-10 |
| 1154828531 | Yagneshkumar Kamleshbhai Parekh | Student in an Organized Health Care Education/Training Program | 501 Madison Ave, Scranton, PA 18510 | 2018-04-11 |
| 1568968444 | Mirza Mujadil Ahmad | Student in an Organized Health Care Education/Training Program | 501 Madison Ave, Scranton, PA 18510-2401 | 2018-04-01 |
| 1164927133 | Dallin T Erickson | Student in an Organized Health Care Education/Training Program | 501 Madison Ave, Scranton, PA 18510-2401 | 2018-03-29 |
| 1316442486 | Rijo Thomas Philip | Student in an Organized Health Care Education/Training Program | 501 Madison Ave, Scranton, PA 18510 | 2018-03-29 |
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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 | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952927998 | Gary Chee Seng Oh | Student in an Organized Health Care Education/Training Program | 501 S. Washintgon Avenue, Scranton, PA 18505 | 2020-06-24 |
| 1851915813 | Usman Amjia Manzoor | Student in an Organized Health Care Education/Training Program | 501 South Washintgon Avenue, Scranton, PA 18505 | 2020-06-04 |
| 1396368791 | Navharsh Kaur Sekhon | Student in an Organized Health Care Education/Training Program | 501 S, Washington Avenue, Scranton, PA 18505 | 2020-05-20 |
| 1275154395 | Yamini Indravadan Patel | Student in an Organized Health Care Education/Training Program | 501 South Washington Avenue The Wright Center for Gradu, 501 South Washington Avenue, Scranton, PA 18505 | 2020-04-29 |
| 1225659584 | Raza Naseer | Student in an Organized Health Care Education/Training Program | 501 S. Washington Avenue, Scranton, PA 18505 | 2020-04-28 |
| 1932720307 | Mohammad Asim Amjad | Student in an Organized Health Care Education/Training Program | 501 South Washington Avenue, Scranton, PA 18505 | 2020-04-27 |
| 1033739404 | Amina Khan | Student in an Organized Health Care Education/Training Program | 501 S Washington Avenue, Scranton, PA 18505 | 2020-04-25 |
| 1679193247 | Sanskriti Shrivastava | Student in an Organized Health Care Education/Training Program | Wright Center for Graduate Medical Education, 501 S, Washington Avenue, Scranton, PA 18505-5590 | 2020-04-23 |
| 1578124624 | Vishwadhipa Venkata Voore | Student in an Organized Health Care Education/Training Program | 111 North Washington Avenue, The Wright Center for Grad, Suite 1, Scranton, PA 18503 | 2019-06-27 |
| 1841859717 | Sreekant Avula | Student in an Organized Health Care Education/Training Program | 111 North Washington Avenue, The Wright Center for Gra, Suite 1, Scranton, PA 18503 | 2019-06-13 |
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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.