LYCOMING PHYSICAL MEDICINE, PC (NPI# 1598175770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598175770 |
| Entity Type | Organization |
| Organization Name | LYCOMING PHYSICAL MEDICINE, PC |
| Practice Address |
1111 E 3rd St Williamsport PA 17701-5411 |
| Practice Telephone | 5703260400 |
| Practice Fax Number | 5703260700 |
| Mailing Telephone | 5703260400 |
| Mailing Fax Number | 5703260700 |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2015-02-16 |
| Authorized Official Name | DR. RICHARD E HUSKEY (PRESIDENT) |
| Authorized Official Telephone | 5709164897 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356751580 | Lycoming Physical Medicine, PC | Durable Medical Equipment & Medical Supplies | 250 Pierce St, Suite 103, Kingston, PA 18704-5149 | 2014-04-28 |
| Street Address |
1111 E 3RD ST |
| City | WILLIAMSPORT |
| State | PA |
| Zip Code | 17701-5411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528072725 | Mark Allen Hampton | Chiropractor | 1111 E 3rd St, Williamsport, PA 17701-5411 | 2006-07-27 |
| 1518345602 | Lycoming Physical Medicine | Durable Medical Equipment & Medical Supplies | 1111 E 3rd St, Williamsport, PA 17701-5411 | 2015-05-11 |
| 1891118667 | Lycoming Physical Medicine PC | Internal Medicine | 1111 E 3rd St, Williamsport, PA 17701-5411 | 2014-01-29 |
| 1871673988 | Mark Hampton Chiropractic Inc. | Chiropractor | 1111 E 3rd St, Williamsport, PA 17701-5411 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
| 1396395299 | Susan E Fetzer | Occupational Therapy Assistant | Upmc Susquehanna,625 West Edwin Street, Williamsport, PA 17701 | 2019-09-13 |
| 1184280984 | Craig Andrew Tuller | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 | 2019-05-16 |
| 1760048045 | Michael Harvey | Student in an Organized Health Care Education/Training Program | 740 High St. Suite 4001, Williamsport, PA 17701 | 2019-05-13 |
| 1275196008 | Olivia Fladmark | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 | 2019-04-17 |
| 1528551231 | Mark Hampton Chiropractic Inc. | Durable Medical Equipment & Medical Supplies | 1111 East 3rd Street, Williamsport, PA 17701 | 2018-06-08 |
| 1548710882 | Central Pennsylvania Rehabilitation Medicine, Inc | Physical Medicine & Rehabilitation | 460 River Ave Ste 1, Williamsport, PA 17701 | 2016-10-11 |
| 1376096784 | Christine Kessler | Physician Assistant | One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 | 2016-08-02 |
| 1629440276 | Matthew Ray Rebuck | Specialist/Technologist | 220 N Reach Rd, Williamsport, PA 17701 | 2015-10-22 |
| 1508237223 | Neihl Williamson | Physician Assistant | 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 | 2015-10-08 |
| Find all providers in zip 17701 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528551231 | Mark Hampton Chiropractic Inc. | Durable Medical Equipment & Medical Supplies | 1111 East 3rd Street, Williamsport, PA 17701 | 2018-06-08 |
| 1578940417 | Lafayette Pain Care, P.C. | Durable Medical Equipment & Medical Supplies | 3728 South Reed Road, Williamsport, IN 47993-1049 | 2015-04-29 |
| 1609147693 | Stomaplex LLC | Durable Medical Equipment & Medical Supplies | 917 1st Ave, Williamsport, PA 17701-3005 | 2012-01-23 |
| 1477768992 | Alert One Services, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Commerce Park Dr Ste 300, Williamsport, PA 17701-5400 | 2007-05-10 |
| 1407901739 | Loyalsock Mobility Services LLC | Durable Medical Equipment & Medical Supplies | 607 Pine St, Williamsport, PA 17701-5014 | 2007-01-25 |
| 1104990076 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1303 Washington Blvd, Williamsport, PA 17701-5422 | 2006-11-20 |
| 1306936323 | Rite Aid of Pennsylvania LLC | Durable Medical Equipment & Medical Supplies | 2023 Lycoming Creek Road, Williamsport, PA 17701-1206 | 2006-10-13 |
| 1770672438 | Rite Aid of Pennsylvania LLC | Durable Medical Equipment & Medical Supplies | 14 Fifth Street, Williamsport, PA 17701-6201 | 2006-10-12 |
| 1962595413 | Response Link L.L.C. | Durable Medical Equipment & Medical Supplies | 1000 Commerce Park Drive, Suite 300, Williamsport, PA 17701-5400 | 2006-10-02 |
| 1154420404 | Thrift Drug Inc | Durable Medical Equipment & Medical Supplies | 1913 East Third Street, Williamsport, PA 17701-3901 | 2006-09-22 |
| Find all providers in WILLIAMSPORT | ||||
| City | WILLIAMSPORT |
| Zip Code | 17701 |
Please comment or provide details below to improve the information on LYCOMING PHYSICAL MEDICINE, PC.
| 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.