GINO MONGELLUZZO (NPI# 1417278698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417278698 |
| Entity Type | Individual |
| Full Name | GINO MONGELLUZZO |
| Credential | M.D. |
| Practice Address |
100 North Academy Avenue Danville PA 17822-2007 |
| Mailing Address |
100 North Academy Avenue Danville PA 17822-4903 |
| Practice Telephone | 5702716301 |
| Practice Fax Number | 5702715976 |
| Mailing Telephone | 5702716144 |
| Mailing Fax Number | 5702716578 |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2016-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
MD458500 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
100 NORTH ACADEMY AVENUE |
| City | DANVILLE |
| State | PA |
| Zip Code | 17822-2007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538193032 | Ronald Evans | Internal Medicine | 100 North Academy Avenue, Danville, PA 17822 | 2006-07-10 |
| 1154948537 | Sukhraj Singh Gill | Psychiatry & Neurology | 100 North Academy Avenue, Danville, PA 17822 | 2020-07-01 |
| 1467078212 | Vandan Shah | Student in an Organized Health Care Education/Training Program | 100 North Academy Avenue, Danville, PA 17822 | 2020-06-17 |
| 1528697109 | Sejin Bae | Student in an Organized Health Care Education/Training Program | 100 North Academy Avenue, Danville, PA 17822 | 2020-04-06 |
| 1992268056 | Joshua Adam Salazar | Student in an Organized Health Care Education/Training Program | 100 North Academy Avenue, Danville, PA 17822 | 2019-04-07 |
| 1649703059 | Neha Sinha | Student in an Organized Health Care Education/Training Program | 100 North Academy Avenue, Geisinger Medical Center, Danville, PA 17822 | 2017-04-04 |
| 1962935205 | Ryan Christopher Moore | Student in an Organized Health Care Education/Training Program | 100 North Academy Avenue, Danville, PA 17822 | 2017-04-04 |
| 1972036390 | Victoria Tyrell | Student in an Organized Health Care Education/Training Program | 100 North Academy Avenue, Geisinger Medical Center, Danville, PA 17822 | 2017-04-04 |
| 1790217552 | Kunal Kishor Jha | Student in an Organized Health Care Education/Training Program | 100 North Academy Avenue, Danville, PA 17822 | 2017-03-31 |
| 1790216059 | Maciej Sadowski | Student in an Organized Health Care Education/Training Program | 100 North Academy Avenue, Danville, PA 17822 | 2017-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366062895 | Staci Lee Benoit | Student in an Organized Health Care Education/Training Program | 100 North Academy Avenue Geisinger Medical Center, Danville, PA 17822 | 2020-04-24 |
| 1275162018 | Kristena Yossef | Student in an Organized Health Care Education/Training Program | Geisinger Medical Center, 100 North Academy Avenue, Da, Danville, PA 17822 | 2020-04-03 |
| 1003470444 | Intekhab Askari Syed Ahmad Raza | Student in an Organized Health Care Education/Training Program | 100 North Academy Avenue, Geisinger Medical Center, Danville, PA 17822 | 2019-04-30 |
| 1841766334 | Sarah Louise Dearment | Counselor | Geisinger Medical Center: Department of Psychiatry, 100 N. Academy Avenue, Danville, PA 17822 | 2018-10-23 |
| 1548753908 | Josie Pervola | Genetic Counselor, MS | 100 N Academy Ave Mc-26-20, Danville, PA 17822 | 2018-06-11 |
| 1477059350 | Martha Niemiec | Counselor | Geisinger Medical Center Department of Psychiatry, 100 North Academy Avenue, Danville, PA 17822 | 2018-04-01 |
| 1730625450 | Nir Shimony | Neurological Surgery | 100 N. Academy Ave., Geisinger Medical Center, Neurosurgery Department, Danville, PA 17822 | 2017-01-19 |
| 1164877197 | Britta Hunter | Speech-Language Pathologist | 100 N. Academy Ave., Danville, PA 17822 | 2016-04-27 |
| 1891180725 | Zach Rottmann | Internal Medicine | Geisinger Medical Center, 100 North Academy Avenue, Danville, PA 17822 | 2015-03-30 |
| 1891063251 | John D Chakan | Pharmacist | 1000 S Second St, Sunbury, PA 17822 | 2011-12-13 |
| Find all providers in zip 17822 | ||||
| Taxonomy Code | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306114061 | Andres Moreno De Luca | Radiology | 100 N Academy Ave # Mc20-07, Danville, PA 17822-9800 | 2011-12-09 |
| 1699701680 | Bradley J Glenn | Radiology | 784 El Pintado Rd, Danville, CA 94526-1407 | 2006-06-23 |
| 1518384510 | Thu-thao Ngoc Ly | Radiology | 100 N Academy Ave, Danville, PA 17822-0005 | 2014-03-27 |
| 1487945325 | Evan Berkeley Young | Radiology | 100 N Academy Ave, Danville, PA 17822-0001 | 2011-04-26 |
| 1063711240 | Arbab Iqbal | Radiology | Geisinger Medical Ctr, 100 North Academy Avenue, Danville, PA 17822-0001 | 2011-03-27 |
| 1346560844 | Kyaw N Tun | Radiology | 100 N Academy Ave, Danville, PA 17822-2007 | 2010-06-07 |
| 1518123231 | Marlene Baumann | Radiology | 100 N Academy Ave, Danville, PA 17822-2342 | 2008-08-01 |
| 1639375702 | Jeremy Sykes | Radiology | 100 N Academy Ave, Danville, PA 17822-5103 | 2007-06-25 |
| 1548399249 | Sabrina Talbott Browning | Radiology | 100 N Academy Ave, Danville, PA 17822-1518 | 2007-03-06 |
| 1144255993 | Joseph Lock | Radiology | 100 N Academy Ave, Danville, PA 17822-1777 | 2006-07-11 |
| Find all providers in DANVILLE | ||||
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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.