GREGORY H ENDERS (NPI# 1639251820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639251820 |
| Entity Type | Individual |
| Full Name | GREGORY H ENDERS |
| Credential | M.D. |
| Practice Address |
743 Jefferson Ave Suite 104 Scranton PA 18510-1639 |
| Practice Telephone | 5705580182 |
| Practice Fax Number | 5705580183 |
| Mailing Telephone | 5705580182 |
| Mailing Fax Number | 5705580183 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2014-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | MD 058911 | PA | Other Service Providers |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD058911L | PA | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD058911L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0016109440002 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326021999 | Gregory L Enders | Anesthesiology | 67 Creekside Park Ct, Greenville, SC 29615-4810 | 2005-11-28 |
| Street Address |
743 JEFFERSON AVE SUITE 104 |
| City | SCRANTON |
| State | PA |
| Zip Code | 18510-1639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518950914 | Barbara Plucknett | Obstetrics & Gynecology | 743 Jefferson Ave, Suite 203, Scranton, PA 18510-1635 | 2005-08-31 |
| 1972988327 | Karen Zikosky | Nurse Practitioner | 743 Jefferson Ave, Suite 104, Scranton, PA 18510-1639 | 2015-07-28 |
| 1134536105 | Lori Bonafede | Nurse Practitioner | 743 Jefferson Ave, Suite 203, Scranton, PA 18510-1635 | 2014-07-22 |
| 1306070735 | Nishant Sethi | Internal Medicine | 743 Jefferson Ave, Suite 305, Scranton, PA 18510-1635 | 2009-05-13 |
| 1750526141 | Pardeep Bansal | Internal Medicine | 743 Jefferson Ave, Suite 104, Scranton, PA 18510-1639 | 2008-12-13 |
| 1972765063 | Barbara Plucknett Md | Obstetrics & Gynecology | 743 Jefferson Ave, Suite 203, Scranton, PA 18510-1635 | 2008-06-30 |
| 1073770533 | Scranton Hematology Oncology | Internal Medicine | 743 Jefferson Ave, Suite 205, Scranton, PA 18510-1635 | 2008-05-21 |
| 1194815167 | Terrence P Lenahan | Internal Medicine | 743 Jefferson Ave, Scranton, PA 18510-1635 | 2006-10-13 |
| 1538175724 | Kenneth M Jacobs | Internal Medicine | 743 Jefferson Ave, Suite 303, Scranton, PA 18510-1635 | 2006-07-31 |
| 1225054059 | Mercy Med Care Inc. | Internal Medicine | 743 Jefferson Ave, Scranton, PA 18510-1635 | 2006-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427432335 | Marla Osborne Dempsey | Family Medicine | 1141 Clay Ave Ste 1, Dunmore, PA 18510 | 2015-07-10 |
| 1669620043 | Mary Jane Miskovsky | Nurse Practitioner | 800 Linden Street, University of Scranton Student Health Service, Scranton, PA 18510 | 2008-08-28 |
| 1427174739 | Cheryl Friedman | Registered Nurse | 1710 Mulberry Street, Scranton, PA 18510 | 2007-03-21 |
| 1619092970 | Susan Rudalavage | Dietitian, Registered | 640 Madison Avenue, Scranton, PA 18510 | 2007-03-19 |
| 1851469738 | Lackawanna Surgery Center LLC | Clinic/Center | 415 Adams Avenue, Scranton, PA 18510 | 2006-12-01 |
| 1679666150 | Nicholas M. Rocco | Nurse Anesthetist, Certified Registered | 700 Quincy Ave., Scranton, PA 18510 | 2006-10-02 |
| 1710927587 | Care Plus Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Jefferson Ave, Scranton, PA 18510 | 2006-06-08 |
| 1619934189 | James M Haggerty | Podiatrist | 521 Ash Street, Dunmore, PA 18510 | 2006-04-28 |
| 1962461145 | Kevin G Madden | Psychiatry & Neurology | 802 Jefferson Avenue, Scranton, PA 18510 | 2006-03-17 |
| 1720058795 | Mark Trently | Nurse Anesthetist, Certified Registered | 1822 Jmulberry St, Scranton, PA 18510 | 2006-01-24 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1578970273 | Abhinav Goyal | Internal Medicine | 1800 Mulberry St, Scranton, PA 18510-2369 | 2014-07-15 |
| 1255771697 | Dhruv Lowe | Internal Medicine | 1800 Mulberry St, Scranton, PA 18510-2369 | 2013-06-30 |
| 1073855458 | Soohwan Chun | Internal Medicine | 1800 Mulberry St, Scranton, PA 18510-2369 | 2013-03-23 |
| 1750526141 | Pardeep Bansal | Internal Medicine | 743 Jefferson Ave, Suite 104, Scranton, PA 18510-1639 | 2008-12-13 |
| 1659493534 | Cianni and Sherwin PC | Internal Medicine | 517 Ash St, Suite 1, Scranton, PA 18509-2903 | 2007-04-04 |
| 1356388367 | Edward Alan Sherwin | Internal Medicine | 517 Ash St, Suite 1, Scranton, PA 18509-2902 | 2006-05-31 |
| 1912905605 | Gastrointestinal Consultants of Nepa | Internal Medicine | 517 Ash St, Ste 1, Scranton, PA 18509-2903 | 2005-07-07 |
| 1285631812 | Christopher A Barbarevech | Internal Medicine | 517 Ash St, Ste 1, Scranton, PA 18509-2903 | 2005-06-28 |
| 1811994452 | David Rutta | Internal Medicine | 517 Ash St, Scranton, PA 18509-2903 | 2005-06-28 |
| 1801893482 | Bharat K Patel | Internal Medicine | 517 Ash St, Ste 1, Scranton, PA 18509-2903 | 2005-06-28 |
| Find all providers in SCRANTON | ||||
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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.