DR. MATTHEW G LOOSE (NPI# 1124401054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124401054 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW G LOOSE |
| Credential | DO |
| Practice Address |
1251 E Main St Annville PA 17003-1643 |
| Practice Telephone | 7178674671 |
| Practice Fax Number | 7178674981 |
| Mailing Telephone | 7178674671 |
| Mailing Fax Number | 7178674981 |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2020-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS018483 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 103328630 | 05 |
| Street Address |
1251 E MAIN ST |
| City | ANNVILLE |
| State | PA |
| Zip Code | 17003-1643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969133 | Samantha Lynne Berkihiser | Nurse Practitioner | 1251 E Main St, Annville, PA 17003-1643 | 2020-07-08 |
| 1154948446 | Vanessa Somerset | Nurse Practitioner | 1251 E Main St, Annville, PA 17003-1643 | 2020-07-02 |
| 1710507579 | Rachel Apple Dishong | Nurse Practitioner | 1251 E Main St, Annville, PA 17003-1643 | 2020-04-22 |
| 1598248940 | Pinnacle Health Medical Services | Emergency Medicine | 1251 E Main St, Annville, PA 17003-1643 | 2018-09-12 |
| 1760968614 | Pinnacle Health Medical Services | Family Medicine | 1251 E Main St, Annville, PA 17003-1643 | 2018-07-13 |
| 1750875472 | Cory Robert Bauer | Physical Therapist | 1251 E Main St, Annville, PA 17003-1643 | 2018-06-16 |
| 1174064034 | Pinnacle Health Medical Services | Physician Assistant | 1251 E Main St, Suite 3, Annville, PA 17003-1643 | 2017-03-13 |
| 1871942045 | Phs Physical Therapy, LLC | Clinic/Center | 1251 E Main St, Annville, PA 17003-1643 | 2016-06-08 |
| 1457708687 | Amelia Rebecca Kline Heck | Internal Medicine | 1251 E Main St, Annville, PA 17003-1643 | 2016-05-18 |
| 1073974622 | Pinnacle Health Medical Services | Physician Assistant | 1251 E Main St, Annville, PA 17003-1643 | 2016-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145823 | Jolene Richardson | Social Worker | 1-23 O'neil St, Annville, PA 17003 | 2020-08-17 |
| 1457849556 | Kimbrough Acc Military Mtf | Pharmacy | Ft Indiantown Gap, Bldg 4-114, Annville, PA 17003 | 2018-04-25 |
| 1467782664 | Brennan Chiropractic PC | Chiropractor | 648 E Main St, Annville, PA 17003 | 2010-01-11 |
| 1417163114 | Kimbrough Acc Military Mtf | Clinic/Center | 1999 Fisher Ave, Fort Indiantown Gap, Annville, PA 17003 | 2007-05-16 |
| 1124119490 | Silverman Dental Associates PC | Dentist | One Jasons Way, Annville, PA 17003 | 2006-09-28 |
| 1922069871 | Timothy Joseph Brennan | Chiropractor | 648 E Main Street, Annville, PA 17003 | 2006-03-30 |
| 1578544466 | Brian P. Harrity | Physician Assistant | Building 11-59, Ftig, Annville, PA 17003 | 2005-11-08 |
| 1467072553 | Wellspan Medical Group | Emergency Medicine | 9 Nathan Lane, Annville, PA 17003 | 2020-04-20 |
| 1700154325 | The Pennsylvania State University College of Medicine | General Acute Care Hospital | 500 University Drive, Hershey, PA 17003 | 2011-12-09 |
| 1851542393 | Eva Maria Frank | Specialist/Technologist | 101 N College Ave, Annville, PA 17003 | 2008-10-02 |
| Find all providers in zip 17003 | ||||
| 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 |
|---|---|---|---|---|
| 1518373208 | John Vincent Murphy | Family Medicine | 1251 E Main St Ste 3, Annville, PA 17003-1643 | 2014-07-02 |
| 1962684829 | Mark Foley | Family Medicine | 1504 E Main St, Annville, PA 17003-1615 | 2007-12-03 |
| 1336109644 | David J. Hays | Family Medicine | 95 Sr 3444 Hwy, Annville, KY 40402-0398 | 2006-03-23 |
| 1760968614 | Pinnacle Health Medical Services | Family Medicine | 1251 E Main St, Annville, PA 17003-1643 | 2018-07-13 |
| 1689936130 | Christopher Ryan Scheid | Family Medicine | 1251 E Main St, Annville, PA 17003-1643 | 2012-06-11 |
| 1225249618 | Emma Leigh S Hostetter | Family Medicine | 475 N Weaber St, Annville, PA 17003-1104 | 2007-05-25 |
| 1134337686 | Melissa T Stapinski | Family Medicine | 475 N Weaber St, Annville, PA 17003-1104 | 2007-05-18 |
| 1659483139 | Pamela S Potash | Family Medicine | 1251 E Main St, Annville, PA 17003-1643 | 2006-08-31 |
| 1225067853 | Erin E Juliano | Family Medicine | 1251 E Main St, Annville, PA 17003-1643 | 2006-07-03 |
| 1477532653 | Annville Family Medicine, PC | Family Medicine | 475 N Weaber St, Annville, PA 17003-1104 | 2006-01-16 |
| Find all providers in ANNVILLE | ||||
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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.