OPEN ARMS INTERNAL MEDICINE & PEDIATRICS, PC (NPI# 1154834927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154834927 |
| Entity Type | Organization |
| Organization Name | OPEN ARMS INTERNAL MEDICINE & PEDIATRICS, PC |
| Practice Address |
3155 Lycoming Creek Rd Williamsport PA 17701-1032 |
| Mailing Address |
5271 State Route 973 E Cogan Station PA 17728-8500 |
| Practice Telephone | 5702441877 |
| Mailing Telephone | 5702441877 |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2017-11-14 |
| Authorized Official Name | DR. RUSSELL LEWIS GOMBOSI (OWNER) |
| Authorized Official Telephone | 5702441877 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
MD043621L | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | INDIVIDUAL NPI | 1528078433 | 01 |
| Street Address |
3155 LYCOMING CREEK RD |
| City | WILLIAMSPORT |
| State | PA |
| Zip Code | 17701-1032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
| 1396395299 | Susan E Fetzer | Occupational Therapy Assistant | Upmc Susquehanna,625 West Edwin Street, Williamsport, PA 17701 | 2019-09-13 |
| 1184280984 | Craig Andrew Tuller | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 | 2019-05-16 |
| 1760048045 | Michael Harvey | Student in an Organized Health Care Education/Training Program | 740 High St. Suite 4001, Williamsport, PA 17701 | 2019-05-13 |
| 1275196008 | Olivia Fladmark | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 | 2019-04-17 |
| 1528551231 | Mark Hampton Chiropractic Inc. | Durable Medical Equipment & Medical Supplies | 1111 East 3rd Street, Williamsport, PA 17701 | 2018-06-08 |
| 1548710882 | Central Pennsylvania Rehabilitation Medicine, Inc | Physical Medicine & Rehabilitation | 460 River Ave Ste 1, Williamsport, PA 17701 | 2016-10-11 |
| 1376096784 | Christine Kessler | Physician Assistant | One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 | 2016-08-02 |
| 1629440276 | Matthew Ray Rebuck | Specialist/Technologist | 220 N Reach Rd, Williamsport, PA 17701 | 2015-10-22 |
| 1508237223 | Neihl Williamson | Physician Assistant | 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 | 2015-10-08 |
| Find all providers in zip 17701 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467960088 | Treewhale LLC | Clinic/Center | 2300 E 3rd St, Williamsport, PA 17701-4004 | 2018-01-17 |
| 1982145553 | Crossroads Counseling, Inc. | Clinic/Center | 501 E 3rd St, Williamsport, PA 17701-5316 | 2017-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918104 | Flagship Functional Medicine | Clinic/Center | 2501 Palermo Dr Ste A, Erie, PA 16506-7210 | 2020-09-30 |
| 1205461845 | Dynamic Injury Solutions, LLC | Clinic/Center | 1000 Easton Rd Ste 290, Wyncote, PA 19095-2926 | 2020-03-04 |
| 1164077970 | Jc Blair Medical Services Inc. | Clinic/Center | 1225 Warm Springs Ave Fl 3, Huntingdon, PA 16652-2350 | 2019-08-08 |
| 1902451016 | Jc Blair Medical Services Inc. | Clinic/Center | 820 Bryan St Ste 3, Huntingdon, PA 16652-2409 | 2019-08-06 |
| 1629638481 | Crossover Health Medical Group | Clinic/Center | 1701 John F Kennedy Blvd Fl 25, Philadelphia, PA 19103-2851 | 2019-06-14 |
| 1720641491 | Mtc Wellness, LLC | Clinic/Center | 280 Ripka St, Philadelphia, PA 19127-1125 | 2019-04-18 |
| 1548727621 | Drayer Physical Therapy Institute LLC | Clinic/Center | 165 Glen Dr, Manchester, PA 17345-1336 | 2019-02-26 |
| 1962970830 | Drayer Physical Therapy Institute LLC | Clinic/Center | 6560 Carlisle Pike Ste 425, Mechanicsburg, PA 17050-8246 | 2018-11-08 |
| 1598233520 | Drayer Physical Therapy Institute LLC | Clinic/Center | 1606 N Center Ave Ste 170, Somerset, PA 15501-7052 | 2018-11-07 |
| 1477021921 | Tower Health Urgent Care, LLC | Clinic/Center | 1139 Ben Franklin Pkwy, Douglassville, PA 19518 | 2018-11-02 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSPORT |
| Zip Code | 17701 |
Please comment or provide details below to improve the information on OPEN ARMS INTERNAL MEDICINE & PEDIATRICS, PC.
| 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.