DR. MELITA KONECKE (NPI# 1093848459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093848459 |
| Entity Type | Individual |
| Full Name | DR. MELITA KONECKE |
| Credential | M.D. |
| Practice Address |
575 N River St Wilkes Barre PA 18764-0999 |
| Practice Telephone | 5705527260 |
| Practice Fax Number | 5705527268 |
| Mailing Telephone | 5705527260 |
| Mailing Fax Number | 5705527268 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD030045E | PA | Allopathic & Osteopathic Physicians |
| Street Address |
575 N RIVER ST |
| City | WILKES BARRE |
| State | PA |
| Zip Code | 18764-0999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174528707 | Radiology Associates of Wyoming Valley, Inc | Radiology | 575 N River St, Wilkes Barre, PA 18764-0999 | 2005-06-20 |
| 1811511108 | Wilkes-barre Hospital Company LLC | Medicare Defined Swing Bed Unit | 575 N River St, Wilkes Barre, PA 18764-0999 | 2020-06-02 |
| 1790311645 | Michael L. Yucha Jr. | Physician Assistant | 575 N River St, Wilkes Barre, PA 18702-2634 | 2020-03-22 |
| 1508405739 | Leah Alexandra Merrick | Physician Assistant | 575 N River St, Wilkes Barre, PA 18702-2634 | 2020-01-06 |
| 1639667942 | Michael P Mcdaniel | Physician Assistant | 575 N River St, Wilkes Barre, PA 18764-0999 | 2018-04-23 |
| 1427577816 | Lindsay Marie Brown | Pharmacist | 575 N River St, Wilkes Barre, PA 18764-1902 | 2017-09-17 |
| 1417486572 | Ryan Seltzer | Nurse Practitioner | 575 N River St, Wilkes Barre, PA 18764-5628 | 2017-06-12 |
| 1790216067 | Carolina Favero Braga | Family Medicine | 575 N River St, Wilkes Barre, PA 18764-2008 | 2017-03-27 |
| 1558816694 | Wyoming Emergency Services, LLC | Emergency Medicine | 575 N River St, Wilkes Barre, PA 18764-0999 | 2016-08-18 |
| 1740734979 | Poconos Emergency Group, LLC | Emergency Medicine | 575 N River St, Wilkes Barre, PA 18764-0001 | 2016-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134618259 | Alycia Saini | Family Medicine | 575 N River St., Wilkes-barre, PA 18764 | 2018-05-03 |
| 1265416564 | Linda B Wilk | Nurse Anesthetist, Certified Registered | 575 North River St, Wilkes-barre, PA 18764 | 2005-12-01 |
| 1356830400 | Aarun Chand Saini | Family Medicine | 575 N River St., Wilkes-barre, PA 18764 | 2018-05-04 |
| 1144316985 | Nicholas D Giordano | Internal Medicine | 575 North River Street, Wilkes-barre, PA 18764 | 2006-10-05 |
| 1598771313 | Susan M Thibeault | Nurse Anesthetist, Certified Registered | 326 Washington Street, Norwich, CT 18764 | 2006-08-01 |
| 1134638943 | George Ritz IIi | Physician Assistant | 575 N River Street Emergency Department, Wilkes Barre, PA 18764-0001 | 2017-09-25 |
| 1578528410 | Mark M. Radziewicz | Family Medicine | Wilkes Barre Geneal Hospital, 575 N. River Street, Wilkes Barre, PA 18764-0001 | 2006-04-20 |
| 1164832614 | Virginie Auguste | Hospitalist | 575 North River Street, Wilkes Barre, PA 18764-1851 | 2014-05-06 |
| 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 |
|---|---|---|---|---|
| 1861811721 | Kristin Simmons Bennie | Family Medicine | 166 Hanover St Ste 200, Wilkes Barre, PA 18702-3549 | 2014-04-08 |
| 1992950604 | Yaroslav Dvorskyy | Family Medicine | 101 Indian Creek Dr, Wilkes Barre, PA 18702-7824 | 2008-11-21 |
| 1144493065 | Hart Medical Center,inc | Family Medicine | 476 Hazle St, Wilkes Barre, PA 18702-4646 | 2008-04-11 |
| 1336341460 | John M. Prater | Family Medicine | 836 N Washington St, Wilkes Barre, PA 18705-1823 | 2007-06-01 |
| 1659471910 | Patrick J Kerrigan | Family Medicine | 476 Hazle Street, Wilkes Barre, PA 18702 | 2006-09-25 |
| 1902832975 | John M Kish | Family Medicine | 147 Amber Ln, Wilkes Barre, PA 18702-6545 | 2006-06-23 |
| 1558311076 | Geisinger Clinic | Family Medicine | 175 Wilkes Barre Blvd, Wilkes Barre, PA 18702 | 2006-05-12 |
| 1578528410 | Mark M. Radziewicz | Family Medicine | Wilkes Barre Geneal Hospital, 575 N. River Street, Wilkes Barre, PA 18764-0001 | 2006-04-20 |
| 1447226568 | Joseph Charles Lentini | Family Medicine | 500 Scott Street, Wilkes Barre, PA 18702 | 2006-02-28 |
| 1730169079 | Denise Marie Klynowsky-farrell | Family Medicine | 96 Wood St, Wilkes Barre, PA 18702-3612 | 2006-01-20 |
| Find all providers in WILKES BARRE | ||||
| City | WILKES BARRE |
| Zip Code | 18764 |
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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.