GEORGE R HOMA (NPI# 1316932890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316932890 |
Entity Type | Individual |
Full Name | GEORGE R HOMA |
Credential | DO |
Practice Address |
700 Dekalb St Bridgeport PA 19405-1149 |
Mailing Address |
1 W Elm St Suite 100 Conshohocken PA 19428-4108 |
Practice Telephone | 6102776200 |
Practice Fax Number | 6102773437 |
Mailing Telephone | 6105676967 |
Mailing Fax Number | 6105676955 |
Enumeration Date | 2005-09-12 |
Last Update Date | 2010-07-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | OS004152L | PA | Allopathic & Osteopathic Physicians |
Y | 208D00000X | General Practice | OS004152L | PA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 0006785340004 | 05 |
Street Address |
700 DEKALB ST |
City | BRIDGEPORT |
State | PA |
Zip Code | 19405-1149 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124012828 | East Norriton Physicians Services | Family Medicine | 700 Dekalb St, Bridgeport, PA 19405-1149 | 2005-09-08 |
1720073299 | Anthony Niescier | Family Medicine | 700 Dekalb St, Bridgeport, PA 19405-1149 | 2005-09-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700342797 | Troya Champion | Home Health Aide | One Schuylkill Pkwy Building A Suite 3, Bridgeport, PA 19405 | 2019-02-14 |
1154736783 | Lisa Young | Social Worker | 408 E. Fourth Street, Suite 206, Bridgeport, PA 19405 | 2014-06-23 |
1376623090 | Evan Adelstein | Internal Medicine | 3 St Francis Way, Cranberry, PA 19405 | 2006-10-17 |
1265809420 | Ls Health, LLC | Pharmacy | 54 W 4th St, Suite 38, Bridgeport, PA 19405-1009 | 2015-08-24 |
1063960755 | Workers First Pharmacy Services LLC | Pharmacy | 207 W 4th St Ste B, Bridgeport, PA 19405-1012 | 2016-09-12 |
1447229794 | Samantha Wong | Dentist | 108 Dekalb St, Bridgeport, PA 19405-1017 | 2006-03-17 |
1952517401 | Ray S Abdallah | Chiropractor | 106 Dekalb St, Bridgeport, PA 19405-1056 | 2007-05-14 |
1124318803 | Dekalb Chiropractic Center | Chiropractor | 106 Dekalb St, First Floor, Bridgeport, PA 19405-1056 | 2011-04-14 |
1679085575 | Adam L Hoover | Psychologist | 116 W 6th St, Bridgeport, PA 19405-1110 | 2017-10-31 |
1770883019 | Melissa M Dollarton | Occupational Therapy Assistant | 119 8th St, Bridgeport, PA 19405-1201 | 2010-11-02 |
Find all providers in zip 19405 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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Find all providers with the same taxonomy |
City | BRIDGEPORT |
Zip Code | 19405 |
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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.