CRAWFORD COUNTY SUB-SPECIALISTS GROUP (NPI# 1699077669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699077669 |
| Entity Type | Organization |
| Organization Name | CRAWFORD COUNTY SUB-SPECIALISTS GROUP |
| Other Organization Name | MEADVILLE EXPRESSCARE |
| Practice Address |
1009 Water St Meadville PA 16335-3465 |
| Practice Telephone | 8143372275 |
| Mailing Telephone | 8143372275 |
| Enumeration Date | 2010-11-24 |
| Last Update Date | 2010-12-06 |
| Authorized Official Name | MR. MICHAEL C. DOWNING (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8143732449 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Meadville ExpressCare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962729830 | Crawford County Sub-specialists Group | Surgery | 765 Liberty Street, Suite 203 Liberty Street Surgery, Meadville, PA 16335 | 2010-04-30 |
| 1255585691 | Crawford County Sub-specialists Group | Obstetrics & Gynecology | 765 Liberty St., Suite 204, Meadville Women's Care, Meadville, PA 16335 | 2008-11-12 |
| 1558537308 | Crawford County Sub-specialists Group | Clinic/Center | 764 Kennedy St Suite 303, Infectious Disease and Travel Health of Meadville, Meadville, PA 16335 | 2008-05-01 |
| 1225047335 | Crawford County Sub-specialists Group | Orthopaedic Surgery | 640 Alden St, Meadville, PA 16335-2348 | 2006-08-07 |
| Street Address |
1009 WATER ST |
| City | MEADVILLE |
| State | PA |
| Zip Code | 16335-3465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629071931 | John B. Zinnamosca | Family Medicine | 1009 Water St, Meadville, PA 16335-3445 | 2005-05-31 |
| 1033759105 | Joseph Graybill | Nurse Practitioner | 1009 Water St, Meadville, PA 16335-3465 | 2020-01-07 |
| 1023448453 | Meadville Urgent Care Physicians | Emergency Medicine | 1009 Water St, Meadville, PA 16335-3465 | 2013-11-21 |
| 1457610420 | Meadville Physician Services | Preventive Medicine | 1009 Water St, Meadville, PA 16335-3465 | 2012-05-11 |
| 1447497136 | Diane E Emes | Family Medicine | 1009 Water St, Meadville, PA 16335-3465 | 2009-01-16 |
| 1932136082 | Regina Beth Brown | Family Medicine | 1009 Water St, Meadville, PA 16335-3465 | 2006-06-26 |
| 1497743231 | Richard J. Fiorini | Family Medicine | 1009 Water St, Meadville, PA 16335-3445 | 2005-10-06 |
| 1366446197 | Bruce` R. Wolff | Family Medicine | 1009 Water St, Meadville, PA 16335-3445 | 2005-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811533508 | Stacey Lynette Lantz | Physical Therapy Assistant | 11277 Vernon Place Road, Meadville, PA 16335 | 2019-11-18 |
| 1952874794 | Amy Lynn Weaver | Social Worker | Parkside Psychological Associates, 435 Chestnut Street, Meadville, PA 16335 | 2019-01-04 |
| 1013437789 | Raymond Walter Keller Jr. | Family Medicine | 735 Liberty St, Meadville, PA 16335 | 2017-06-23 |
| 1750735742 | Nicole Fies | Counselor | 201 Chestnut Street, Floor 2, Meadville, PA 16335 | 2016-04-16 |
| 1760894422 | Amie S Coffman | Psychiatry & Neurology | 765 Liberty St Ste 303, Meadville, PA 16335 | 2014-05-28 |
| 1649609710 | Gina Marie Michalak | Pharmacist | 379 North Street, Meadville, PA 16335 | 2013-11-08 |
| 1518396704 | Cassandra Lynn Ketler | Physician Assistant | 847 North Main Street, Meadville, PA 16335 | 2013-11-07 |
| 1194159913 | Judy Mcelwain | Speech-Language Pathologist | 31 N Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1649604463 | Jonelle Elizabeth Taylor | Occupational Therapist | 31 North Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1699046961 | James Richard Mclamb | Orthopaedic Surgery | 6060 Ehrgott Rd, Meadville, PA 16335 | 2012-01-19 |
| Find all providers in zip 16335 | ||||
| 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 |
|---|---|---|---|---|
| 1013437789 | Raymond Walter Keller Jr. | Family Medicine | 735 Liberty St, Meadville, PA 16335 | 2017-06-23 |
| 1134399140 | Constantine Poolos | Family Medicine | 216 Chestnut St, Meadville, PA 16335-3407 | 2008-03-05 |
| 1174604318 | Bradley Bowlin | Family Medicine | 115b Hwy 556, Meadville, MS 39653 | 2006-10-17 |
| 1013947407 | Robert Gray Symons | Family Medicine | Vamc Clinic 18955 Park Ave.plaza, Meadville, PA 16335 | 2006-07-03 |
| 1811932072 | Calvin P. Poole | Family Medicine | 595 Main St E, Meadville, MS 39653-9233 | 2006-06-19 |
| 1831152099 | Martin Joseph Decker | Family Medicine | 901 Water St, Meadville, PA 16335-3434 | 2006-04-10 |
| 1164499570 | Gregory R Murray | Family Medicine | 16954 Conneaut Lake Rd, Meadville, PA 16335-3738 | 2006-03-03 |
| 1053305219 | Rebecca D Lashbrook | Family Medicine | 280 Clinton Ct, Meadville, PA 16335-3362 | 2005-09-02 |
| 1275532830 | Kenneth Unice | Family Medicine | 495 Pine St, Meadville, PA 16335-2974 | 2005-07-18 |
| 1629071931 | John B. Zinnamosca | Family Medicine | 1009 Water St, Meadville, PA 16335-3445 | 2005-05-31 |
| Find all providers in MEADVILLE | ||||
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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.