BARRY J PERNIKOFF (NPI# 1609844646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609844646 |
| Entity Type | Individual |
| Full Name | BARRY J PERNIKOFF |
| Credential | M.D. |
| Practice Address |
200 S River St Plains PA 18705-1143 |
| Practice Telephone | 5708211100 |
| Practice Fax Number | 5708211108 |
| Mailing Telephone | 5708211100 |
| Mailing Fax Number | 5708211108 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2019-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | MD044775L | PA | Allopathic & Osteopathic Physicians |
| Y | 208C00000X | Colon & Rectal Surgery | MD044775L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1249713010 | 05 |
| Street Address |
200 S RIVER ST |
| City | PLAINS |
| State | PA |
| Zip Code | 18705-1143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265409551 | David B Lucchino | Surgery | 200 S River St, Plains, PA 18705-1143 | 2006-03-05 |
| 1144773151 | Kyle Landis | Physician Assistant | 200 S River St, Plains, PA 18705-1143 | 2016-07-26 |
| 1982031993 | Kelsey Ann Leedock | Physician Assistant | 200 S River St, Plains, PA 18705-1143 | 2013-10-04 |
| 1912344607 | Keystone Surgical Assistants Inc. | Physician Assistant | 200 S River St, Plains, PA 18705-1143 | 2013-06-04 |
| 1457481020 | Charles Jobst IIi | Physician Assistant | 200 S River St, Plains, PA 18705-1143 | 2007-03-06 |
| 1700926078 | Dean R Adams | Surgery | 200 S River St, Plains, PA 18705-1143 | 2007-02-07 |
| 1104974328 | Gary Paul Neale | Specialist | 200 S River St, Plains, PA 18705-1143 | 2007-01-05 |
| 1497717482 | Surgical Specialists of Wyoming Valley, PC | Surgery | 200 S River St, Plains, PA 18705-1143 | 2006-04-05 |
| 1265400204 | Clark D Gerhart | Surgery | 200 S River St, Plains, PA 18705-1143 | 2006-03-08 |
| 1073581013 | Juan J Derojas | Surgery | 200 S River St, Plains, PA 18705-1143 | 2006-03-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316446206 | Mark L Rowan | Physical Therapist | 667 North River Street, Plains, PA 18705 | 2018-02-06 |
| 1588105589 | Maxim Healthcare Services Inc | Home Health | 672 North River St., Suite 102, Plains, PA 18705 | 2017-03-10 |
| 1538572383 | Kevin Loftus | Pharmacist | 20 South River St, Plains, PA 18705 | 2014-06-10 |
| 1831345487 | Terry Lynn Elias | Speech-Language Pathologist | 1014 Morgan Drive, Wilkes-barre, PA 18705 | 2008-08-14 |
| 1578699963 | Renee Elizabeth Edwards | Dentist | 163 S River Street, Plains, PA 18705 | 2007-02-27 |
| 1669568770 | Wyoming Valley Alcohol and Drug Services Inc | Counselor | 437 North Main St., Wilkes Barre, PA 18705 | 2006-10-05 |
| 1912090689 | Emmanuel Egipto Jacob | Acupuncturist | 39 South River Street, Plains, PA 18705 | 2006-10-02 |
| 1336159508 | Albert David Janerich | Physical Medicine & Rehabilitation | 667 S River St, Plains, PA 18705 | 2006-08-09 |
| 1174543094 | Northeast Pedorthic Services Inc | Durable Medical Equipment & Medical Supplies | 234 S River Rd, Plains, PA 18705 | 2006-07-21 |
| 1235118225 | Riverview Orthotics Prosthetics Inc | Prosthetic/Orthotic Supplier | 220 South River St, Suite 204, Plains, PA 18705 | 2006-01-10 |
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| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508050394 | Jennifer Ann Mcquade | Colon & Rectal Surgery | 145 W 23rd St Ste 201, Erie, PA 16502-2858 | 2007-09-05 |
| 1841328309 | Kristen L Halm | Colon & Rectal Surgery | 1255 S Cedar Crest Blvd Ste 3900, Allentown, PA 18103-6250 | 2007-02-28 |
| 1962426684 | Thomas Michael Mazza | Colon & Rectal Surgery | 3907 N Front St, Harrisburg, PA 17110 | 2006-07-26 |
| 1548215296 | Rectal and Colon Surgery Inc | Colon & Rectal Surgery | 3216 State St, Erie, PA 16508-2822 | 2006-05-23 |
| 1447218557 | Lowell D Meyerson | Colon & Rectal Surgery | 50 E Township Line Rd, Ste 226, Elkins Park, PA 19027 | 2006-05-01 |
| 1992782254 | Pricha Boonswang | Colon & Rectal Surgery | 2358 Gruver Ave, Easton, PA 18045-2808 | 2005-12-28 |
| 1922081785 | Thomas J Nicholson | Colon & Rectal Surgery | 1703 Innovation Dr Ste 3136, York, PA 17408-8815 | 2005-11-25 |
| 1922094440 | Edward J Glennon | Colon & Rectal Surgery | 300 State St Ste 401, Erie, PA 16507-1438 | 2005-09-20 |
| 1326048901 | Allegheny Clinic | Colon & Rectal Surgery | 320 E North Ave Ste 261, Pittsburgh, PA 15212-4756 | 2005-07-26 |
| 1043219363 | Bradley A Levinson | Colon & Rectal Surgery | 105 Brandt Dr, Suite 202, Cranberry Twp, PA 16066-6437 | 2005-07-19 |
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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.