DR. MICHAEL E FATH (NPI# 1487631214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487631214 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL E FATH |
| Credential | D.O. |
| Practice Address |
500 Scott St Wilkes Barre PA 18702-5616 |
| Mailing Address |
610 Wyoming Ave Kingston PA 18704-3702 |
| Practice Telephone | 5708241700 |
| Practice Fax Number | 5708241300 |
| Mailing Telephone | 5702885441 |
| Mailing Fax Number | 5702885842 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2014-04-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS012073 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001947548 | 05 | |
| PA | BLUE CROSS BLUE SHIELD | 001458607 | 01 |
| PA | FIRST PRIORITY | 002993 | 01 |
| Street Address |
500 SCOTT ST |
| City | WILKES BARRE |
| State | PA |
| Zip Code | 18702-5616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649273574 | Michael F Robatin | Nurse Practitioner | 500 Scott St, Wilkes Barre, PA 18702-5616 | 2005-05-24 |
| 1669085544 | Scott Street Medical Group LLC | Family Medicine | 500 Scott St, Wilkes Barre, PA 18702-5616 | 2020-08-28 |
| 1982617254 | Dineshkumar Chimanlal Talati | Internal Medicine | 500 Scott St, Wilkes Barre, PA 18702-5616 | 2006-08-15 |
| 1558374983 | Michael J Grasso | Internal Medicine | 500 Scott St, Wilkes Barre, PA 18702-5616 | 2006-08-15 |
| 1831102284 | Ernest Julius | Family Medicine | 500 Scott St, Wilkes Barre, PA 18702-5616 | 2006-08-15 |
| 1487684130 | Judge and Toole Eye Care | Optometrist | 500 Scott St, Wilkes Barre, PA 18702-5616 | 2006-07-04 |
| 1063468643 | Geisinger Community Health Services | Clinic/Center | 500 Scott St, Wilkes Barre, PA 18702-5613 | 2006-05-26 |
| 1376508234 | Catherine M. Rainey | Preventive Medicine | 500 Scott St, Wilkes Barre, PA 18702-5613 | 2006-04-20 |
| 1255392908 | Susan A. Maille | Physician Assistant | 500 Scott St, Wilkes Barre, PA 18702-5613 | 2006-03-31 |
| 1720052681 | Brian G. Babonis | Physician Assistant | 500 Scott St, Wilkes Barre, PA 18702-5613 | 2006-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153161 | Joann Bonn | Pharmacist | 441 Wilkes-barre Township Blvd, Wilkes-barre, PA 18702 | 2020-10-30 |
| 1689213167 | Megan Grace Zanghi | Pharmacist | 58-60 Public Square, 4th Floor, Wilkes-barre, PA 18702 | 2019-12-31 |
| 1467013292 | Kelly Rose Sones | Pharmacist | 58/60 Public Square, Wilkes-barre, PA 18702 | 2019-06-24 |
| 1528520186 | Adam Olivetti | Pharmacist | 58-60 Public Square, Wilkes-barre, PA 18702 | 2019-04-03 |
| 1295220648 | Dental Associates of Nepa PC | Dentist | 360 Kidder Street, Suite 5, Wilkes Barre, PA 18702 | 2018-06-28 |
| 1568983245 | Bio-medical Applications of Pennsylavania, Inc. | Clinic/Center | 309 Laird St, Wilkes-barre, PA 18702 | 2017-07-03 |
| 1538615166 | Elsa Gates | Nurse Practitioner | 100 East Mountain Blvd, Geisinger, Wilkes Barre, PA 18702 | 2016-09-01 |
| 1972990455 | Epeople Health Care Inc. | Home Health | 1092 Route 315, Ste 3, Wilkes Barre, PA 18702 | 2015-04-22 |
| 1063819001 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 277 Mundy St, Suite 101, Wilkes Barre, PA 18702 | 2014-11-19 |
| 1356764013 | Jill Stacchiotti | Speech-Language Pathologist | 2 Salem Drive, Laflin, PA 18702 | 2014-01-30 |
| Find all providers in zip 18702 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861811721 | Kristin Simmons Bennie | Family Medicine | 166 Hanover St Ste 200, Wilkes Barre, PA 18702-3549 | 2014-04-08 |
| 1992950604 | Yaroslav Dvorskyy | Family Medicine | 101 Indian Creek Dr, Wilkes Barre, PA 18702-7824 | 2008-11-21 |
| 1144493065 | Hart Medical Center,inc | Family Medicine | 476 Hazle St, Wilkes Barre, PA 18702-4646 | 2008-04-11 |
| 1336341460 | John M. Prater | Family Medicine | 836 N Washington St, Wilkes Barre, PA 18705-1823 | 2007-06-01 |
| 1659471910 | Patrick J Kerrigan | Family Medicine | 476 Hazle Street, Wilkes Barre, PA 18702 | 2006-09-25 |
| 1902832975 | John M Kish | Family Medicine | 147 Amber Ln, Wilkes Barre, PA 18702-6545 | 2006-06-23 |
| 1558311076 | Geisinger Clinic | Family Medicine | 175 Wilkes Barre Blvd, Wilkes Barre, PA 18702 | 2006-05-12 |
| 1578528410 | Mark M. Radziewicz | Family Medicine | Wilkes Barre Geneal Hospital, 575 N. River Street, Wilkes Barre, PA 18764-0001 | 2006-04-20 |
| 1447226568 | Joseph Charles Lentini | Family Medicine | 500 Scott Street, Wilkes Barre, PA 18702 | 2006-02-28 |
| 1730169079 | Denise Marie Klynowsky-farrell | Family Medicine | 96 Wood St, Wilkes Barre, PA 18702-3612 | 2006-01-20 |
| Find all providers in WILKES BARRE | ||||
| City | WILKES BARRE |
| Zip Code | 18702 |
Please comment or provide details below to improve the information on DR. MICHAEL E FATH.
| 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.