DR. WILLIAM J KUPREVICH JR. (NPI# 1659363984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659363984 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM J KUPREVICH JR. |
| Credential | DO |
| Practice Address |
6850 Lows Rd Bloomsburg PA 17815-8729 |
| Practice Telephone | 5707847300 |
| Practice Fax Number | 5707847331 |
| Mailing Telephone | 5707847300 |
| Mailing Fax Number | 5707847331 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2007-09-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS003207L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0006488940005 | 05 |
| Street Address |
6850 LOWS RD |
| City | BLOOMSBURG |
| State | PA |
| Zip Code | 17815-8729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548268113 | Christine Ann Dopp | Physician Assistant | 6850 Lows Rd, Suite 320, Bloomsburg, PA 17815-8729 | 2005-07-08 |
| 1265812499 | Ariel Nichole Middleton | Physician Assistant | 6850 Lows Rd, Bloomsburg, PA 17815-8708 | 2015-06-03 |
| 1689959595 | Susquehanna Valley Diagnostic Imaging Inc. | Radiology | 6850 Lows Rd, Bloomsburg, PA 17815-8708 | 2011-10-12 |
| 1669768289 | Geisinger Medical Center | Durable Medical Equipment & Medical Supplies | 6850 Lows Rd, Bloomsburg, PA 17815-8708 | 2011-06-22 |
| 1194962779 | Elizabeth Ann Fritz | Nurse Practitioner | 6850 Lows Rd, Bloomsburg, PA 17815-8708 | 2009-01-19 |
| 1962650739 | Susquehanna Valley Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 6850 Lows Rd, Suite 220, Bloomsburg, PA 17815-8729 | 2008-09-04 |
| 1669649380 | Geisinger Community Health Services | Clinic/Center | 6850 Lows Rd, Suite, 310, Bloomsburg, PA 17815-8729 | 2008-05-12 |
| 1841401833 | Plus 1 Rx, LLC | Pharmacist | 6850 Lows Rd, Suite 315, Bloomsburg, PA 17815-8729 | 2007-05-24 |
| 1992918221 | Pamela Ann Morrow | Physician Assistant | 6850 Lows Rd, Bloomsburg, PA 17815-8708 | 2007-05-07 |
| 1144360827 | Sandra J. Mcginley | Audiologist | 6850 Lows Rd, Suite 320, Bloomsburg, PA 17815-8708 | 2007-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780295733 | Geisinger Clinic | Emergency Medicine | 545 Fair Street, Bloomsburg, PA 17815 | 2020-08-13 |
| 1124457551 | Patricia Marie Archey | Physician Assistant | 93 Avon Ave, Bloomsburg, PA 17815 | 2013-11-06 |
| 1154684561 | Alice Michele Weaver Maczuga | Social Worker | 816 Central Road, Bollmsburg, PA 17815 | 2012-06-20 |
| 1396069332 | Cmsu Behavioral Health and Developmental Services | Community/Behavioral Health | 675 Locust St, Bloomsburg, PA 17815 | 2010-03-19 |
| 1922235829 | Joel Stephen Hamilton | Dentist | 2 Audubon Court, Bloomsburg, PA 17815 | 2009-06-18 |
| 1508011685 | Cindy A Prosseda | Social Worker | 6850 Lowes Road, Bloomsburg, PA 17815 | 2008-11-17 |
| 1881854271 | Francis Joseph Welk | Physical Therapist | 410 Glen Ave, Suite 101 Susquehanna Physical Therapy Associates, Bloomsburg, PA 17815 | 2008-06-10 |
| 1679652390 | John A Scerbo | Dentist | 812 Central Road, Bloomsburg, PA 17815 | 2006-11-03 |
| 1104914811 | Columbia Ancillary Services Inc | Durable Medical Equipment & Medical Supplies | 1141 Ridge Road, Bloomsburg, PA 17815 | 2006-10-10 |
| 1922192681 | Patricia M. Taylor | Speech-Language Pathologist | 6530 Main Street, Bloomsburg, PA 17815 | 2006-10-03 |
| Find all providers in zip 17815 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811913536 | Bloomsburg Physician Services | Family Medicine | 401 Glenn Ave, Bloomsburg, PA 17815-1247 | 2006-07-14 |
| 1356303788 | John Luther Runyan | Family Medicine | 410 Glenn Ave Suite 303, Medical Professional Building, Bloomsburg, PA 17815 | 2006-04-03 |
| 1629040670 | Robert William Meldrum | Family Medicine | 447 East First Street, Bloomsburg, PA 17815 | 2006-02-03 |
| 1467452052 | Suzanne M Stepanski | Family Medicine | 2407 Reichart Rd, Bloomsburg, PA 17815-8969 | 2005-07-26 |
| 1366821274 | Maxwell Eric Tolan | Family Medicine | 3151 Columbia Blvd, Bloomsburg, PA 17815-8889 | 2015-05-26 |
| 1558708503 | Joanna M Kraynak | Family Medicine | 2407 Reichart Rd, Bloomsburg, PA 17815-8969 | 2013-05-31 |
| 1922327600 | Joseph M Valdez | Family Medicine | 549 Fair St, Bloomsburg, PA 17815-1419 | 2010-05-20 |
| 1861649113 | Bloomsburg Physicians Services | Family Medicine | 447 E 1st St, Bloomsburg, PA 17815-1417 | 2008-08-19 |
| 1518138304 | Rhea Victoria B Razon-wu | Family Medicine | 2407 Reichart Rd, Bloomsburg, PA 17815-8969 | 2008-03-19 |
| 1588869515 | Bloomsburg Physicians Services | Family Medicine | 410 Glenn Ave, Suite 303, Bloomsburg, PA 17815-1419 | 2007-06-19 |
| Find all providers in BLOOMSBURG | ||||
| City | BLOOMSBURG |
| Zip Code | 17815 |
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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.