SURGICAL SPECIALISTS OF WYOMING VALLEY, PC (NPI# 1497717482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497717482 |
| Entity Type | Organization |
| Organization Name | SURGICAL SPECIALISTS OF WYOMING VALLEY, PC |
| Practice Address |
200 S River St Plains PA 18705-1143 |
| Practice Telephone | 5708211100 |
| Practice Fax Number | 5708211108 |
| Mailing Telephone | 5708211100 |
| Mailing Fax Number | 5708211108 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2018-08-17 |
| Authorized Official Name | DR. MARIE ROKE THOMAS (ADMINISTRATOR) |
| Authorized Official Telephone | 5708211100 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
200 S RIVER ST |
| City | PLAINS |
| State | PA |
| Zip Code | 18705-1143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265409551 | David B Lucchino | Surgery | 200 S River St, Plains, PA 18705-1143 | 2006-03-05 |
| 1144773151 | Kyle Landis | Physician Assistant | 200 S River St, Plains, PA 18705-1143 | 2016-07-26 |
| 1982031993 | Kelsey Ann Leedock | Physician Assistant | 200 S River St, Plains, PA 18705-1143 | 2013-10-04 |
| 1912344607 | Keystone Surgical Assistants Inc. | Physician Assistant | 200 S River St, Plains, PA 18705-1143 | 2013-06-04 |
| 1457481020 | Charles Jobst IIi | Physician Assistant | 200 S River St, Plains, PA 18705-1143 | 2007-03-06 |
| 1700926078 | Dean R Adams | Surgery | 200 S River St, Plains, PA 18705-1143 | 2007-02-07 |
| 1104974328 | Gary Paul Neale | Specialist | 200 S River St, Plains, PA 18705-1143 | 2007-01-05 |
| 1265400204 | Clark D Gerhart | Surgery | 200 S River St, Plains, PA 18705-1143 | 2006-03-08 |
| 1073581013 | Juan J Derojas | Surgery | 200 S River St, Plains, PA 18705-1143 | 2006-03-08 |
| 1609844646 | Barry J Pernikoff | Surgery | 200 S River St, Plains, PA 18705-1143 | 2006-03-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316446206 | Mark L Rowan | Physical Therapist | 667 North River Street, Plains, PA 18705 | 2018-02-06 |
| 1588105589 | Maxim Healthcare Services Inc | Home Health | 672 North River St., Suite 102, Plains, PA 18705 | 2017-03-10 |
| 1538572383 | Kevin Loftus | Pharmacist | 20 South River St, Plains, PA 18705 | 2014-06-10 |
| 1831345487 | Terry Lynn Elias | Speech-Language Pathologist | 1014 Morgan Drive, Wilkes-barre, PA 18705 | 2008-08-14 |
| 1578699963 | Renee Elizabeth Edwards | Dentist | 163 S River Street, Plains, PA 18705 | 2007-02-27 |
| 1669568770 | Wyoming Valley Alcohol and Drug Services Inc | Counselor | 437 North Main St., Wilkes Barre, PA 18705 | 2006-10-05 |
| 1912090689 | Emmanuel Egipto Jacob | Acupuncturist | 39 South River Street, Plains, PA 18705 | 2006-10-02 |
| 1336159508 | Albert David Janerich | Physical Medicine & Rehabilitation | 667 S River St, Plains, PA 18705 | 2006-08-09 |
| 1174543094 | Northeast Pedorthic Services Inc | Durable Medical Equipment & Medical Supplies | 234 S River Rd, Plains, PA 18705 | 2006-07-21 |
| 1235118225 | Riverview Orthotics Prosthetics Inc | Prosthetic/Orthotic Supplier | 220 South River St, Suite 204, Plains, PA 18705 | 2006-01-10 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801970033 | Wildhorse Management Inc | Surgery | Clarkfork Valley Hospital, #10 Kruger Rd, Plains, MT 59859 | 2006-10-24 |
| 1124118468 | Donald D Damschen | Surgery | Clark Fork Valley Hospital, #10 Kruger Rd, Plains, MT 59859 | 2006-10-16 |
| 1265409551 | David B Lucchino | Surgery | 200 S River St, Plains, PA 18705-1143 | 2006-03-05 |
| 1700926078 | Dean R Adams | Surgery | 200 S River St, Plains, PA 18705-1143 | 2007-02-07 |
| 1265400204 | Clark D Gerhart | Surgery | 200 S River St, Plains, PA 18705-1143 | 2006-03-08 |
| 1073581013 | Juan J Derojas | Surgery | 200 S River St, Plains, PA 18705-1143 | 2006-03-08 |
| 1609844646 | Barry J Pernikoff | Surgery | 200 S River St, Plains, PA 18705-1143 | 2006-03-08 |
| 1174590467 | Chester C Yavorski | Surgery | 200 S River St, Plains, PA 18705-1143 | 2006-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060655 | Western Pa Surgery Center, Beaver County Branch, LLC | Surgery | 103 Pleasant Dr, Aliquippa, PA 15001-1333 | 2020-10-12 |
| 1558977546 | Abington Memorial Hospital | Surgery | 2701 Blair Mill Rd Ste 17, Willow Grove, PA 19090-1041 | 2020-09-16 |
| 1518579762 | St. Luke's Physician Group Inc. | Surgery | 3735 Nazareth Rd Ste 303, Easton, PA 18045-8338 | 2020-08-19 |
| 1417565847 | St. Luke's Physician Group Inc. | Surgery | 5325 Northgate Dr Ste 204, Bethlehem, PA 18017-9413 | 2020-07-22 |
| 1073135935 | Amr Mohamed Elsayed | Surgery | 36 N 13th St Apt 2, Allentown, PA 18102-4300 | 2020-05-14 |
| 1346878436 | Beaver Valley Foot Clinic PC | Surgery | 20555 Route 19 Ste D, Cranberry Township, PA 16066-7525 | 2020-04-01 |
| 1922653914 | Tower Health Medical Group | Surgery | 301 S 7th Ave Ste 3070, West Reading, PA 19611-1495 | 2019-08-06 |
| 1558916833 | Allegheny Clinic | Surgery | 4815 Liberty Avenue Suite 215, Pittsburgh, PA 15224-2156 | 2019-08-05 |
| 1548820350 | St. Luke's Physician Group, Inc | Surgery | 575 S 9th St Ste 8, Lehighton, PA 18235-2517 | 2019-06-14 |
| 1538725700 | Golla Ent | Surgery | 107 Gamma Dr Ste 110, Pittsburgh, PA 15238-2917 | 2019-05-14 |
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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.