DR. ROBERT A. MENTYKA (NPI# 1700849361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700849361 |
| Entity Type | Individual |
| Full Name | DR. ROBERT A. MENTYKA |
| Credential | M.D. |
| Practice Address |
200 Scenery Dr State College PA 16801-7974 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-3034 |
| Practice Telephone | 8142314560 |
| Practice Fax Number | 8142355512 |
| Mailing Telephone | 5702716144 |
| Mailing Fax Number | 5702716578 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2020-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | MD025552E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 000976760 | 05 |
| Street Address |
200 SCENERY DR |
| City | STATE COLLEGE |
| State | PA |
| Zip Code | 16801-7974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265412217 | Bernard V Eck | Pharmacist | 200 Scenery Dr, State College, PA 16801-7974 | 2006-01-18 |
| 1679182554 | Elena Denger | Pharmacist | 200 Scenery Dr, State College, PA 16801-7974 | 2020-07-28 |
| 1407465479 | Lauren Elizabeth Pheasant | Pharmacist | 200 Scenery Dr, State College, PA 16801-7974 | 2020-07-27 |
| 1518585553 | Eric Paul Tricou | Genetic Counselor, MS | 200 Scenery Dr, State College, PA 16801-7974 | 2020-07-07 |
| 1659902286 | Mary Beth Kensinger | Family Medicine | 200 Scenery Dr, State College, PA 16801-7974 | 2020-02-02 |
| 1932685625 | Zachary Michael Salvati | Genetic Counselor, MS | 200 Scenery Dr, State College, PA 16801-7974 | 2018-07-16 |
| 1134657588 | Ethan Eric Ernst | Physician Assistant | 200 Scenery Dr, State College, PA 16801-7974 | 2017-05-30 |
| 1811345416 | Kelli Jo Simco | Physician Assistant | 200 Scenery Dr, State College, PA 16801-7974 | 2016-05-25 |
| 1841677424 | Jennifer Leigh Brooks | Dermatology | 200 Scenery Dr, State College, PA 16801-7974 | 2015-05-02 |
| 1174926455 | Dawn Rosenbaum | Physician Assistant | 200 Scenery Dr, State College, PA 16801-7974 | 2014-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851880975 | Creative Reflections Counseling, LLC | Counselor | 315 S Allen St Ste 124b, State College, PA 16801 | 2018-05-03 |
| 1679097901 | Michelle L Grove | Home Health Aide | 2100 E College Ave Ste B, State College, PA 16801 | 2017-07-28 |
| 1740702034 | Matthew Ishler | Counselor | 315 S. Allen Street Ste 326, State College, PA 16801 | 2017-07-09 |
| 1699206300 | Emily Lauer | Specialist/Technologist | 102a Multisport Indoor Facility, State College, PA 16801 | 2017-03-23 |
| 1740721075 | Luk Devorski | Student in an Organized Health Care Education/Training Program | Rec Hall University Park, Penn State University, State College, PA 16801 | 2017-03-20 |
| 1013465764 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 201 West Beaver Avenue, State College, PA 16801 | 2016-09-12 |
| 1740685858 | Mallory L. Miller | Physician Assistant | 100 Radnor Rd Ste 101, State College, PA 16801 | 2014-10-31 |
| 1386053981 | Christopher Hippenmeyer | Specialist/Technologist | 102a East Area Locker Building, Pennsylvania State University, University Park, PA 16801 | 2014-08-07 |
| 1982022059 | Christy Sharer | Counselor | 301 S Allen St Ste 106, State College, PA 16801 | 2014-04-04 |
| 1912250523 | Eva M Letwin | Counselor | 2011 Cato Ave Ste 201, State College, PA 16801 | 2012-10-19 |
| Find all providers in zip 16801 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275670028 | Faoud Ishmael | Allergy & Immunology | 1850 E Park Ave Ste 201, State College, PA 16803 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760003065 | Allergy and Asthma Wellness Centers Inc | Allergy & Immunology | 282 Saint Clair Ave, Clairton, PA 15025-1738 | 2020-04-28 |
| 1497109219 | Paul Faybusovich | Allergy & Immunology | 500 University Dr # C5860, Hershey, PA 17033-2360 | 2016-04-18 |
| 1447640438 | Gregory Harriman | Allergy & Immunology | 231 Iron Works Way, Wayne, PA 19087-4213 | 2015-01-28 |
| 1407254691 | Allergy, Asthma, and Sinus Wellness Center, LLC | Allergy & Immunology | 562 Shearer St Ste 101, Greensburg, PA 15601-2746 | 2014-12-20 |
| 1225435670 | Allergy Comprehensive Express Professional Corporation | Allergy & Immunology | 264 Trappe Ln, Langhorne, PA 19047-1434 | 2014-12-01 |
| 1295155885 | Taha Al-shaikhly | Allergy & Immunology | 500 University Drive Mc A410, Hershey, PA 17033-0858 | 2014-04-22 |
| 1821423815 | Sheryl Talbot | Allergy & Immunology | 303 West Lancaster Ave, #141, Wayne, PA 19087 | 2013-09-09 |
| 1851630891 | Suburban Allergy Consultants LLC | Allergy & Immunology | 822 Montgomery Ave Ste 318, Narberth, PA 19072-1948 | 2013-02-12 |
| 1124364294 | Margaret Mary Libonati | Allergy & Immunology | 7277 Bausch Road, New Tripoli, PA 18066-0224 | 2012-12-18 |
| 1407108608 | Shivani Rasalingam | Allergy & Immunology | 4401 Pennave, Pittsburgh, PA 15224 | 2012-10-11 |
| Find all providers with the same taxonomy | ||||
| City | STATE COLLEGE |
| Zip Code | 16801 |
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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.