MRS. LORA DENISE PAULUKONIS (NPI# 1710939178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710939178 |
| Entity Type | Individual |
| Full Name | MRS. LORA DENISE PAULUKONIS |
| Other Name | LORA DENIES ELLSWORTH |
| Credential | PA-C |
| Practice Address |
575 N River St Wilkes Barre PA 18764-0999 |
| Mailing Address |
4149 Bear Creek Blvd Bear Creek Tw PA 18702-9749 |
| Practice Telephone | 5705521180 |
| Mailing Telephone | 5704720226 |
| Mailing Fax Number | 5704720226 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2012-04-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA050793 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
575 N RIVER ST |
| City | WILKES BARRE |
| State | PA |
| Zip Code | 18764-0999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174528707 | Radiology Associates of Wyoming Valley, Inc | Radiology | 575 N River St, Wilkes Barre, PA 18764-0999 | 2005-06-20 |
| 1811511108 | Wilkes-barre Hospital Company LLC | Medicare Defined Swing Bed Unit | 575 N River St, Wilkes Barre, PA 18764-0999 | 2020-06-02 |
| 1790311645 | Michael L. Yucha Jr. | Physician Assistant | 575 N River St, Wilkes Barre, PA 18702-2634 | 2020-03-22 |
| 1508405739 | Leah Alexandra Merrick | Physician Assistant | 575 N River St, Wilkes Barre, PA 18702-2634 | 2020-01-06 |
| 1639667942 | Michael P Mcdaniel | Physician Assistant | 575 N River St, Wilkes Barre, PA 18764-0999 | 2018-04-23 |
| 1427577816 | Lindsay Marie Brown | Pharmacist | 575 N River St, Wilkes Barre, PA 18764-1902 | 2017-09-17 |
| 1417486572 | Ryan Seltzer | Nurse Practitioner | 575 N River St, Wilkes Barre, PA 18764-5628 | 2017-06-12 |
| 1790216067 | Carolina Favero Braga | Family Medicine | 575 N River St, Wilkes Barre, PA 18764-2008 | 2017-03-27 |
| 1558816694 | Wyoming Emergency Services, LLC | Emergency Medicine | 575 N River St, Wilkes Barre, PA 18764-0999 | 2016-08-18 |
| 1740734979 | Poconos Emergency Group, LLC | Emergency Medicine | 575 N River St, Wilkes Barre, PA 18764-0001 | 2016-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134618259 | Alycia Saini | Family Medicine | 575 N River St., Wilkes-barre, PA 18764 | 2018-05-03 |
| 1265416564 | Linda B Wilk | Nurse Anesthetist, Certified Registered | 575 North River St, Wilkes-barre, PA 18764 | 2005-12-01 |
| 1356830400 | Aarun Chand Saini | Family Medicine | 575 N River St., Wilkes-barre, PA 18764 | 2018-05-04 |
| 1144316985 | Nicholas D Giordano | Internal Medicine | 575 North River Street, Wilkes-barre, PA 18764 | 2006-10-05 |
| 1598771313 | Susan M Thibeault | Nurse Anesthetist, Certified Registered | 326 Washington Street, Norwich, CT 18764 | 2006-08-01 |
| 1134638943 | George Ritz IIi | Physician Assistant | 575 N River Street Emergency Department, Wilkes Barre, PA 18764-0001 | 2017-09-25 |
| 1578528410 | Mark M. Radziewicz | Family Medicine | Wilkes Barre Geneal Hospital, 575 N. River Street, Wilkes Barre, PA 18764-0001 | 2006-04-20 |
| 1164832614 | Virginie Auguste | Hospitalist | 575 North River Street, Wilkes Barre, PA 18764-1851 | 2014-05-06 |
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609802099 | Karen Anne Tillotson | Physician Assistant | 1000 E Mountain Blvd # 37-31, Wilkes Barre, PA 18711-0027 | 2006-06-25 |
| 1396342994 | Haley Stackhouse | Physician Assistant | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2020-10-06 |
| 1508405739 | Leah Alexandra Merrick | Physician Assistant | 575 N River St, Wilkes Barre, PA 18702-2634 | 2020-01-06 |
| 1699257576 | Kylen Larue | Physician Assistant | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2018-09-06 |
| 1124539044 | Tyler John Longstreet | Physician Assistant | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2017-10-18 |
| 1992256101 | Danielle Marie Yakup | Physician Assistant | 545 N River St, Suite 130, Wilkes Barre, PA 18702-2600 | 2016-10-23 |
| 1891248142 | Natalie Launchi | Physician Assistant | 1000 E Mountain Blvd, Critical Care Medicine, Wilkes Barre, PA 18711-0027 | 2016-08-03 |
| 1245600709 | Amy Marie Wierbowski | Physician Assistant | 1177 Highway 315 Blvd, Dolphin Plaza, Wilkes Barre, PA 18702-6928 | 2015-09-28 |
| 1538404058 | Katie Gad | Physician Assistant | 150 Mundy St, Mac Iv Building, Wilkes Barre, PA 18702-6830 | 2012-12-10 |
| 1457635278 | Kimberly Kenehan | Physician Assistant | 150 Mundy St, Mac Iv Building, Wilkes Barre, PA 18702-6830 | 2011-09-29 |
| Find all providers in WILKES BARRE | ||||
| City | WILKES BARRE |
| Zip Code | 18764 |
Please comment or provide details below to improve the information on MRS. LORA DENISE PAULUKONIS.
| 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.