MR. JOHN R MANZELLA JR. (NPI# 1225012891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225012891 |
| Entity Type | Individual |
| Full Name | MR. JOHN R MANZELLA JR. |
| Credential | DO |
| Practice Address |
1353 State Route 903 Jim Thorpe PA 18229-2734 |
| Practice Telephone | 5703258393 |
| Practice Fax Number | 5703258029 |
| Mailing Telephone | 5703258393 |
| Mailing Fax Number | 5703258029 |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2008-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | OS010263L | PA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | OS010263L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GHI | 2968846 | 01 | |
| FEDERAL BLUE SHIELD | 1753980 | 01 | |
| PA | BLUE SHIELD | 176513 | 01 |
| PA | PALMETTO | P00600418 | 01 |
| PA | 001780247 | 05 | |
| BLACK LUNG | 010054200 | 01 | |
| PERSONAL BLUE SHIELD | 0314295000 | 01 | |
| AMERIHEALTH MERCY | 20031252 | 01 | |
| CAPITAL BLUE CROSS | 03197301 | 01 | |
| AMERIHEALTH ADMIN | 176513 | 01 | |
| AETNA | 5389099 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629144951 | John Battista Manzella | Acupuncturist | 102 E Bay Ave, Suite C, Manahawkin, NJ 08050-3175 | 2006-11-28 |
| 1609859636 | John Paul Manzella | Internal Medicine | 2965 Broxton Ln, York, PA 17402-3824 | 2005-11-23 |
| Street Address |
1353 STATE ROUTE 903 |
| City | JIM THORPE |
| State | PA |
| Zip Code | 18229-2734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205810876 | Victor A Manzella | Internal Medicine | 1353 State Route 903, Jim Thorpe, PA 18229-2734 | 2005-12-06 |
| 1053398826 | Manzella Family Healthcare PC | Internal Medicine | 1353 State Route 903, Jim Thorpe, PA 18229-2734 | 2005-12-22 |
| 1962487264 | Edward D Manzella | Internal Medicine | 1353 State Route 903, Jim Thorpe, PA 18229-2734 | 2005-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093083859 | Nancy M. Porambo | Massage Therapist | 616 Center Street, Jim Thorpe, PA 18229 | 2011-12-08 |
| 1407967987 | Carol Ann Kardisco | Social Worker | 27 W Sixth Street, Jim Thorpe, PA 18229 | 2006-08-31 |
| 1639199144 | Jim Thorpe Ems | Ambulance | 100 E 10th St, Jim Thorpe, PA 18229 | 2006-07-20 |
| 1871697573 | Jayendra C Patel | Dentist | 903 Center St, Jim Thorpe, PA 18229 | 2006-09-12 |
| 1568453652 | Nancy Leigh Dombrosky | Emergency Medical Technician, Paramedic | 1491 Center Ave, Jim Thorpe, PA 18229-1009 | 2005-10-29 |
| 1104802651 | Patrick J Hanley | Emergency Medicine | 1580 Center Ave, Jim Thorpe, PA 18229-1012 | 2005-12-16 |
| 1134240005 | Eileen P Connors | Nurse Practitioner | 1580 Center Ave, Jim Thorpe, PA 18229-1012 | 2007-04-02 |
| 1487773966 | Switchback Medical Center PC | Family Medicine | 1580 Center Ave, Jim Thorpe, PA 18229-1012 | 2007-03-28 |
| 1063554467 | Vanessa Rice | Family Medicine | 1580 Center Ave, Jim Thorpe, PA 18229-1012 | 2007-02-13 |
| 1154382604 | Deborah Ann Smith | Family Medicine | 1580 Center Ave, Jim Thorpe, PA 18229-1012 | 2006-03-31 |
| Find all providers in zip 18229 | ||||
| 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 |
|---|---|---|---|---|
| 1205810876 | Victor A Manzella | Internal Medicine | 1353 State Route 903, Jim Thorpe, PA 18229-2734 | 2005-12-06 |
| 1053398826 | Manzella Family Healthcare PC | Internal Medicine | 1353 State Route 903, Jim Thorpe, PA 18229-2734 | 2005-12-22 |
| 1962487264 | Edward D Manzella | Internal Medicine | 1353 State Route 903, Jim Thorpe, PA 18229-2734 | 2005-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558976092 | Upmc Community Medicine, Inc | Internal Medicine | 5215 Centre Ave Ste 100, Pittsburgh, PA 15232-1303 | 2020-09-11 |
| 1386256881 | Vpa PC | Internal Medicine | 1055 Westlakes Dr Ste 3152, Berwyn, PA 19312-2410 | 2020-08-18 |
| 1609485168 | Allegheny Clinic | Internal Medicine | 1748 Jancey Street, Pittsburgh, PA 15206-1100 | 2020-07-30 |
| 1720696099 | Sai Charan Vedula | Internal Medicine | Einstein Medical Center Montgomery, 559 West Germantown Pike, East Norriton, PA 19403 | 2020-07-22 |
| 1942818703 | Abraham Attah | Internal Medicine | 307 Federal Street, Suite B300, Pittsburgh, PA 15212 | 2020-07-17 |
| 1881212199 | Mobile Doctors | Internal Medicine | 925 E Butter Rd, York, PA 17406-6019 | 2020-07-13 |
| 1528685492 | Shilpa Salpekar | Internal Medicine | St. Lukes Internal Medicine (easton), 400 S Greenwood Ave, Easton, PA 18045 | 2020-06-26 |
| 1427674407 | Jun Song | Internal Medicine | 3401 N Broad St Ste 801, Philadelphia, PA 19140-5103 | 2020-06-24 |
| 1932725264 | Aaron Leo Yazdian | Internal Medicine | 1335 South St Apt A, Philadelphia, PA 19147-1841 | 2020-06-23 |
| 1144846387 | Rishabh Khatri | Internal Medicine | 322 N Broad St Apt 1523, Philadelphia, PA 19102-1122 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
| City | JIM THORPE |
| Zip Code | 18229 |
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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.