BLOOMSBURG PHYSICIANS SERVICES


Address: 425 East First Street, Suite 201, Bloomsburg, PA 17815-1419
Phone: 5703872166

BLOOMSBURG PHYSICIANS SERVICES (NPI# 1457556482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457556482
Entity Type Organization
Organization Name BLOOMSBURG PHYSICIANS SERVICES
Other Organization Name BLOOMSBURG PHYSICIANS SERVICES-GERIATRICS
Practice Address 425 East First Street
Suite 201
Bloomsburg
PA 17815-1419
Mailing Address 401 Glenn Ave
Bloomsburg
PA 17815-1419
Practice Telephone 5703872166
Practice Fax Number 5703872316
Mailing Telephone 5703872060
Mailing Fax Number 5703872061
Enumeration Date 2007-06-19
Last Update Date 2020-08-22
Authorized Official Name MRS. KRISTIN A HOLLISTER (ASSISTANT PRACTICE MANAGER)
Authorized Official Telephone 5703872166
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
BLOOMSBURG PHYSICIANS SERVICES-GERIATRICS Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1477758407 Bloomsburg Physicians Services Family Medicine 101 West 9th Street, Berwick, PA 18603 2007-06-19
1285967208 Bloomsburg Physicians Services Family Medicine 4469 Red Rock Rd, Benton, PA 17814-7606 2009-09-09
1861649113 Bloomsburg Physicians Services Family Medicine 447 E 1st St, Bloomsburg, PA 17815-1417 2008-08-19
1235306879 Bloomsburg Physicians Services Orthopaedic Surgery 480 Central Rd, Bloomsburg, PA 17815-3121 2008-05-13
1689857070 Bloomsburg Physicians Services Internal Medicine 410 Glenn Ave, Suite 304, Bloomsburg, PA 17815-1200 2007-12-10
1457543290 Bloomsburg Physicians Services Family Medicine 549 Fair St, Bloomsburg, PA 17815-1419 2007-08-15
1548465578 Bloomsburg Physicians Services Family Medicine 2 South Market Street, Elysburg, PA 17824 2007-06-19
1881899896 Bloomsburg Physicians Services Internal Medicine 425 E 1st St, Suite 201, Bloomsburg, PA 17815-1480 2007-06-19
1447455480 Bloomsburg Physicians Services Internal Medicine 410 Glenn Ave, Suite 301, Bloomsburg, PA 17815-1419 2007-06-19
1588869515 Bloomsburg Physicians Services Family Medicine 410 Glenn Ave, Suite 303, Bloomsburg, PA 17815-1419 2007-06-19

Office Location

Street Address 425 EAST FIRST STREET
SUITE 201
City BLOOMSBURG
State PA
Zip Code 17815-1419

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780295733 Geisinger Clinic Emergency Medicine 545 Fair Street, Bloomsburg, PA 17815 2020-08-13
1124457551 Patricia Marie Archey Physician Assistant 93 Avon Ave, Bloomsburg, PA 17815 2013-11-06
1154684561 Alice Michele Weaver Maczuga Social Worker 816 Central Road, Bollmsburg, PA 17815 2012-06-20
1396069332 Cmsu Behavioral Health and Developmental Services Community/Behavioral Health 675 Locust St, Bloomsburg, PA 17815 2010-03-19
1922235829 Joel Stephen Hamilton Dentist 2 Audubon Court, Bloomsburg, PA 17815 2009-06-18
1508011685 Cindy A Prosseda Social Worker 6850 Lowes Road, Bloomsburg, PA 17815 2008-11-17
1881854271 Francis Joseph Welk Physical Therapist 410 Glen Ave, Suite 101 Susquehanna Physical Therapy Associates, Bloomsburg, PA 17815 2008-06-10
1679652390 John A Scerbo Dentist 812 Central Road, Bloomsburg, PA 17815 2006-11-03
1104914811 Columbia Ancillary Services Inc Durable Medical Equipment & Medical Supplies 1141 Ridge Road, Bloomsburg, PA 17815 2006-10-10
1922192681 Patricia M. Taylor Speech-Language Pathologist 6530 Main Street, Bloomsburg, PA 17815 2006-10-03
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Taxonomy Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1730795931 Medical Associates of Erie Internal Medicine 5401 Peach St Ste 3100, Erie, PA 16509-2601 2020-09-22
1578192514 Telemed Solutions of Nj PC Internal Medicine 2100 Wharton St Ste 510, Pittsburgh, PA 15203-1691 2020-04-02
1316453558 Arva Medical Specialties, PC Internal Medicine 7790 Easton Rd, Ottsville, PA 18942-1765 2017-12-26
1174953210 Humberto Guerra-garcia Internal Medicine 2055 White Horse Rd, Berwyn, PA 19312-2127 2013-11-26
1912249061 Christopher Hwang Internal Medicine 100 W Sproul Rd Ste 221, Springfield, PA 19064-2033 2013-03-26
1801160544 Rhonda Lea Lahue-mordy Internal Medicine 901 Parkes Run Ln, Villanova, PA 19085-1126 2012-02-27
1437421088 Internal Medicine and Geriatric of Lancaster County LLC Internal Medicine 1222 Cameron Dr, Manheim, PA 17545-8688 2012-01-29
1013225903 Langhorne Physician Services Internal Medicine 1205 Langhrn Nwtwn Rd Ste 102, Langhorne, PA 19047-1220 2010-09-14
1386973592 Richard Huskey Md Dmn Pak LLC Internal Medicine 1214 Line St, Ste B, Sunbury, PA 17801-1677 2009-12-17
1669709390 Angelo John Lucco Internal Medicine 210 Mount Nebo Rd, East Stroudsburg, PA 18301-9237 2009-11-18
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Competitor

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City BLOOMSBURG
Zip Code 17815

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Dataset Information

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.

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