RICHARD EDWARD GRATZ (NPI# 1396803938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396803938 |
| Entity Type | Individual |
| Full Name | RICHARD EDWARD GRATZ |
| Credential | M.D. |
| Practice Address |
201 Smallacombe Dr Scranton PA 18508-2616 |
| Practice Telephone | 5709610171 |
| Practice Fax Number | 5702072411 |
| Mailing Telephone | 5709610171 |
| Mailing Fax Number | 5702072411 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD022386E | PA | Allopathic & Osteopathic Physicians |
| X | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
MD022386E | PA | Allopathic & Osteopathic Physicians |
| X | 207R00000X | Internal Medicine | MD022386E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | STATE LICENSE | MD022386E | 01 |
| PA | 0008158300001 | 05 |
| Street Address |
201 SMALLACOMBE DR |
| City | SCRANTON |
| State | PA |
| Zip Code | 18508-2616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093723322 | Charles Thomas Grad Sr. | Internal Medicine | 201 Smallacombe Dr, Scranton, PA 18508-2616 | 2006-08-03 |
| 1740839273 | Theresa Germano | Nurse Practitioner | 201 Smallacombe Dr, Scranton, PA 18508-2616 | 2019-09-07 |
| 1992187157 | Beth Domiano | Pharmacist | 201 Smallacombe Dr, Scranton, PA 18508-2616 | 2015-06-24 |
| 1841622610 | Amanda Maria Grippo | Nurse Practitioner | 201 Smallacombe Dr, Scranton, PA 18508-2616 | 2013-08-05 |
| 1306108212 | Kevin E. Bowman | Pharmacist | 201 Smallacombe Dr, Suite#1, Scranton, PA 18508-2616 | 2012-06-15 |
| 1225317753 | Jillian Dwyer | Pharmacist | 201 Smallacombe Dr, Scranton, PA 18508-2616 | 2011-08-15 |
| 1013225382 | Natalie Milani | Dietitian, Registered | 201 Smallacombe Dr, Scranton, PA 18508-2616 | 2010-09-20 |
| 1730327107 | Nicole Ann Walsh | Pharmacist | 201 Smallacombe Dr, Allied Services Pharmacy Suite #1, Scranton, PA 18508-2616 | 2009-01-23 |
| 1073751475 | Gary Adam Beppler | Pharmacist | 201 Smallacombe Dr, Suite 1, Scranton, PA 18508-2616 | 2009-01-23 |
| 1245414853 | Steven Andrew Kucharski | Pharmacist | 201 Smallacombe Dr, Allied Services Pharmacy, Scranton, PA 18508-2616 | 2007-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659843266 | Kelly Artmont | Massage Therapist | Northeastern Rehabilitation Associates, PC, 5 Morgan Highway Suite 4, Scranton, PA 18508 | 2018-12-20 |
| 1881163517 | Mindy Dobroski | Pharmacist | 589 Hamlin Hwy, Hamlin, PA 18508 | 2018-11-26 |
| 1417402249 | Express Urgent Care, LLC | Clinic/Center | 449 Scranton Carbondale Hwy, Dickson City, PA 18508 | 2016-08-22 |
| 1548644164 | Marie Domiano | Pharmacist | 201 Smallacombe Drive, Scranton, PA 18508 | 2015-07-14 |
| 1033511621 | Geisinger Clinic | Radiology | 5 Morgan Highway, Suite 7, Scranton, PA 18508 | 2014-09-25 |
| 1265833321 | Geisinger Clinic | Clinic/Center | 423 Scranton-carbondale Hwy, Scranton, PA 18508 | 2014-09-09 |
| 1659656924 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 100 Viewmont Mall, Space 844, Scranton, PA 18508 | 2011-10-18 |
| 1689851545 | Carol Ann C Perfilio Pamelia | Chiropractor | 1328 Providence Rd, Scranton, PA 18508 | 2008-01-23 |
| 1821282989 | Osti Klenz Inc | Durable Medical Equipment & Medical Supplies | 7 Viewmont Estates, Scranton, PA 18508 | 2007-08-31 |
| 1508072125 | Mary Jane Cosgrove | Optometrist | Lenscrafters Rt 6, Viewmont Mall, Scranton, PA 18508 | 2007-05-14 |
| Find all providers in zip 18508 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659572733 | Kevin H. Olsen M.d. PC | Internal Medicine | 2603 Stafford Ave, Scranton, PA 18505-3608 | 2007-05-29 |
| 1376634949 | Kevin H Olsen | Internal Medicine | 2603 Stafford Avenue, Scranton, PA 18505-3608 | 2006-09-27 |
| 1295730182 | Leonard J Denis | Internal Medicine | 746 Jefferson Avenue, Suite 305, Scranton, PA 18510 | 2005-06-16 |
| 1306070735 | Nishant Sethi | Internal Medicine | 743 Jefferson Ave, Suite 305, Scranton, PA 18510-1635 | 2009-05-13 |
| 1588816854 | Michelle Diane Spotnitz | Internal Medicine | 1800 Mulberry Street, Scranton, PA 18510-6800 | 2008-10-18 |
| 1659467330 | Matthew Martin Stopper | Internal Medicine | 746 Jefferson Ave, Suite 305, Scranton, PA 18510-1624 | 2006-10-04 |
| 1679668214 | Peter J Cawley | Internal Medicine | 1800 Mulberry St, Scranton, PA 18510-2369 | 2006-10-03 |
| 1528080116 | Joseph Russo | Internal Medicine | 746 Jefferson Ave, Scranton, PA 18510-1624 | 2006-07-24 |
| 1891785952 | David L Lohin | Internal Medicine | 1800 Mulberry St, Scranton, PA 18510-2369 | 2005-10-28 |
| 1902896210 | Madhava S Rao | Internal Medicine | 1800 Mulberry St, Scranton, PA 18510-2369 | 2005-10-27 |
| Find all providers in SCRANTON | ||||
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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.