GAUDENZIA (NPI# 1487001749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487001749 |
| Entity Type | Organization |
| Organization Name | GAUDENZIA |
| Other Organization Name | GAUDENZIA LEWISBURG OUTPATIENT |
| Practice Address |
480 Hafer Rd Lewisburg PA 17837-7413 |
| Mailing Address |
106 W Main St Norristown PA 19401-4716 |
| Practice Telephone | 5705243884 |
| Practice Fax Number | 5707684779 |
| Mailing Telephone | 6102399600 |
| Mailing Fax Number | 6102757025 |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-05-17 |
| Authorized Official Name | MR. MICHAEL COYLE (DIR. FISCAL & ACCOUNTING OPERATIONS) |
| Authorized Official Telephone | 6102399600 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 607058 | PA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Gaudenzia Lewisburg Outpatient | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740652304 | Gaudenzia | Counselor | 570 Ritchie Hwy, Suite H, Severna Park, MD 21146-2925 | 2015-10-22 |
| 1922273564 | Gaudenzia | Clinic/Center | 1834 W Tioga St, Philadelphia, PA 19140-4939 | 2008-04-24 |
| 1639293418 | Gaudenzia | Clinic/Center | 3740 Chambers Hill Rd, Harrisburg, PA 17111-1510 | 2007-03-19 |
| 1225495609 | Gaudenzia | Clinic/Center | 201 Lincoln Way W, Mc Connellsburg, PA 17233-1319 | 2016-01-15 |
| 1215256417 | Gaudenzia | Clinic/Center | 4615 Park Heights Ave, Baltimore, MD 21215-6331 | 2010-05-27 |
| 1811011513 | Gaudenzia | Clinic/Center | 3740 Chambers Hill Rd, Harrisburg, PA 17111-1510 | 2007-03-19 |
| 1881718062 | Gaudenzia | Clinic/Center | 110 Westtown Rd, Suite 115, West Chester, PA 19382-4978 | 2007-03-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GAUDENZIA DRC, INC. | 3200 Henry Ave, Philadelphia, PA 19129-1137 |
| System for Award Management (SAM) Entities | GAUDENZIA FOUNDATION, INC. | 106 W Main St, Norristown, PA 19401-4716 |
| System for Award Management (SAM) Entities | GAUDENZIA, INC. | 106 W Main St, Norristown, PA 19401-4716 |
| Street Address |
480 HAFER RD |
| City | LEWISBURG |
| State | PA |
| Zip Code | 17837-7413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274245 | Susquehanna Valley Therapy Group, LLC | Counselor | 4552 West Branch Highway, Lewisburg, PA 17837 | 2020-08-06 |
| 1184185910 | Laura Pulaski | Physical Therapy Assistant | 15 Rivercrest Cir, Lewisburg, PA 17837 | 2019-03-26 |
| 1487112892 | Taylor Karin Hendrix | Physical Therapy Assistant | 189 Tressler Dr, Lewisburg, PA 17837 | 2019-03-05 |
| 1902375033 | United States Penitentiary | Pharmacist | 2400 Robert F. Miller Drive, Lewisburg, PA 17837 | 2018-11-19 |
| 1114419710 | Society Hill Dental In Lewisburg | Dentist | 339 Market Street, Lewisburg, PA 17837 | 2018-05-31 |
| 1669919213 | Karen Jean Orchard | Marriage & Family Therapist | 821 Buffalo Road, Lewisburg, PA 17837 | 2017-01-20 |
| 1063892057 | Giant Food Stores LLC | Durable Medical Equipment & Medical Supplies | 224 Hardwood Dr, Lewisburg, PA 17837 | 2015-06-04 |
| 1003207853 | Lenora Jeanne Broda | Counselor | 1800 Market St, Diakon Family Life Services, Lewisburg, PA 17837 | 2015-02-16 |
| 1225457401 | Geisinger Clinic | Clinic/Center | 1717 W Market St, Lewisburg, PA 17837 | 2014-04-15 |
| 1982045456 | Abdul Rahim Ali | Counselor | 32 Whisper Creek, Suite 8, Lewisburg, PA 17837 | 2013-07-12 |
| Find all providers in zip 17837 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225457401 | Geisinger Clinic | Clinic/Center | 1717 W Market St, Lewisburg, PA 17837 | 2014-04-15 |
| 1639474562 | Fritz's Pharmacy II | Clinic/Center | 1318 Jefferson Street North, Suite #2, Lewisburg, WV 24901-1063 | 2011-01-25 |
| 1154879096 | Ideal Pediatric and Adolescent Care | Clinic/Center | 121 Jpm Rd, Lewisburg, PA 17837-9313 | 2016-09-21 |
| 1902296254 | Lewisburg Family Chiropractic | Clinic/Center | 200 Market St, Lewisburg, PA 17837 | 2015-01-26 |
| 1154766251 | Evangelical-geisinger Health, LLC | Clinic/Center | 1 Dent Dr, Lewisburg, PA 17837-2005 | 2013-05-02 |
| 1154617694 | Geisinger Medical Center | Clinic/Center | 131 Jpm Rd, Lewisburg, PA 17837-9309 | 2011-06-23 |
| 1548563869 | Evangelical Community Hospital | Clinic/Center | 1 Hospital Dr, Lewisburg, PA 17837-9350 | 2010-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820754 | The Nava Center, Inc. | Clinic/Center | 1334 S 18th St, Philadelphia, PA 19146-4647 | 2020-11-01 |
| 1629680319 | Innovative Pediatric Therapy Services LLC | Clinic/Center | 713 Bridge St Ste 23, Selinsgrove, PA 17870-1250 | 2020-08-24 |
| 1376161828 | Cerner Health Connections, Inc | Clinic/Center | 1234 West Chester Pike, West Chester, PA 19382-5688 | 2020-07-10 |
| 1811514417 | Care Counseling & Children's Services LLC | Clinic/Center | 872 Pennsylvania St, Whitehall, PA 18052-7968 | 2020-06-30 |
| 1629694880 | Lancaster General Medical Group | Clinic/Center | 2112 Harrisburg Pike Ste 323, Lancaster, PA 17601-2644 | 2020-06-23 |
| 1225653496 | Aeo Pitt | Clinic/Center | 77 Hot Metal St, Pittsburgh, PA 15203-2382 | 2020-06-12 |
| 1174147656 | Paul Witt Do Pllc | Clinic/Center | 59 East Carey Street, Plains, PA 18705-1870 | 2020-06-01 |
| 1306469309 | Everest Pace Center Inc | Clinic/Center | 2602 W 9th St Ste 100, Chester, PA 19013-2089 | 2020-05-26 |
| 1225650930 | The Modern Country Doctor, LLC | Clinic/Center | 23 Industrial Blvd Ste D, Paoli, PA 19301-1601 | 2020-05-15 |
| 1013543099 | Rediclinic of Pa, LLC | Clinic/Center | 5707 Easton Rd, Pipersville, PA 18947-1823 | 2020-03-21 |
| 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.