MID-STATE OCCUPATIONAL HEALTH SERVICES, INC. (NPI# 1134550452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134550452 |
| Entity Type | Organization |
| Organization Name | MID-STATE OCCUPATIONAL HEALTH SERVICES, INC. |
| Practice Address |
150 Mundy St Mac 1 Wilkes Barre PA 18702-6830 |
| Mailing Address |
2605 Reach Rd Williamsport PA 17701-4392 |
| Practice Telephone | 5709702300 |
| Practice Fax Number | 5709702323 |
| Mailing Telephone | 5703278790 |
| Mailing Fax Number | 5703219504 |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2013-12-12 |
| Authorized Official Name | MR. DERRICK J DUFF (PRESIDENT) |
| Authorized Official Telephone | 5703278790 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396176616 | Mid-state Occupational Health Services, Inc. | Clinic/Center | 130 Buffalo Rd, Suite 4, Lewisburg, PA 17837-1159 | 2013-12-12 |
| 1659702975 | Mid-state Occupational Health Services, Inc. | Clinic/Center | 410 Glenn Ave, Suite 2, Bloomsburg, PA 17815-1200 | 2013-12-12 |
| 1477826618 | Mid-state Occupational Health Services, Inc. | Preventive Medicine | 91 Hospital Dr, Towanda, PA 18848-9702 | 2012-02-20 |
| 1295008431 | Mid-state Occupational Health Services, Inc. | Preventive Medicine | 426 Airport Rd, Hazleton, PA 18202 | 2012-02-20 |
| 1912270158 | Mid-state Occupational Health Services, Inc. | Preventive Medicine | 1000 Meade St, Dunmore, PA 18512-3195 | 2012-02-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MID-STATE OCCUPATIONAL HEALTH SERVICES, INC. | 2605 Reach Rd, Williamsport, PA 17701-4392 |
| Street Address |
150 MUNDY ST MAC 1 |
| City | WILKES BARRE |
| State | PA |
| Zip Code | 18702-6830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215934088 | John Heinz Institute of Rehabilitation Medicine | Rehabilitation Hospital | 150 Mundy St, Wilkes Barre, PA 18702-6830 | 2005-07-07 |
| 1396359253 | Daniel Joseph Satterfield | Nurse Practitioner | 150 Mundy St, Wilkes Barre, PA 18702-6830 | 2020-09-08 |
| 1811508393 | Rheumatology & Arthritis Center of Wyoming Valley LLC | Internal Medicine | 150 Mundy St, Wilkes Barre, PA 18702-6830 | 2020-08-10 |
| 1821644360 | Grace Johna Olshefski | Nurse Practitioner | 150 Mundy St, Wilkes Barre, PA 18702-6830 | 2019-08-12 |
| 1740757822 | Jacqueline Pearson | Physical Therapist | 150 Mundy St, Wilkes Barre, PA 18702-6830 | 2018-10-27 |
| 1336639731 | North East Sleep Testing Center LLC | Clinic/Center | 150 Mundy St, Mac Iv Building, Wilkes Barre, PA 18702 | 2018-05-11 |
| 1366982266 | Caitlin Mesko | Physician Assistant | 150 Mundy St, Mac Iv Building, Wilkes Barre, PA 18702-6830 | 2017-02-27 |
| 1275076432 | Laura Decker | Massage Therapist | 150 Mundy St, Wilkes Barre, PA 18702-6830 | 2016-11-21 |
| 1992180004 | Allied Health Care Services | Community/Behavioral Health | 150 Mundy St, Mac Iv Building, Wilkes Barre, PA 18702-6830 | 2015-07-30 |
| 1548648975 | Joseph Dzurishin | Specialist | 150 Mundy St, Wilkes Barre, PA 18702-6830 | 2015-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153161 | Joann Bonn | Pharmacist | 441 Wilkes-barre Township Blvd, Wilkes-barre, PA 18702 | 2020-10-30 |
| 1689213167 | Megan Grace Zanghi | Pharmacist | 58-60 Public Square, 4th Floor, Wilkes-barre, PA 18702 | 2019-12-31 |
| 1467013292 | Kelly Rose Sones | Pharmacist | 58/60 Public Square, Wilkes-barre, PA 18702 | 2019-06-24 |
| 1528520186 | Adam Olivetti | Pharmacist | 58-60 Public Square, Wilkes-barre, PA 18702 | 2019-04-03 |
| 1295220648 | Dental Associates of Nepa PC | Dentist | 360 Kidder Street, Suite 5, Wilkes Barre, PA 18702 | 2018-06-28 |
| 1568983245 | Bio-medical Applications of Pennsylavania, Inc. | Clinic/Center | 309 Laird St, Wilkes-barre, PA 18702 | 2017-07-03 |
| 1538615166 | Elsa Gates | Nurse Practitioner | 100 East Mountain Blvd, Geisinger, Wilkes Barre, PA 18702 | 2016-09-01 |
| 1972990455 | Epeople Health Care Inc. | Home Health | 1092 Route 315, Ste 3, Wilkes Barre, PA 18702 | 2015-04-22 |
| 1063819001 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 277 Mundy St, Suite 101, Wilkes Barre, PA 18702 | 2014-11-19 |
| 1356764013 | Jill Stacchiotti | Speech-Language Pathologist | 2 Salem Drive, Laflin, PA 18702 | 2014-01-30 |
| Find all providers in zip 18702 | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063468643 | Geisinger Community Health Services | Clinic/Center | 500 Scott St, Wilkes Barre, PA 18702-5613 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114545977 | Puentes De Salvd | Clinic/Center | 1700 South Street, Philadelphia, PA 19146 | 2020-07-08 |
| 1851890578 | Pow Enterprises, LLC | Clinic/Center | 100 Fleet St Ste 103, Pittsburgh, PA 15220-2928 | 2018-02-08 |
| 1578090577 | Occupational Health Center of The Southwest, P.a. | Clinic/Center | 1480 Manheim Pike, Lancaster, PA 17601-3152 | 2017-05-22 |
| 1659780039 | Meadville Medical Center | Clinic/Center | 11277 Vernon Pl Ste 101, Meadville, PA 16335-3718 | 2014-08-11 |
| 1336579911 | Sentier LLC | Clinic/Center | 179 Forsythia Dr N, Levittown, PA 19056-1935 | 2013-11-19 |
| 1174776876 | Dominion Therapy Services, LLC | Clinic/Center | 122 Crabapple Ln, Ligonier, PA 15658-3602 | 2008-10-28 |
| 1538320270 | St Clair Medical Services | Clinic/Center | 2000 Oxford Driv, Suite 110, Pittsburgh, PA 15102 | 2008-06-24 |
| 1295995298 | Bechtel Bettis, Inc. | Clinic/Center | 814 Pittsburgh Mckeesport Blvd, West Mifflin, PA 15122-2849 | 2008-06-12 |
| 1073731014 | Med Center 100 | Clinic/Center | 625 N. Pottstown Pike, Exton, PA 19341 | 2007-04-23 |
| 1023132867 | Healthmark, Incorporated | Clinic/Center | 1 Crescent Dr., Navy Yard Suite 100, Philadelphia, PA 19112 | 2007-03-19 |
| Find all providers with the same taxonomy | ||||
| City | WILKES BARRE |
| Zip Code | 18702 |
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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.