GARRY M CARBONE, MD (NPI# 1679693857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679693857 |
| Entity Type | Organization |
| Organization Name | GARRY M CARBONE, MD |
| Practice Address |
330 N Best Ave Walnutport PA 18088-1205 |
| Practice Telephone | 6107601017 |
| Practice Fax Number | 6107608534 |
| Mailing Telephone | 6107601017 |
| Mailing Fax Number | 6107608534 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2008-04-22 |
| Authorized Official Name | GARRY M CARBONE (OWNER) |
| Authorized Official Telephone | 6107601017 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
MD043165L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | CAPITAL BLUE CROSS | 02867700 | 01 |
| PA | HIGHMARK BLUE SHIELD | 710518 | 01 |
| PA | 0012379820008 | 05 | |
| PA | PALMETTO GBA | 110108413 | 01 |
| PA | UPIN | F16780 | 01 |
| PALMETTO GBA | 110108413 | 01 |
| Street Address |
330 N BEST AVE |
| City | WALNUTPORT |
| State | PA |
| Zip Code | 18088-1205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992801898 | St. Luke's Physician Group, Inc. | Family Medicine | 330 N Best Ave, Walnutport, PA 18088-1205 | 2006-09-16 |
| 1518416957 | Anne Marie Meyers | Physician Assistant | 330 N Best Ave, Walnutport, PA 18088-1205 | 2016-09-27 |
| 1659477578 | Colleen Manzella | Family Medicine | 330 N Best Ave, Walnutport, PA 18088-1205 | 2006-09-16 |
| 1447356357 | Lisa Jill Doherty | Family Medicine | 330 N Best Ave, Walnutport, PA 18088-1205 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316487036 | Shailen Patel | Pharmacist | 200 S Best Ave, Walnutport, PA 18088 | 2017-02-28 |
| 1730630104 | Ondrea Colonna-dotter | Specialist/Technologist | 4589 Ann Elizabeth Ct, Walnutport, PA 18088 | 2016-10-20 |
| 1417360306 | Megan Trinkle | Pharmacist | 200 S. Best Ave, Walnutport, PA 18088 | 2014-06-09 |
| 1659495059 | F. Joseph Werner, O.d. PC | Optometrist | 301 N. Best Ave, Walnutport, PA 18088 | 2007-03-19 |
| 1104950328 | Patricia Ann Dematto | Pharmacist | 200 South Best Ave, Walnutport, PA 18088 | 2007-03-16 |
| 1710037700 | Karen Marie Lehman | Dentist | 961 Riverview Dr, Walnutport, PA 18088 | 2007-01-11 |
| 1225199433 | Iradj Amirlak | Chronic Disease Hospital | Emirates International Hospital, Al Khabisi, Al Ain, ABU DHABI 18088 | 2006-12-12 |
| 1790227197 | Riverstone Manor LLC | Public Health or Welfare | 1 Main St, Walnutport, PA 18088-1023 | 2016-11-16 |
| 1154325629 | Thomas Edward Yablonski | Family Medicine | 215 N Best Ave, Walnutport, PA 18088-1204 | 2005-06-13 |
| 1295872901 | Cressman and Yablonski | Family Medicine | 215 N Best Ave, Walnutport, PA 18088-1204 | 2007-01-31 |
| Find all providers in zip 18088 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1376156752 | Syed Ali Aown | Internal Medicine | 1200 Cedar Crest Blvd Department of Education-office Of, Allentown, PA 18103 | 2020-08-26 |
| 1437790482 | Pinnacle Health Medical Services | Internal Medicine | 205 S Front St Fl 8, Harrisburg, PA 17104-1619 | 2019-10-01 |
| 1255983615 | Mujahed Maher Dauleh | Internal Medicine | 500 University Dr # H040, Hershey, PA 17033-2360 | 2019-07-15 |
| 1578124038 | Ali Arif | Internal Medicine | 245 N 15th St Ste 6144, Philadelphia, PA 19102-1101 | 2019-06-25 |
| 1245893270 | Nikita Igorevich Neverov | Internal Medicine | 501 Howard Ave Ste D204, Altoona, PA 16601-4814 | 2019-04-16 |
| 1831682707 | Aravind Cherukuri | Internal Medicine | 3550 Terrace Street A919 Scafie Hall, Pittsburgh, PA 15261-0001 | 2018-06-14 |
| 1144731100 | Muhammad Owais Hanif | Internal Medicine | 245 N. 15th St, Ms 437, 6th Floor Ncb, Philadelpha, PA 19102 | 2017-10-18 |
| 1285157917 | Mhd Said Al Zein | Internal Medicine | 1001 E 2nd St Ste E, Coudersport, PA 16915-8161 | 2017-07-25 |
| 1073068284 | Awais Ammar | Internal Medicine | 415 Limekiln Dr Unit A, Chambersburg, PA 17201-4510 | 2016-08-17 |
| 1710344171 | Nina Stuccio | Internal Medicine | 410 S Front St Unit 215, Philadelphia, PA 19147-1708 | 2016-01-15 |
| Find all providers with the same taxonomy | ||||
| City | WALNUTPORT |
| Zip Code | 18088 |
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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.