ANGELO ILLUZZI (NPI# 1598874679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598874679 |
| Entity Type | Individual |
| Full Name | ANGELO ILLUZZI |
| Credential | DO |
| Practice Address |
621 S Main St Du Bois PA 15801-1413 |
| Mailing Address |
100 Hospital Ave Du Bois PA 15801-1440 |
| Practice Telephone | 8145038573 |
| Practice Fax Number | 8145038574 |
| Mailing Telephone | 8145038573 |
| Mailing Fax Number | 8145038574 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2016-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
0S008438L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLACK LUNG | 610283400 | 01 | |
| PA | UPMC | 104291 | 01 |
| PA | BLUE SHIELD | 740698 | 01 |
| PA | 0014671870004 | 05 | |
| METRAHEALTH RAILROAD MEDI | P00233037 | 01 | |
| PA | GEISINGER | 13489 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841312717 | Angelo Joseph Illuzzi | Pharmacist | 6932 Juniper Valley Rd, Middle Village, NY 11379-1722 | 2007-04-04 |
| Street Address |
621 S MAIN ST |
| City | DU BOIS |
| State | PA |
| Zip Code | 15801-1413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568454833 | Albert D. Abrams | Internal Medicine | 621 S Main St, Du Bois, PA 15801-1413 | 2005-08-22 |
| 1902403405 | Michelle Bennett | Pharmacist | 621 S Main St, Du Bois, PA 15801-1413 | 2020-10-07 |
| 1154805349 | Jo Dee Mulhollan | Nurse Practitioner | 621 S Main St, Du Bois, PA 15801-1413 | 2018-09-24 |
| 1023592458 | Tabitha Joy Ashoff | Physician Assistant | 621 S Main St, Du Bois, PA 15801-1413 | 2018-09-21 |
| 1639656606 | Sara Elizabeth Wolbert | Nurse Practitioner | 621 S Main St, Du Bois, PA 15801 | 2018-07-23 |
| 1194217778 | Sydney Marie Soberdash | Physician Assistant | 621 S Main St, Du Bois, PA 15801-1413 | 2018-05-31 |
| 1245748151 | Eric Wolfgang | Pharmacist | 621 S Main St, Du Bois, PA 15801-1413 | 2018-01-12 |
| 1538671524 | Kimberly Renee Placer | Pharmacist | 621 S Main St, Du Bois, PA 15801-1413 | 2017-10-30 |
| 1407367295 | Amanda Marie Spencer | Pharmacist | 621 S Main St, Du Bois, PA 15801-1413 | 2017-10-19 |
| 1215487509 | Christos Karalis | Internal Medicine | 621 S Main St, Du Bois, PA 15801-1413 | 2016-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215551452 | Grace Polohonki | Counselor | 490 Jefers Street, Dubois, PA 15801 | 2020-06-03 |
| 1144869231 | Richard Lee Kerstetter II | Hearing Instrument Specialist | 124 San Juan Rd, Du Bois, PA 15801 | 2020-01-06 |
| 1700368487 | Holly Noel Knoll | Counselor | 490 Jeffers Street, Dubois, PA 15801 | 2018-08-30 |
| 1992298160 | Dubois Regional Medical Center | Family Medicine | 145 Hospital Ave Ste 315, Du Bois, PA 15801 | 2018-06-12 |
| 1154814846 | Sara Beth Stone | Dietitian, Registered | 16288 Treasure Lk, Du Bois, PA 15801 | 2018-06-07 |
| 1942790779 | Wendi Dawn Wenzel | Counselor | 490 Jeffers St., Dubois, PA 15801 | 2018-05-17 |
| 1144748443 | Nancy Foradora | Massage Therapist | 200 Narrows Creek Park Road, Dubois, PA 15801 | 2017-09-07 |
| 1679098891 | Deborah Jean Mitchell | Hearing Instrument Specialist | 900 Beaver Drive, Dubois, PA 15801 | 2017-08-09 |
| 1861937757 | Shaun M Kanouff | Counselor | 100 Caldwell Dr., Dubois, PA 15801 | 2016-12-30 |
| 1164897740 | Drayer Physical Therapy Institute LLC | Physical Therapist | 873 Beaver Drive, Dubois, PA 15801 | 2015-12-08 |
| Find all providers in zip 15801 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1376171264 | Jamie Shawn Shatzman | Internal Medicine | 25 Harrison Dr, Newtown Square, PA 19073-1420 | 2020-03-28 |
| 1033746813 | Advanced Pulmonary Specialists | Internal Medicine | 846 Bank St, Beaver, PA 15009-2602 | 2020-03-24 |
| 1881229417 | Mark Arthur Stypula | Internal Medicine | 848 Arbordale Ln, Wexford, PA 15090-7439 | 2020-03-04 |
| 1063076289 | Lung Health Services PC | Internal Medicine | 1240 South Broad Street, Suite 230, Lansdale, PA 19446 | 2019-04-23 |
| 1023595667 | Pulmonary Consultants Inc. | Internal Medicine | 1 Medical Center Blvd Ste 422, Chester, PA 19013-3902 | 2018-07-26 |
| 1013437250 | Pinnacle Health Regional Physicians | Internal Medicine | 1533 Commerce Ave Ste 3, Carlisle, PA 17015-9128 | 2017-06-20 |
| 1346610805 | Saint Vincent Medical Education and Research Institute Inc. | Internal Medicine | 145 West 24th Street, 302a, Erie, PA 16544-0002 | 2015-09-28 |
| 1831573146 | Meadville Physician Services | Internal Medicine | 751 Liberty St Ste G-19, Meadville, PA 16335-2559 | 2015-07-16 |
| 1700260163 | Richard Kenneth Murray | Internal Medicine | 809 N Mount Pleasant Rd, Philadelphia, PA 19119-3303 | 2015-07-16 |
| 1518362359 | Grand View Hospital | Internal Medicine | 817 Lawn Ave Ste 4, Sellersville, PA 18960 | 2014-10-22 |
| 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.