CENTRE HEALTH NETWORK, LLC (NPI# 1114052750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114052750 |
| Entity Type | Organization |
| Organization Name | CENTRE HEALTH NETWORK, LLC |
| Practice Address |
2505 Green Tech Dr Ste. C State College PA 16803-2316 |
| Practice Telephone | 8142344142 |
| Practice Fax Number | 8142342682 |
| Mailing Telephone | 8142344142 |
| Mailing Fax Number | 8142342682 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. SCOTT MICHAEL DEHART (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8142344142 |
| Authorized Official Credential | MD, PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
MD 016740E | PA | Allopathic & Osteopathic Physicians |
| Street Address |
2505 GREEN TECH DR STE. C |
| City | STATE COLLEGE |
| State | PA |
| Zip Code | 16803-2316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861482788 | Mark Edward Kozminsky | Dermatology | 2505 Green Tech Dr, Suite A1, State College, PA 16803-2316 | 2005-10-22 |
| 1356584841 | Scott Michael Dehart | Preventive Medicine | 2505 Green Tech Dr, Suite C, State College, PA 16803-2316 | 2009-04-13 |
| 1487861324 | John Roberts Enterprises Inc | Durable Medical Equipment & Medical Supplies | 2505 Green Tech Dr, Suite A2, State College, PA 16803-2316 | 2007-05-17 |
| 1568488500 | Yi H Kao | Otolaryngology | 2505 Green Tech Dr, Suite C, State College, PA 16803-2316 | 2006-07-14 |
| 1558394908 | Otolaryngology Group of Central Pennsylvania | Otolaryngology | 2505 Green Tech Dr, Suite C, State College, PA 16803-2316 | 2006-07-09 |
| 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 | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609311257 | St. Luke's Hospital Monroe Campus | Preventive Medicine | 200 St. Luke's Lane, Stroudsburg, PA 18360 | 2017-01-05 |
| 1700288826 | Allegheny Clinic | Preventive Medicine | 4 Allegheny Center, 10th Floor, Pittsburgh, PA 15212-4756 | 2014-09-19 |
| 1073851895 | John Dexter Forbes | Preventive Medicine | 310 Chaucer Ct N, Sewickley, PA 15143-8728 | 2013-01-29 |
| 1447598735 | Lloyd B Tepper | Preventive Medicine | 1420 Old Gulph Rd, Villanova, PA 19085-1921 | 2013-01-22 |
| 1417213125 | Michael Samuel Riviello | Preventive Medicine | 1 Tullamore Dr, West Chester, PA 19382-7065 | 2012-04-06 |
| 1669748984 | Robert Allan Barlow Jr. | Preventive Medicine | 1296 University Dr, Yardley, PA 19067-2826 | 2012-03-30 |
| 1760774756 | Jack Morton Stein | Preventive Medicine | 1735 Market St, 14th Floor, Philadelphia, PA 19103-7501 | 2011-05-09 |
| 1548575103 | Stephen Louis Klincewicz | Preventive Medicine | 1006 Stonebridge Rd, Ambler, PA 19002-2034 | 2010-08-07 |
| 1275853012 | Mohannad Kusti | Preventive Medicine | 600 Grant St Ste 1650, Pittsburgh, PA 15219-2755 | 2010-06-03 |
| 1801112834 | Pete Kwabena Obeng | Preventive Medicine | 292 Frantz Rd, Ste 102, Stroudsburg, PA 18360 | 2010-04-15 |
| Find all providers with the same taxonomy | ||||
| City | STATE COLLEGE |
| Zip Code | 16803 |
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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.