EDWARD RICHARD PROSTKO (NPI# 1336134840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336134840 |
| Entity Type | Individual |
| Full Name | EDWARD RICHARD PROSTKO |
| Other Name | E RICHARD PROSTKO |
| Credential | MD |
| Practice Address |
380 W Chestnut St Ste 101 Washington PA 15301-4658 |
| Practice Telephone | 7242281414 |
| Practice Fax Number | 7242288579 |
| Mailing Telephone | 7242281414 |
| Mailing Fax Number | 7242288579 |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2020-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | MD024694E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 000888021 | 05 | |
| CAQH | 10934442 | 01 |
| Street Address |
380 W CHESTNUT ST STE 101 |
| City | WASHINGTON |
| State | PA |
| Zip Code | 15301-4658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669824769 | Corrine Palotas | Nurse Practitioner | 380 W Chestnut St Ste 101, Washington, PA 15301-4658 | 2016-07-13 |
| 1992102560 | Amanda Jo Webb | Physician Assistant | 380 W Chestnut St Ste 101, Washington, PA 15301-4658 | 2014-11-26 |
| 1467706309 | Anthony J Bonetto | Physician Assistant | 380 W Chestnut St Ste 101, Washington, PA 15301-4658 | 2012-10-30 |
| 1861761504 | Joshua W Trbovich | Physician Assistant | 380 W Chestnut St Ste 101, Washington, PA 15301-4658 | 2011-12-27 |
| 1629200142 | Nicole L Kovach | Physician Assistant | 380 W Chestnut St Ste 101, Washington, PA 15301-4658 | 2009-08-17 |
| 1316140338 | Nestor D Tomycz | Neurological Surgery | 380 W Chestnut St Ste 101, Washington, PA 15301-4658 | 2007-06-07 |
| 1497780530 | Michael D Mccarthy | Physician Assistant | 380 W Chestnut St Ste 101, Washington, PA 15301-4658 | 2006-07-11 |
| 1649245267 | Jeffrey C Cameron Jr. | Physician Assistant | 380 W Chestnut St Ste 101, Washington, PA 15301-4658 | 2006-02-17 |
| 1225010697 | Edward D Powell | Physician Assistant | 380 W Chestnut St Ste 101, Washington, PA 15301-4658 | 2005-11-18 |
| 1194710608 | Donald M Whiting | Neurological Surgery | 380 W Chestnut St Ste 101, Washington, PA 15301-4658 | 2005-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629601208 | Tammi Kathleen Hanak | Speech-Language Pathologist | 2212 Shawnee Drive, Address Line 2, Washington, PA 15301 | 2020-02-21 |
| 1922652460 | Shannon Rouse | Nurse Practitioner | 95 Leonard Avenue Building 2 2nd Floor, Washington, PA 15301 | 2019-08-01 |
| 1700352291 | Heather Mcvay PC | Clinic/Center | 2112 North Franklin Dr, Suite 3, Washington, PA 15301 | 2018-10-23 |
| 1689169880 | Oper King | Counselor | 8 Oliver Rd, Oliver Square Suite 116, Uniontown, PA 15301 | 2018-06-29 |
| 1609374701 | Centerville Clinics Inc | Social Worker | 201 Allison Ave, Washington High School, Washington, PA 15301 | 2018-01-24 |
| 1902304009 | Centerville Clinics, Inc. | Social Worker | 50 Scenic Drive, Trinity Middle School, Washington, PA 15301 | 2018-01-24 |
| 1780182873 | Centerville Clinics, Inc | Social Worker | 252 Cameron Road, Trinity East Elementary School, Washington, PA 15301 | 2018-01-24 |
| 1700384807 | Centerville Clinics Inc | Social Worker | 801 East Wheeling St., Washington Park Elementary, Washington, PA 15301 | 2018-01-24 |
| 1992203095 | Centerville Clinics Inc | Social Worker | 2500 South Main St Ext., Trinity South Elementary School, Washington, PA 15301 | 2018-01-24 |
| 1578061784 | Centerville Clinics, Inc. | Social Worker | 225 Midland Drive, Trinity North Elelmentary School, Washington, PA 15301 | 2018-01-23 |
| Find all providers in zip 15301 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730542002 | Emma Christine Celano | Neurological Surgery | 4545 Macarthur Blvd Nw Apt G2, Washington, DC 20007-4210 | 2016-04-03 |
| 1467607671 | Chima Obioma Oluigbo | Neurological Surgery | 110 Michigan Avenue Nw, Dept of Neurosurgery, Childrens National Medical Center, Washington, DC 20010 | 2008-12-02 |
| 1730259698 | Samuel Stewart Lyness | Neurological Surgery | Wramc, 6900 Georgia Ave, Nw, Neurosurgery Service, Washington, DC 20307-5001 | 2006-11-08 |
| 1750369856 | Frank T Vertosick | Neurological Surgery | 380 W Chestnut St, Suite 101, Washington, PA 15301-4657 | 2006-01-09 |
| 1184610032 | Damirez Toruvio Fossett | Neurological Surgery | 2041 Georgia Ave Nw # 5b05, Washington, DC 20060 | 2005-09-26 |
| 1659840577 | Alissia Bishop | Neurological Surgery | 110 Irving St Nw, Washington, DC 20010-3017 | 2018-11-20 |
| 1437626066 | Kristen Marie Galvin | Neurological Surgery | 110 Irving St Nw Dept Of, Washington, DC 20010-3017 | 2018-11-01 |
| 1033420674 | George Rymarczuk | Neurological Surgery | Wramc Bldg 2 Gme Ofc, 6900 Georgia Ave Nw, Washington, DC 20307-0001 | 2010-06-29 |
| 1982922837 | Carlos Esmond Sanchez | Neurological Surgery | 111 Michigan Ave Nw, Washington, DC 20010 | 2010-05-16 |
| 1629394424 | Washington Hospital Center Corp | Neurological Surgery | 110 Irving St Nw, Washington, DC 20010-3017 | 2010-04-19 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 15301 |
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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.