ONCOLOGY HEMATOLOGY ASSOCIATES OF NORTHERN PA, PC (NPI# 1356534846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356534846 |
| Entity Type | Organization |
| Organization Name | ONCOLOGY HEMATOLOGY ASSOCIATES OF NORTHERN PA, PC |
| Practice Address |
635 Maple Ave Du Bois PA 15801-2376 |
| Mailing Address |
Po Box 447 100 Hospital Ave Du Bois PA 15801-0447 |
| Practice Telephone | 8143756379 |
| Mailing Telephone | 8143753535 |
| Mailing Fax Number | 8143722537 |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2007-08-20 |
| Authorized Official Name | ROSE PETRILLO (OFFICE MANAGER) |
| Authorized Official Telephone | 8143753531 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225220197 | Oncology Hematology Associates of Northern Pa, PC | Internal Medicine | 100 Hospital Rd, Brookville, PA 15825-1367 | 2007-08-15 |
| 1295927069 | Oncology Hematology Associates of Northern Pa, PC | Internal Medicine | 763 Johnsonburg Rd, Saint Marys, PA 15857-3417 | 2007-08-15 |
| 1598865727 | Oncology Hematology Associates of Northern Pa, PC | Internal Medicine | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2006-09-25 |
| Street Address |
635 MAPLE AVE |
| City | DU BOIS |
| State | PA |
| Zip Code | 15801-2376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528002573 | John Wade Lobb | Psychologist | 635 Maple Ave, Du Bois, PA 15801-2376 | 2006-06-16 |
| 1962917245 | Mary Elizabeth Logan | Nurse Practitioner | 635 Maple Ave, Du Bois, PA 15801-2376 | 2017-12-07 |
| 1033661335 | Bethany Lindemuth | Social Worker | 635 Maple Ave, Du Bois, PA 15801 | 2016-11-03 |
| 1881063279 | Olivia Luzier | Social Worker | 635 Maple Ave, Du Bois, PA 15801-2376 | 2015-09-16 |
| 1851776397 | Dubois Regional Medical Center - Penn Highlands Dubois East Campus | Family Medicine | 635 Maple Ave, Du Bois, PA 15801-2376 | 2015-07-27 |
| 1366836959 | Arianne Zimmerman | Counselor | 635 Maple Ave, Du Bois, PA 15801-2376 | 2015-03-23 |
| 1487937199 | Dubois Regional Medical Center | Internal Medicine | 635 Maple Ave, Du Bois, PA 15801-2376 | 2011-09-20 |
| 1770893141 | Megan E Lyle | Physician Assistant | 635 Maple Ave, Du Bois, PA 15801-2376 | 2010-10-19 |
| 1710296157 | Dubois Regional Medical Center | Family Medicine | 635 Maple Ave, Du Bois, PA 15801 | 2010-10-04 |
| 1043523657 | Huma Ansari | Psychiatry & Neurology | 635 Maple Ave, Du Bois, PA 15801-2376 | 2010-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215551452 | Grace Polohonki | Counselor | 490 Jefers Street, Dubois, PA 15801 | 2020-06-03 |
| 1144869231 | Richard Lee Kerstetter II | Hearing Instrument Specialist | 124 San Juan Rd, Du Bois, PA 15801 | 2020-01-06 |
| 1700368487 | Holly Noel Knoll | Counselor | 490 Jeffers Street, Dubois, PA 15801 | 2018-08-30 |
| 1992298160 | Dubois Regional Medical Center | Family Medicine | 145 Hospital Ave Ste 315, Du Bois, PA 15801 | 2018-06-12 |
| 1154814846 | Sara Beth Stone | Dietitian, Registered | 16288 Treasure Lk, Du Bois, PA 15801 | 2018-06-07 |
| 1942790779 | Wendi Dawn Wenzel | Counselor | 490 Jeffers St., Dubois, PA 15801 | 2018-05-17 |
| 1144748443 | Nancy Foradora | Massage Therapist | 200 Narrows Creek Park Road, Dubois, PA 15801 | 2017-09-07 |
| 1679098891 | Deborah Jean Mitchell | Hearing Instrument Specialist | 900 Beaver Drive, Dubois, PA 15801 | 2017-08-09 |
| 1861937757 | Shaun M Kanouff | Counselor | 100 Caldwell Dr., Dubois, PA 15801 | 2016-12-30 |
| 1164897740 | Drayer Physical Therapy Institute LLC | Physical Therapist | 873 Beaver Drive, Dubois, PA 15801 | 2015-12-08 |
| Find all providers in zip 15801 | ||||
| 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 |
|---|---|---|---|---|
| 1598865727 | Oncology Hematology Associates of Northern Pa, PC | Internal Medicine | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2006-09-25 |
| 1386744563 | Kevin A Mullins | Internal Medicine | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2006-09-25 |
| 1518067859 | Hazem F Elkassas | Internal Medicine | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2006-09-25 |
| 1861592016 | Carmine C Marchioli | Internal Medicine | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598372286 | Bethanie Jones | Internal Medicine | 200 St Lukes Ln Ste 100, Stroudsburg, PA 18360-6218 | 2020-09-26 |
| 1053930362 | Dubois Regional Medical Center | Internal Medicine | 88 Hospital Rd, Brookville, PA 15825-1368 | 2020-04-16 |
| 1760947840 | Russell Eugene Kaufman | Internal Medicine | 700 Glengarry Rd, Philadelphia, PA 19118-4111 | 2019-02-04 |
| 1891204921 | Ahmed Mostafa | Internal Medicine | Hahnemann University Hospital, 230 N. Broad St., Philadelphia, PA 19102 | 2017-09-20 |
| 1730607755 | Penn State Health Community Medical Group, LLC | Internal Medicine | 233 College Ave Ste 303, Lancaster, PA 17603-3384 | 2017-08-30 |
| 1831619097 | Pinnacle Health Regional Physicians | Internal Medicine | 233 College Ave Ste 100, Lancaster, PA 17603-3372 | 2017-06-20 |
| 1194193656 | Allen Oliff | Internal Medicine | 1412 Florence Dr, Gwynedd Valley, PA 19437 | 2015-09-14 |
| 1679958912 | Lancaster Medical Group, LLC | Internal Medicine | 1575 Highlands Dr Ste 205, Lititz, PA 17543-7507 | 2015-07-28 |
| 1780077735 | Arnon I Dreyfuss | Internal Medicine | 239 Delancey St, Philadelphia, PA 19106-4318 | 2015-03-16 |
| 1164841193 | Maria Vershvovsky | Internal Medicine | 440 E Marshall St Ste 101, West Chester, PA 19380-5414 | 2014-04-07 |
| Find all providers with the same taxonomy | ||||
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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.