RACHEL DELA CRUZ CANSECO-BERBANO (NPI# 1174598965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174598965 |
| Entity Type | Individual |
| Full Name | RACHEL DELA CRUZ CANSECO-BERBANO |
| Credential | MD |
| Practice Address |
445 Wyoming Avenue Kingston PA 18704 |
| Practice Telephone | 5707180505 |
| Practice Fax Number | 5707180522 |
| Mailing Telephone | 5707180505 |
| Mailing Fax Number | 5707180522 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD 418104 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1009424140001 | 05 |
| Street Address |
445 WYOMING AVENUE |
| City | KINGSTON |
| State | PA |
| Zip Code | 18704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467601732 | Aunisha Desai | Physician Assistant | 445 Wyoming Avenue, Kingston, PA 18704 | 2008-09-11 |
| 1649491911 | Recaredo T Berbano PC | Internal Medicine | 445 Wyoming Avenue, Kingston, PA 18704 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013557552 | Millmark Health Inc. | Psychiatry & Neurology | 511 Pierce Street, Kingston, PA 18704 | 2020-01-13 |
| 1427550334 | Michael Anthony Waltich | Military Health Care Provider | 82 Cooper Street, Pringle, PA 18704 | 2018-03-06 |
| 1376088435 | Jae LLC | Massage Therapist | 512 Northhampton Street, Edwardsville, PA 18704 | 2016-12-28 |
| 1306278288 | Mohammad Khaled Tashkandi | Internal Medicine | 490 Northampton St Ste 1, Edwardsville, PA 18704 | 2013-08-02 |
| 1396180014 | Sammie Craven IIi | Pharmacist | 96 1st Avenue, Kingston, PA 18704 | 2013-05-08 |
| 1447693114 | Catherine Mary Harding | Nurse Practitioner | 141 South Maple Ave, Kingston, PA 18704 | 2013-04-12 |
| 1861781403 | Jennifer Ann Richards | Pharmacist | 22 West Side Mall, Edwardsville, PA 18704 | 2011-04-05 |
| 1558512772 | Jolon Theresa Sherin | Speech-Language Pathologist | 1825 Sans Souci Highway, Hanover, PA 18704 | 2008-10-07 |
| 1932361102 | Kari Ann Pietralczyk | Audiologist | 190 Welles Street, Forty-fort, PA 18704 | 2008-06-30 |
| 1467584151 | John Christopher Storti | Chiropractor | 180 United Penn Plaza, Kingston, PA 18704 | 2007-03-09 |
| Find all providers in zip 18704 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053714881 | Mikael Dawit Tulloch-reid | Internal Medicine | Heart Institute of The Caribbean, 23 Balmoral Avenue, Kingston, KINGSTON KINGSTON 10 | 2014-10-07 |
| 1407909021 | John E. Hoey | Internal Medicine | 324 Plaza Rd, Kingston, NY 12401-2975 | 2007-01-18 |
| 1588722979 | Adnan Kamel El-amine | Internal Medicine | 11 Tremont St, Kingston, MA 02364-1231 | 2006-12-05 |
| 1912016692 | Wyoming Valley Internal Medicine | Internal Medicine | 571 Wyoming Avenue, Kingston, PA 18704-3719 | 2006-08-29 |
| 1659399210 | B E Ohara | Internal Medicine | 327 Albany Ave, Kingston, NY 12401-2544 | 2006-07-18 |
| 1376596445 | Raymond Lippert | Internal Medicine | 89 John St, Kingston, NY 12401 | 2006-05-18 |
| 1861444671 | Lee Isabell | Internal Medicine | 334 Plaza Road, Kingston, NY 12401 | 2006-05-17 |
| 1376508119 | Reham I El-shaer | Internal Medicine | 301 Hurley Ave, Kingston, NY 12401 | 2006-04-17 |
| 1396723466 | Edward Simon | Internal Medicine | 25989 Barber Cut Off Rd Ne, Suite A3, Kingston, WA 98346-8455 | 2006-01-09 |
| 1184618563 | James M Jiunta | Internal Medicine | 417 Market St, Kingston, PA 18704-5418 | 2005-08-31 |
| Find all providers in KINGSTON | ||||
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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.