DR. EDGARDO R LOB (NPI# 1275509564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275509564 |
| Entity Type | Individual |
| Full Name | DR. EDGARDO R LOB |
| Credential | M.D. |
| Practice Address |
90 Shenango St Greenville PA 16125-2060 |
| Mailing Address |
110 North Main Street 3rd Floor Greenville PA 16125 |
| Practice Telephone | 7245884240 |
| Practice Fax Number | 7245880198 |
| Mailing Telephone | 7245894318 |
| Mailing Fax Number | 7245881808 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2019-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD041459L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0011969410001 | 05 |
| Street Address |
90 SHENANGO ST |
| City | GREENVILLE |
| State | PA |
| Zip Code | 16125-2060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669455978 | Alicia A Baker | Family Medicine | 90 Shenango St, Greenville, PA 16125-2060 | 2005-11-22 |
| 1255826061 | Brittany Gladysz | Physician Assistant | 90 Shenango St, Greenville, PA 16125-2060 | 2018-06-25 |
| 1568980332 | Tonya Lynn Telesz | Nurse Practitioner | 90 Shenango St, Greenville, PA 16125-2060 | 2017-08-31 |
| 1467904664 | Lenise Murphy-thomas | Nurse Practitioner | 90 Shenango St, Greenville, PA 16125-2060 | 2016-11-04 |
| 1003290404 | Jamie L Park | Nurse Practitioner | 90 Shenango St, Greenville, PA 16125-2060 | 2015-07-15 |
| 1437456126 | Clarissa A White | Nurse Practitioner | 90 Shenango St, Greenville, PA 16125-2060 | 2011-02-16 |
| 1902034804 | Taimur Akram | Family Medicine | 90 Shenango St, Greenville, PA 16125-2060 | 2009-06-30 |
| 1255569018 | Christina Fung-yee Wong | Family Medicine | 90 Shenango St, Greenville, PA 16125-2060 | 2009-06-30 |
| 1710121728 | Upmc Community Medicine Inc | Urology | 90 Shenango St, Greenville, PA 16125-2060 | 2009-04-22 |
| 1497926174 | Laura B Yohe | Family Medicine | 90 Shenango St, Suite 12, Greenville, PA 16125-2060 | 2008-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356983340 | Heather Christine Groeger | Licensed Vocational Nurse | 9 Greenville Sheakleyville Rd, Greenville, PA 16125 | 2019-10-11 |
| 1710316153 | Federico Pascual Vallesteros | Anesthesiology | 223 Greenville Rd, Greenville, PA 16125 | 2013-11-06 |
| 1083944524 | Kimberly Weaver | Nurse Practitioner | 12 Sherrard Avenue, Greenville, PA 16125 | 2010-01-06 |
| 1992972749 | Jinine Elizabeth Flynn-napotnik | Chiropractor | 5 Orthopedic Center, Greenville, PA 16125 | 2008-05-12 |
| 1073631859 | Russell W Poe | Dentist | 83 Shenango St, Greenville, PA 16125 | 2007-03-27 |
| 1487791042 | Sanda Marina Constantinidi | Pediatrics | 6 Manorview Drive, Greenville, PA 16125 | 2007-01-31 |
| 1811067564 | Stuart D Anderson | Orthopaedic Surgery | Greenville Orthopedic Association, 1 Greenville Orthopedic Center, Greenville, PA 16125 | 2006-11-09 |
| 1598854291 | Susan E Calderbank | Dentist | 43 Clinton St, Greenville, PA 16125 | 2006-10-12 |
| 1437268158 | Robert Michael Woods | Dentist | 282 Main Street, Greenville, PA 16125 | 2006-08-29 |
| 1154397453 | Thomas Z Pineo | Family Medicine | 110 North Main Street, Greenville, PA 16125 | 2006-02-27 |
| Find all providers in zip 16125 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124253315 | Hshs Holy Family Hospital, Inc. | Internal Medicine | 200 Healthcare Dr, Ste 1501, Greenville, IL 62246-1154 | 2009-05-18 |
| 1598922650 | Xuezhong Yang | Internal Medicine | 317 Saint Francis Dr Ste 340, Greenville, SC 29601-3914 | 2008-05-16 |
| 1255349361 | Jorge M Abdallah | Internal Medicine | 855 Johns Hopkins Dr, Greenville, NC 27834-7223 | 2006-08-04 |
| 1518901545 | Robert D Siegel | Internal Medicine | 104 Innovation Dr, Ste. 2000, Greenville, SC 29607-5253 | 2006-06-16 |
| 1891732616 | Devena E Alston-johnson | Internal Medicine | 104 Innovation Dr. Ste. 2000, Greenville, SC 29607 | 2006-06-01 |
| 1033101670 | Lillian P Burke | Internal Medicine | 2080 W Arlington Blvd, Suite B, Greenville, NC 27834-3770 | 2005-08-19 |
| 1407851793 | Kim Ong Gococo | Internal Medicine | 65 International Dr, Greenville, SC 29615-4816 | 2005-06-15 |
| 1871598201 | Reginald John Brooker | Internal Medicine | 3 Butternut Dr, Ste B, Greenville, SC 29605-4653 | 2005-06-14 |
| 1013301563 | Heather Brody | Internal Medicine | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2015-03-23 |
| 1043631773 | Nitika Sharma | Internal Medicine | 600 Moye Blvd, Greenville, NC 27834-4300 | 2013-12-24 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 16125 |
Please comment or provide details below to improve the information on DR. EDGARDO R LOB.
| 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.