RALF W VAN DER SLUIS (NPI# 1568493088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568493088 |
| Entity Type | Individual |
| Full Name | RALF W VAN DER SLUIS |
| Credential | M.D. |
| Practice Address |
802 Jefferson Ave Scranton PA 18510-1038 |
| Practice Telephone | 5703481118 |
| Practice Fax Number | 5703481109 |
| Mailing Telephone | 5703481118 |
| Mailing Fax Number | 5703481109 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2014-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | MD065571L | PA | Other Service Providers |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD065571L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1016536590001 | 05 |
| Street Address |
802 JEFFERSON AVE |
| City | SCRANTON |
| State | PA |
| Zip Code | 18510-1038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053315085 | John E Prior | Internal Medicine | 802 Jefferson Ave, Scranton, PA 18510-1038 | 2005-06-08 |
| 1730559881 | Jennifer Balinas | Physician Assistant | 802 Jefferson Ave, Scranton, PA 18510-1038 | 2015-10-01 |
| 1578932414 | Michael Eugene Boyd | Nurse Practitioner | 802 Jefferson Ave, Mcauley Bldg 4th Fl, Scranton, PA 18510-1038 | 2015-09-22 |
| 1720461866 | Daniel Reese Shust | Family Medicine | 802 Jefferson Ave, Scranton, PA 18510-1038 | 2015-07-07 |
| 1043498512 | Kenneth H. Rudolph, M.d. | Internal Medicine | 802 Jefferson Ave, Scranton, PA 18510-1038 | 2008-02-06 |
| 1801927694 | Pulmonary and Critical Care Specialists of Pennsylvania PC | Internal Medicine | 802 Jefferson Ave, Scranton, PA 18510-1038 | 2007-03-07 |
| 1164590071 | Alexa Lee Beretski | Physician Assistant | 802 Jefferson Ave, Scranton, PA 18510-1038 | 2006-11-30 |
| 1265522015 | Susan Bennett | Physician Assistant | 802 Jefferson Ave, Scranton, PA 18510-1038 | 2006-10-13 |
| 1831289693 | Amy Ferranti | Physician Assistant | 802 Jefferson Ave, Scranton, PA 18510-1038 | 2006-10-13 |
| 1346269578 | American Home Care Supply Company, Inc. | Durable Medical Equipment & Medical Supplies | 802 Jefferson Ave, Scranton, PA 18510-1038 | 2006-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427432335 | Marla Osborne Dempsey | Family Medicine | 1141 Clay Ave Ste 1, Dunmore, PA 18510 | 2015-07-10 |
| 1669620043 | Mary Jane Miskovsky | Nurse Practitioner | 800 Linden Street, University of Scranton Student Health Service, Scranton, PA 18510 | 2008-08-28 |
| 1427174739 | Cheryl Friedman | Registered Nurse | 1710 Mulberry Street, Scranton, PA 18510 | 2007-03-21 |
| 1619092970 | Susan Rudalavage | Dietitian, Registered | 640 Madison Avenue, Scranton, PA 18510 | 2007-03-19 |
| 1851469738 | Lackawanna Surgery Center LLC | Clinic/Center | 415 Adams Avenue, Scranton, PA 18510 | 2006-12-01 |
| 1679666150 | Nicholas M. Rocco | Nurse Anesthetist, Certified Registered | 700 Quincy Ave., Scranton, PA 18510 | 2006-10-02 |
| 1710927587 | Care Plus Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Jefferson Ave, Scranton, PA 18510 | 2006-06-08 |
| 1619934189 | James M Haggerty | Podiatrist | 521 Ash Street, Dunmore, PA 18510 | 2006-04-28 |
| 1962461145 | Kevin G Madden | Psychiatry & Neurology | 802 Jefferson Avenue, Scranton, PA 18510 | 2006-03-17 |
| 1720058795 | Mark Trently | Nurse Anesthetist, Certified Registered | 1822 Jmulberry St, Scranton, PA 18510 | 2006-01-24 |
| Find all providers in zip 18510 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962461145 | Kevin G Madden | Psychiatry & Neurology | 802 Jefferson Avenue, Scranton, PA 18510 | 2006-03-17 |
| 1215924261 | Neurologic Subspecialties Inc | Psychiatry & Neurology | 311 Mulberry St, Scranton, PA 18503-1230 | 2005-10-04 |
| 1922427285 | Mohammed Faraz Majeed | Psychiatry & Neurology | 3 W Olive St, Scranton, PA 18508-2572 | 2014-04-15 |
| 1154749596 | Matthew Mercuri | Psychiatry & Neurology | 3 W Olive St, Scranton, PA 18508-2572 | 2014-04-02 |
| 1760643787 | Uzzal Roy | Psychiatry & Neurology | 3 W Olive St, Scranton, PA 18508-2572 | 2008-06-23 |
| 1811958739 | Seth M Jones | Psychiatry & Neurology | 1800 Mulberry St, Scranton, PA 18510-2369 | 2006-03-30 |
| 1437118411 | Michael J Baccoli | Psychiatry & Neurology | 802 Jefferson Avenue, Scranton, PA 18510 | 2006-03-20 |
| 1720057953 | Juan C Barrera | Psychiatry & Neurology | 802 Jefferson Ave, Scranton, PA 18510-1038 | 2006-03-17 |
| 1205817699 | Kenneth William Lilik | Psychiatry & Neurology | 311 Mulberry St, Scranton, PA 18503-1230 | 2005-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624584 | Armstrong County Memorial Hospital | Psychiatry & Neurology | 500 Medical Arts Bldg Ste 510, Kittanning, PA 16201-7137 | 2020-06-19 |
| 1174149975 | Somerset Health Services, Inc. | Psychiatry & Neurology | 126 E Church St Ste 2300, Somerset, PA 15501-2272 | 2020-06-18 |
| 1730725771 | Jbj Investments LLC | Psychiatry & Neurology | 2170 Ferncroft Ln, Chester Springs, PA 19425-3846 | 2019-11-25 |
| 1619538865 | Unknown Azima Shaji | Psychiatry & Neurology | St. Luke's University and Health Network- Anderson, Medical Education Office- 1700, St. Luke's Blvd, Easton, PA 18045 | 2019-06-27 |
| 1629636790 | Catherine Rachel Craven | Psychiatry & Neurology | 1700 St Lukes Blvd Ofc, Easton, PA 18045-5670 | 2019-06-03 |
| 1073170569 | Charles P. Gennaula, M.d., P.C. | Psychiatry & Neurology | 100 Peasant Village Ln Ste 100, Rostraver Township, PA 15012-4333 | 2019-05-21 |
| 1902460876 | Pearlmed Pllc | Psychiatry & Neurology | 1510 Chester Pike Ste 160, Eddystone, PA 19022-1375 | 2019-04-26 |
| 1144787094 | Shobha Asthana Md PC | Psychiatry & Neurology | 100 Peasant Village Ln Ste 103, Rostraver Township, PA 15012-4333 | 2019-02-27 |
| 1972060176 | Ncv Diagnostics LLC | Psychiatry & Neurology | 1 Brown St Ste C, Philadelphia, PA 19123-3361 | 2019-02-23 |
| 1235609959 | Lower Merion Neurology, PC | Psychiatry & Neurology | 100 E Lancaster Ave Ste 161, Wynnewood, PA 19096-3427 | 2018-11-26 |
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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.