P SHRIPATHI HOLLA (NPI# 1114037975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114037975 |
| Entity Type | Individual |
| Full Name | P SHRIPATHI HOLLA |
| Credential | MD |
| Practice Address |
1800 Mulberry St Scranton PA 18510-2369 |
| Practice Telephone | 5709698888 |
| Practice Fax Number | 5709698512 |
| Mailing Telephone | 5709698888 |
| Mailing Fax Number | 5709698512 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2013-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | MD026074E | PA | Allopathic & Osteopathic Physicians |
| Street Address |
1800 MULBERRY ST |
| City | SCRANTON |
| State | PA |
| Zip Code | 18510-2369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366444507 | Community Medical Center | General Acute Care Hospital | 1800 Mulberry St, Scranton, PA 18510-2369 | 2005-06-01 |
| 1144832734 | Jennifer Marie Remetta | Clinical Nurse Specialist | 1800 Mulberry St, Scranton, PA 18510-2369 | 2020-08-17 |
| 1982215380 | Stephanie Cybulski | Pharmacist | 1800 Mulberry St, Scranton, PA 18510-2369 | 2020-08-11 |
| 1386254803 | Marisa Perrella | Pharmacist | 1800 Mulberry St, Scranton, PA 18510-2369 | 2020-08-10 |
| 1396354494 | Lindsay Michelle Okubo | Pharmacist | 1800 Mulberry St, Scranton, PA 18510-2369 | 2020-07-24 |
| 1275141855 | Brittany Alessandra Field | Nurse Practitioner | 1800 Mulberry St, Scranton, PA 18510-2369 | 2020-07-20 |
| 1932726478 | Patrick Teehan | Internal Medicine | 1800 Mulberry St, Scranton, PA 18510-2369 | 2020-07-01 |
| 1184247124 | Kara Elizabeth Golya | Physician Assistant | 1800 Mulberry St, Scranton, PA 18510-2369 | 2020-05-26 |
| 1124664479 | Christina Belko | Physical Therapy Assistant | 1800 Mulberry St, Scranton, PA 18510-2369 | 2019-11-21 |
| 1679119028 | Tracey Ganz | Occupational Therapist | 1800 Mulberry St, Scranton, PA 18510-2369 | 2019-11-20 |
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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 | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194866889 | Stanley G Pugsley | Neurological Surgery | 1800 Mulberry St., Scranton, PA 18510-6800 | 2007-02-08 |
| 1023055852 | Scranton Neurological Associates PC | Neurological Surgery | 802 Jefferson Avenue, 5th Floor, Scranton, PA 18510-1038 | 2006-06-01 |
| 1295789287 | Community Medical Care, Inc | Neurological Surgery | 1800 Mulberry St, Scranton, PA 18510-2369 | 2006-05-22 |
| 1215992102 | Robert J Sarnowski | Neurological Surgery | 802 Jefferson Ave, Scranton, PA 18510 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033754510 | Isabela Marlene Tetino | Neurological Surgery | 1029 Maplewood Dr, Canonsburg, PA 15317-6058 | 2019-11-08 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1003475120 | Michael Bradley Avery | Neurological Surgery | 909 Walnut Street, 2nd Floor, Philadelphia, PA 19107-5211 | 2019-06-12 |
| 1427573492 | Mercy Management of Sepa | Neurological Surgery | 2701 Holme Ave Ste 305, Phila, PA 19152-2029 | 2017-08-10 |
| 1730625450 | Nir Shimony | Neurological Surgery | 100 N. Academy Ave., Geisinger Medical Center, Neurosurgery Department, Danville, PA 17822 | 2017-01-19 |
| 1083002661 | Excela Health Physician Practices, Inc. | Neurological Surgery | 100 Excela Health Dr Ste 203b, Latrobe, PA 15650-9001 | 2015-01-05 |
| 1780006874 | Donald Reigel | Neurological Surgery | 1139 Links Way, Gibsonia, PA 15044-7725 | 2014-01-09 |
| 1962832782 | Ronald Larry Paul | Neurological Surgery | 5550 Nursery Road, Dover, PA 17315 | 2013-11-14 |
| 1457787434 | Allegheny Clinic | Neurological Surgery | 575 Coal Valley Rd Ste 260, Clairton, PA 15025-3716 | 2013-09-23 |
| 1144666348 | Sean Patrick Polster | Neurological Surgery | 203 Lothrop St Ste 521, Pittsburgh, PA 15213-2548 | 2013-05-14 |
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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.