SCHUYLKILL HEALTH SYSTEM MEDICAL GROUP, INC. (NPI# 1588603567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588603567 |
| Entity Type | Organization |
| Organization Name | SCHUYLKILL HEALTH SYSTEM MEDICAL GROUP, INC. |
| Other Organization Name | LEHIGH VALLEY PHYSICIAN GROUP-SCHUYLKILL |
| Practice Address |
205 E Laurel Blvd Pottsville PA 17901-2534 |
| Mailing Address |
Po Box 783311 Philadelphia PA 19178-3311 |
| Practice Telephone | 5706221887 |
| Practice Fax Number | 5706221959 |
| Mailing Telephone | 4848844500 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2020-01-15 |
| Authorized Official Name | DIANE BORIS (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5706214142 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | OS018890 | PA | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0016810700002 | 05 |
| Other Name | Type Code |
|---|---|
| Lehigh Valley Physician Group-Schuylkill | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063073823 | Schuylkill Health System Medical Group, Inc. | Family Medicine | 200 Schuylkill Medical Plz, Pottsville, PA 17901-3660 | 2019-06-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SCHUYLKILL HEALTH SYSTEM MEDICAL GROUP, INC. | 420 S Jackson St, Pottsville, PA 17901-3625 |
| Street Address |
205 E LAUREL BLVD |
| City | POTTSVILLE |
| State | PA |
| Zip Code | 17901-2534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104819309 | William P Pompella | Internal Medicine | 205 E Laurel Blvd, Pottsville, PA 17901-2534 | 2005-08-24 |
| 1740823368 | Heather Elaine Shuker | Nurse Practitioner | 205 E Laurel Blvd, Pottsville, PA 17901-2534 | 2019-10-27 |
| 1124583570 | Mei Ling Zheng | Family Medicine | 205 E Laurel Blvd, Pottsville, PA 17901-2534 | 2019-02-08 |
| 1386007250 | Ileana Asanache | Nurse Practitioner | 205 E Laurel Blvd, Pottsville, PA 17901 | 2016-03-30 |
| 1437443637 | Ambreen Mohamed | Internal Medicine | 205 E Laurel Blvd, Pottsville, PA 17901-2534 | 2011-06-06 |
| 1164495321 | Muhammad Munir | Internal Medicine | 205 E Laurel Blvd, Pottsville, PA 17901 | 2006-02-08 |
| 1780667626 | Marshall-rismiller & Associates | Family Medicine | 205 E Laurel Blvd, Pottsville, PA 17901-2534 | 2005-11-23 |
| 1114910320 | Cristin A Weicker | Internal Medicine | 205 E Laurel Blvd, Pottsville, PA 17901-2534 | 2005-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013409762 | Culture2culture, Inc. | Community/Behavioral Health | 110 E Arch St Fl 1, Pottsville, PA 17901 | 2018-05-30 |
| 1376059444 | Stacie Marie Herring | Registered Nurse | 1400 Laurel Boulevard, Pottsville, PA 17901 | 2017-12-27 |
| 1477092567 | Dr. Scott Rosenthal, P.C. | Pain Medicine | 48 Tunnel Rd Ste 202, Pottsville, PA 17901 | 2017-02-22 |
| 1932573268 | Allied Health Care Services | Community/Behavioral Health | 320 N Second St, Pottsville, PA 17901 | 2015-11-24 |
| 1417344862 | Megan Heffron-foose | Behavioral Analyst | 221 Mahantongo Street, Pottsville, PA 17901 | 2015-04-23 |
| 1326443417 | Richard Adam Haycock | Psychiatry & Neurology | 16 South Centre St, Pottsville, PA 17901 | 2014-10-31 |
| 1245647296 | Maria Gustis | Counselor | 100 Greenbriar Road, Pottsville, PA 17901 | 2014-07-22 |
| 1790198398 | Michelle Chilinskas | Pharmacist | 500 N Claude Lord Blvd, Pottsville, PA 17901 | 2014-06-11 |
| 1952720153 | Darcie Nan Roeder | Physical Therapy Assistant | 700 E Norwegian St., Pottsville, PA 17901 | 2014-04-15 |
| 1205180858 | Rocky Mountain Holdings LLC | Ambulance | 1394 Cedar St, Pottsville, PA 17901 | 2012-11-05 |
| Find all providers in zip 17901 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740253574 | Nimesh K Vesuwala | Internal Medicine | 82 Tunnel Rd, Pottsville, PA 17901-3869 | 2006-02-10 |
| 1568435725 | Syed G Shah | Internal Medicine | 693 Port Carbon Saint Clair Hwy, Pottsville, PA 17901-8604 | 2006-02-08 |
| 1912970443 | Carol Ann Miller-schaeffer | Internal Medicine | 106 S Claude A Lord Blvd, Pottsville, PA 17901 | 2006-02-07 |
| 1295726305 | Riffat Akhtar | Internal Medicine | 106 So Claude A. Lord Boulevard, Pottsville, PA 17901-3637 | 2005-10-31 |
| 1326034034 | Thomas William Mclaughlin | Internal Medicine | 1401 Mahantongo St, Pottsville, PA 17901-3307 | 2005-09-27 |
| 1104819309 | William P Pompella | Internal Medicine | 205 E Laurel Blvd, Pottsville, PA 17901-2534 | 2005-08-24 |
| 1013916493 | Craig L Reimer | Internal Medicine | 407 W Market St, Pottsville, PA 17901-2930 | 2005-07-19 |
| 1053842310 | Jacques Amja | Internal Medicine | 700 E Norwegian St, Pottsville, PA 17901-2710 | 2017-03-27 |
| 1275996746 | Kelly Marie Kalovcak | Internal Medicine | 106 S Claude A Lord Blvd, Pottsville, PA 17901-3602 | 2016-04-01 |
| 1205215787 | Joseph Matz | Internal Medicine | 201 E Laurel Blvd, Pottsville, PA 17901-2534 | 2015-05-29 |
| Find all providers in POTTSVILLE | ||||
| City | POTTSVILLE |
| Zip Code | 17901 |
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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.