LARRY BRAUNSTEIN (NPI# 1629065370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629065370 |
| Entity Type | Individual |
| Full Name | LARRY BRAUNSTEIN |
| Credential | MD |
| Practice Address |
14 Pine St Mountain Top PA 18707-1311 |
| Mailing Address |
11995 Singletree Ln Suite 500 Eden Prairie MN 55344-5347 |
| Practice Telephone | 9525951100 |
| Practice Fax Number | 6122944903 |
| Mailing Telephone | 9525951301 |
| Mailing Fax Number | 6122944903 |
| Enumeration Date | 2005-09-28 |
| Last Update Date | 2019-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD056535L | PA | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
MD056535L | PA | Allopathic & Osteopathic Physicians |
| Street Address |
14 PINE ST |
| City | MOUNTAIN TOP |
| State | PA |
| Zip Code | 18707-1311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770953994 | Geisinger Wyoming Valley Medical Center | General Acute Care Hospital | 35 South Mountain Blvd, Mountain Top, PA 18707 | 2015-09-30 |
| 1003152190 | Patrick J Connors | Chiropractor | 124 N Mountain Blvd, Mountain Top, PA 18707 | 2012-12-18 |
| 1053674234 | Alexanne Kennedy Conklin | Speech-Language Pathologist | 185 South Mountain Blvd, Mountain Top, PA 18707 | 2012-06-21 |
| 1639440605 | Anne L Cox | Social Worker | 359 S.mountaintop Boulevard, Suite C-2, Mountaintop, PA 18707 | 2012-01-23 |
| 1538445218 | Geisinger Clinic | Pediatrics | 35 S. Mountain Blvd, Mountain Top, PA 18707 | 2011-10-26 |
| 1073665790 | Carmen Ardo | Psychologist | Confidential Counseling, 359 South Mountain Blvd. Suite C-2, Mountaintop, PA 18707 | 2007-01-16 |
| 1396892592 | Maureen Ann Jesikiewicz | Pharmacist | Triangle Pharmay 89 S Main St Mountaintop Pa 18707, Mountaintop, PA 18707 | 2007-01-03 |
| 1467517474 | James Joseph Johns Dds Jr. | Dentist | 151 South Mountain Blvd, Mountain Top, PA 18707 | 2006-12-27 |
| 1467547208 | Penn Neurology and Psychiatry Associates, PC | Psychiatry & Neurology | 10 1/2 South Mountain Boulevard, Mountain Top, PA 18707 | 2006-10-04 |
| 1154438752 | William Dietweiler Ziegler IIi | Dentist | 313 S Mountain Blvd, Mountaintop, PA 18707 | 2006-08-23 |
| Find all providers in zip 18707 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669930798 | Mvc Pa Pllc | Radiology | 4262 Old William Penn Hwy Ste 209, Murrysville, PA 15668-1954 | 2019-03-07 |
| 1205296209 | Interventional Solutions Inc. | Radiology | 333 Allegheny Ave Ste 200, Oakmont, PA 15139-2072 | 2016-03-03 |
| 1861857906 | Lehigh Valley Vascular Institute LLC | Radiology | 3450 High Point Blvd, Bethlehem, PA 18017-7801 | 2015-12-16 |
| 1447647102 | Fresenius Vascular Care Pottstown LLC | Radiology | 2217 E High St, Pottstown, PA 19464-3215 | 2015-04-21 |
| 1891119764 | Aaron Shiloh, Md LLC | Radiology | 715 Cherry Ln, Suite 100, Southampton, PA 18966-3936 | 2014-02-12 |
| 1396081857 | Shante D Bennett | Radiology | 503 North 21st St, Camp Hill, PA 17011 | 2013-01-02 |
| 1326310806 | Pa Vascular Institute LLC | Radiology | 505 Independence Rd Ste E, East Stroudsburg, PA 18301-7916 | 2012-01-31 |
| 1699090654 | Guillaume Boiteau | Radiology | 220 S Home Ave, Apt # 404, Pittsburgh, PA 15202-2844 | 2010-04-02 |
| 1184854531 | John Yoon | Radiology | 9 N 9th St Unit 510, Philadelphia, PA 19107-3154 | 2009-07-20 |
| 1831353879 | Pennsylvania Phlebology Group PC | Radiology | 707 Eagleview Blvd Ste 303, Exton, PA 19341-1159 | 2008-07-17 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAIN TOP |
| Zip Code | 18707 |
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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.