MR. JOHN RICHARD BAK JR. (NPI# 1235770702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235770702 |
Entity Type | Individual |
Full Name | MR. JOHN RICHARD BAK JR. |
Credential | CRNP |
Practice Address |
700 High St Williamsport PA 17701-3100 |
Mailing Address |
1201 Grampian Blvd Williamsport PA 17701-1900 |
Practice Telephone | 5703211000 |
Mailing Telephone | 5703268723 |
Mailing Fax Number | 5703268922 |
Enumeration Date | 2019-10-04 |
Last Update Date | 2019-11-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
SP020925 | PA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558898825 | John Bak | Student in an Organized Health Care Education/Training Program | 1 University of New Mexico Msc 10 5610, Albuquerque, NM 87131-0001 | 2017-05-17 |
1063413938 | John B Bak | Urology | 11307 Bridgeport Way Sw Ste 217, Lakewood, WA 98499-3024 | 2005-08-02 |
Street Address |
700 HIGH ST |
City | WILLIAMSPORT |
State | PA |
Zip Code | 17701-3100 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063412948 | Alfredo L Blas IIi | Internal Medicine | 700 High St, Williamsport, PA 17701-3198 | 2005-07-21 |
1013534031 | Austin Strosser | Physician Assistant | 700 High St, Williamsport, PA 17701-3100 | 2020-06-26 |
1720605728 | Kyrstin Hubbard | Pharmacist | 700 High St, Williamsport, PA 17701-3100 | 2020-06-25 |
1861013682 | Daniel Schuler | Student in an Organized Health Care Education/Training Program | 700 High St, Williamsport, PA 17701-3100 | 2020-05-04 |
1164068904 | Jeremy Tock | Physician Assistant | 700 High St, Williamsport, PA 17701-3100 | 2019-11-26 |
1144866278 | Ivan Pinsky | Nurse Anesthetist, Certified Registered | 700 High St, Williamsport, PA 17701-3100 | 2019-11-25 |
1659917128 | Jo Ann Evans | Nurse Practitioner | 700 High St, Williamsport, PA 17701-3198 | 2019-11-20 |
1093359713 | Randy Metzger | Occupational Therapy Assistant | 700 High St, Williamsport, PA 17701-3100 | 2019-11-06 |
1629610480 | Andrea Liebersohn | Nurse Practitioner | 700 High St, Williamsport, PA 17701-3100 | 2019-10-14 |
1265074389 | Trevor Joseph Hiller | Registered Nurse | 700 High St, Williamsport, PA 17701-3100 | 2019-10-09 |
Find all providers in the same location |
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 | 363LC0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Critical Care Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295393213 | Eunhwa Hong | Nurse Practitioner | 1167 Canterbury Dr, Lansdale, PA 19446-5359 | 2019-06-04 |
1093276289 | William J Ravert Jr. | Nurse Practitioner | 4713 E Trindle Rd, Mechanicsburg, PA 17050-3616 | 2019-03-29 |
1720534068 | Jacob R Corbin | Nurse Practitioner | 200 Lothrop Street (upmc Presby- Ccm Office), 6 Floor Scaife Hall, Pittsburgh, PA 15232 | 2016-08-28 |
1063663854 | Michelle D Keibler | Nurse Practitioner | 200 Delafield Rd Ste 2040, Pittsburgh, PA 15215-3234 | 2008-10-10 |
1386894939 | Patricia Anne Kroekel | Nurse Practitioner | 423 N Pennsylvania, Morrisville, PA 19067 | 2008-09-19 |
1205937182 | Carol S Hasse-jungkurth | Nurse Practitioner | 974 Wind Song Rd, West Chester, PA 19382-2055 | 2006-09-26 |
1174514152 | Stephanie Cristoaica | Nurse Practitioner | 1697 Crown Avenue, Lancaster, PA 17601-6310 | 2005-10-31 |
1174123079 | Kelli Lynn Martin | Nurse Practitioner | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-10-29 |
1457951345 | Christopher Bauer | Nurse Practitioner | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-10-29 |
1710594262 | Kate Nikorak | Nurse Practitioner | 801 Ostrum St, Fountain Hill, PA 18015-1000 | 2020-09-29 |
Find all providers with the same taxonomy |
City | WILLIAMSPORT |
Zip Code | 17701 |
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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.