DR. PAUL MATHEW BRAHMAKULAM (NPI# 1538152285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538152285 |
| Entity Type | Individual |
| Full Name | DR. PAUL MATHEW BRAHMAKULAM |
| Credential | M.D. |
| Practice Address |
130 Highland Ave Lewistown PA 17044-1331 |
| Practice Telephone | 7172421174 |
| Practice Fax Number | 7172423849 |
| Mailing Telephone | 7172421174 |
| Mailing Fax Number | 7172423849 |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2014-04-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
MD023309E | PA | Allopathic & Osteopathic Physicians |
| Street Address |
130 HIGHLAND AVE |
| City | LEWISTOWN |
| State | PA |
| Zip Code | 17044-1331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538117544 | Stephen U. Solomon | Obstetrics & Gynecology | 130 Highland Ave, Lewistown, PA 17044-1331 | 2006-05-04 |
| 1669435194 | Barbara H. Miller | Advanced Practice Midwife | 130 Highland Ave, Lewistown, PA 17044-1331 | 2006-04-07 |
| 1033106679 | Mary S Bragg | Midwife | 130 Highland Ave, Lewistown, PA 17044-1331 | 2005-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295391126 | Kenzie Renae Wray | Occupational Therapy Assistant | 1617 Us Highway 522 N, Lewistown, PA 17044 | 2019-05-16 |
| 1801305206 | Sarah Arndt | Occupational Therapist | Ohesson Manor 276 Green Ave, Lewistown, PA 17044 | 2017-09-28 |
| 1093182685 | Silver Lining Counseling LLC | Community/Behavioral Health | 100a Stine Drive, Lewistown, PA 17044 | 2015-08-31 |
| 1750778981 | Geisinger Lewistown Hospital | Clinic/Center | 211 Third Street, Lewistown, PA 17044 | 2015-04-27 |
| 1154717619 | Nicki Vithalani | Student in an Organized Health Care Education/Training Program | 211 Third St, Lewistown, PA 17044 | 2015-04-11 |
| 1871923391 | Karen Graham Doberneck | Psychologist | 25 N. Main Street, Lewistown, PA 17044 | 2013-11-19 |
| 1730420639 | Mary Ruth Habashy | Advanced Practice Midwife | 400 Highland Avenue, Lewistown, PA 17044 | 2013-03-04 |
| 1689923781 | Deborah L Martin | Massage Therapist | 45 Serenity Lane, Jack's Creek Road, Lewistown, PA 17044 | 2012-09-05 |
| 1053605931 | Lori Lee Yocum | Licensed Practical Nurse | 25 Rothermel Drive, Lewistown, PA 17044 | 2011-06-08 |
| 1235364613 | Heather Anya Morgan | Chiropractor | 713 W 4th St, Lewistown, PA 17044 | 2009-05-28 |
| Find all providers in zip 17044 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516279 | Stc Pediatrics LLC | Pediatrics | 3601 A St Fl Family, Philadelphia, PA 19134-1043 | 2020-07-23 |
| 1386288702 | Advocare, LLC | Pediatrics | 2000 Hamilton St Ste 109, Philadelphia, PA 19130-3847 | 2019-10-29 |
| 1881253011 | Main Street Pediatrics of Greater Scranton | Pediatrics | 247 Main St # Pa, Dickson City, PA 18519-1641 | 2019-06-11 |
| 1801232962 | St. Luke's Physician Group, Inc | Pediatrics | 208 Lifeline Rd Ste 201, Stroudsburg, PA 18360-6473 | 2013-05-16 |
| 1558676890 | Care Network Norristown | Pediatrics | 1340 Dekalb St Ste 4, Norristown, PA 19401-3434 | 2010-08-11 |
| 1831427319 | Ellis H Sacks | Pediatrics | 2138 Lombard St, Apt 3b, Philadelphia, PA 19146-1261 | 2009-11-23 |
| 1720250137 | North Pittsburgh Pediatrics and Adolescent | Pediatrics | 11676 Perry Hwy Ste 2204, Wexford, PA 15090-7202 | 2008-03-25 |
| 1780896514 | Cheryl A Duffy Md Inc | Pediatrics | 1914 Mercer Avenue, Farrell, PA 16121 | 2007-05-04 |
| 1265575955 | Providence Pediatrics, PC | Pediatrics | 338 Russell Avenue, Williamsport, PA 17701 | 2007-02-14 |
| 1972691103 | Pediatric Care Center PC | Pediatrics | 100 Neale Address, Mahoning Medical Center, Marion Center, PA 15759-0268 | 2006-10-11 |
| 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.