PEDIATRIC PRACTICES OF NORTHEASTERN PA (NPI# 1730162678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730162678 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC PRACTICES OF NORTHEASTERN PA |
| Other Organization Name | PEDIATRIC PRACTICES OF NORTHEASTERN PA |
| Practice Address |
1837 Fair Ave Honesdale PA 18431-2121 |
| Practice Telephone | 5702535838 |
| Practice Fax Number | 5702531245 |
| Mailing Telephone | 5702535838 |
| Mailing Fax Number | 5702531245 |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2019-07-23 |
| Authorized Official Name | DR. ROBERT MORTON (PARTNER) |
| Authorized Official Telephone | 5702535838 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 100742260015 | 05 | |
| PA | 100742260016 | 05 | |
| PA | 100742260018 | 05 | |
| PA | CMS CERTIFICATION NUMBER | 39-3887 | 01 |
| Other Name | Type Code |
|---|---|
| Pediatric Practices of Northeastern PA | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 27b Woodlands Dr, Waymart, PA 184729366 | 5704889550 | 5704889553 |
| 62 Industrial Park Rd, Lake Ariel, PA 184365606 | 5706897565 | 5706894803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578895538 | Pediatric Practices of Northeastern Pa | Pediatrics | 27b Woodlands Dr, Waymart, PA 18472-9366 | 2010-02-02 |
| 1033441092 | Pediatric Practices of Northeastern Pa | Pediatrics | 62 Industrial Park Rd, Lake Ariel, PA 18436-5606 | 2010-02-02 |
| 1861722902 | Pediatric Practices of Northeastern Pa | Pediatrics | 510 Route 6 and 209, Suite 103, Milford, PA 18337-7615 | 2010-01-13 |
| Street Address |
1837 FAIR AVE |
| City | HONESDALE |
| State | PA |
| Zip Code | 18431-2121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699757328 | Paul M Diamond | Pediatrics | 1837 Fair Ave, Honesdale, PA 18431-2121 | 2005-11-17 |
| 1932751187 | Wayne Memorial Community Health Centers | Pediatrics | 1837 Fair Ave, Honesdale, PA 18431-2121 | 2019-07-09 |
| 1568846277 | Kayla Esterline | Physician Assistant | 1837 Fair Ave, Honesdale, PA 18431-2121 | 2015-07-13 |
| 1548692866 | Patricia Murray Howell | Clinical Nurse Specialist | 1837 Fair Ave, Honesdale, PA 18431-2121 | 2013-08-09 |
| 1225399504 | Gwen E Miller | Physician Assistant | 1837 Fair Ave, Honesdale, PA 18431-2121 | 2012-06-04 |
| 1669609962 | Meredith Lynne Hellstern | Pediatrics | 1837 Fair Ave, Honesdale, PA 18431-2121 | 2009-06-15 |
| 1295941292 | Rebecca J Soward | Physician Assistant | 1837 Fair Ave, Honesdale, PA 18431-2121 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487828927 | Sarah Catherine Eibach | Social Worker | 190 Delaware Street, Honesdale, PA 18431 | 2008-04-16 |
| 1437369220 | Michael C Rogers | Dentist | 3373 Lake Ariel Highway, Honesdale, PA 18431 | 2007-05-23 |
| 1053531079 | Matthew James Downey | Internal Medicine | 1860 Fair Avenue, Suite A, Honesdale, PA 18431 | 2007-05-01 |
| 1114049335 | Philip C. Gutherz, Md | Internal Medicine | 700 Maple Avenue, 2nd Floor, Honesdale, PA 18431 | 2007-04-06 |
| 1790806818 | Krina Ennis Pratt | Physical Therapist | Ellen Memorial Health Care Center, 23 Ellen Memorial Lane, Honesdale, PA 18431 | 2007-04-03 |
| 1255465977 | Leonard Weiss | Optometrist | 928 Church St, Honesdale, PA 18431 | 2007-03-15 |
| 1023143724 | Rise Beth Bill | Social Worker | 602 Church Street, Honesdale Wellness Ctr, Honesdale, PA 18431 | 2007-02-22 |
| 1790842375 | Lawrence G Caruth Dmd Assoc | Dentist | 3025 Lake Ariel Hwy, Honesdale, PA 18431 | 2007-01-02 |
| 1225194657 | David Michael Boldish | Dentist | 1325 North Main Street, Honesdale, PA 18431 | 2006-12-29 |
| 1497813562 | George J Gustainis | Family Medicine | 3196 Lake Ariel Hwy, Honesdale, PA 18431 | 2006-12-04 |
| Find all providers in zip 18431 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093868275 | Highland Physicians, Ltd. | Clinic/Center | 1839 Fair Ave, Honesdale, PA 18431-2121 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487266029 | Upmc Kane | Clinic/Center | 511 South Main Street, Sheffield, PA 16347 | 2020-08-17 |
| 1174176796 | Cornerstone Coordinated Health Care, LLC | Clinic/Center | 2114 Centre St, Ashland, PA 17921-1015 | 2019-07-23 |
| 1053873976 | Titusville Area Hospital | Clinic/Center | 10926 State Highway 18, Conneaut Lake, PA 16316-3526 | 2019-04-01 |
| 1760954721 | The Carbon-schuylkill Community Hospital, Inc. | Clinic/Center | 100 W Patterson St, Suite 201, Lansford, PA 18232 | 2018-12-31 |
| 1548761935 | The Carbon-schuylkill Community Hospital, Inc. | Clinic/Center | 411 S Shenandoah Rd, Ringtown, PA 17967-9432 | 2018-02-22 |
| 1790191948 | Dlp Conemaugh Physician Practices LLC | Clinic/Center | 1609 W. Pitt St., Jennerstown, PA 15547 | 2014-07-09 |
| 1922429133 | Tyrone Hospital | Clinic/Center | 221 Hospital Dr Ste 6, Tyrone, PA 16686-1826 | 2013-12-16 |
| 1124456157 | Tyrone Hospital | Clinic/Center | 125 Spring Street, Houtzdale, PA 16651 | 2013-10-30 |
| 1831466937 | Conemaugh Health Initiatives | Clinic/Center | 1611 W. Pitt Street, Jennerstown, PA 15547-0190 | 2011-11-18 |
| 1245419639 | Pinnacle Health Partners Inc. | Clinic/Center | Hc 1 Box 2170, Tafton, PA 18464-9714 | 2007-11-01 |
| Find all providers with the same taxonomy | ||||
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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.