MICHAEL PADDOCK (NPI# 1427608397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427608397 |
| Entity Type | Individual |
| Full Name | MICHAEL PADDOCK |
| Practice Address |
6 Bochicchio Blvd Covington Township PA 18444-6691 |
| Mailing Address |
1218 Lori Ln Old Forge PA 18518-1122 |
| Practice Telephone | 5708426766 |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2019-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP450654 | PA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417215203 | Michael Bryan Paddock | Physical Therapy Assistant | 92 Quapaw Trl, Jacksonville, AR 72076-8991 | 2012-04-30 |
| 1457663601 | Michael Thomas Paddock | Emergency Medicine | 640 Jackson Street, Ms11102f, St. Paul, MN 55101-2502 | 2010-07-04 |
| Street Address |
6 BOCHICCHIO BLVD |
| City | COVINGTON TOWNSHIP |
| State | PA |
| Zip Code | 18444-6691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285949370 | Susan D Decesare | Psychologist | 260 Daleville Highway, Suite 105, Covington Township, PA 18444 | 2010-08-12 |
| 1487986741 | Rocco G. Diana | Chiropractor | 1186 Church St., Moscow, PA 18444 | 2010-02-10 |
| 1821263666 | Jay Joseph Sochoka | Pharmacist | Routes 435 & 502, Moscow, PA 18444 | 2008-04-23 |
| 1669671004 | Donald W Haines | Dentist | 921 Drinker Turnpike, Suite 19, Coventry Township, PA 18444 | 2007-07-16 |
| 1952422750 | James Steven Fagan | Dentist | 1644 Rt 611 Fountain Springs West, Suite 3, Tannersville, PA 18444 | 2007-04-02 |
| 1184728313 | Braceys Supermarket Inc. | Pharmacy | Route 502, Daleville, PA 18444 | 2006-09-08 |
| 1720003254 | Antony L Graham | Chiropractor | 1186 Church Street, Moscow, PA 18444 | 2006-07-13 |
| 1245228410 | Jose Aramburo | Family Medicine | Rt 502 Box 6239, Moscow, PA 18444 | 2005-10-11 |
| 1225305311 | Kimberly A. Desau | Occupational Therapist | 516 Saint Marys Villa Rd, Elmhurst Township, PA 18444 | 2011-11-17 |
| 1962680413 | Dr Richard Margerum Optometrist | Optometrist | 328 N Main St, Moscow, PA 18444 | 2008-02-07 |
| Find all providers in zip 18444 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023549300 | Mary Gibbons | Pharmacist | 921 Drinker Tpke, Covington Township, PA 18444-7947 | 2017-03-27 |
| 1770944662 | Elaine Coutros Blondek | Pharmacist | 921 Drinker Tpke, Covington Township, PA 18444-7947 | 2016-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013704 | Truong Vu | Pharmacist | 1675 Christopher Columbus Blvd, Philadelphia, PA 19148-1402 | 2020-11-07 |
| 1376144212 | Gyuzel Gold | Pharmacist | 3668 Hancock Ln, Doylestown, PA 18902-6544 | 2020-11-06 |
| 1619578424 | Laurie A Fisher | Pharmacist | 325 W Freedom Ave, Burnham, PA 17009-1846 | 2020-11-06 |
| 1073114880 | Lawrence Roettenbacher | Pharmacist | 3560 Route 611 Ste 105, Bartonsville, PA 18321-9452 | 2020-11-06 |
| 1104427186 | Hannah Bae | Pharmacist | 315 N York Rd, Willow Grove, PA 19090-2621 | 2020-11-05 |
| 1285235283 | Luann Orehek Reno | Pharmacist | 567 Pa- 100 N, Bechtelsville, PA 19505 | 2020-11-05 |
| 1558962571 | Ashley Lynn Martire | Pharmacist | 3015 W Emaus Ave, Allentown, PA 18103-7107 | 2020-11-05 |
| 1184225237 | Scott Borkenhagen | Pharmacist | 3722 Nazareth Rd, Easton, PA 18045-8340 | 2020-11-05 |
| 1114528189 | Andrew Francis Christine | Pharmacist | 830 N Us Route 15, Dillsburg, PA 17019-1617 | 2020-11-05 |
| 1073114070 | Casey Joe Kulago | Pharmacist | 2121 S Atherton St, State College, PA 16801-7610 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
| City | COVINGTON TOWNSHIP |
| Zip Code | 18444 |
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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.