DR. ROBERT LOUIS GRZONKA (NPI# 1750374633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750374633 |
| Entity Type | Individual |
| Full Name | DR. ROBERT LOUIS GRZONKA |
| Credential | MD |
| Practice Address |
1 Outlet Ln Ste 400 Lock Haven PA 17745 |
| Mailing Address |
1 Outlet Ln Ste 400 Lock Haven PA 17745-7814 |
| Practice Telephone | 5707691300 |
| Practice Fax Number | 5707691301 |
| Mailing Telephone | 5707691300 |
| Mailing Fax Number | 5707691301 |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2018-07-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | 35.086692 | OH | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | MD452001 | PA | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 0101252528 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1750374633 | 05 | |
| PA | 10294861300004 | 05 |
| Street Address |
1 OUTLET LN STE 400 |
| City | LOCK HAVEN |
| State | PA |
| Zip Code | 17745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932109873 | David C Rilling | Surgery | 1 Outlet Ln Ste 400, Lock Haven, PA 17745-7814 | 2005-07-21 |
| 1164957379 | David Luo | Family Medicine | 1 Outlet Ln Ste 400, Lock Haven, PA 17745-7814 | 2017-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760012587 | Clinton County Community Connections Inc | Clinic/Center | 10 N Washington Street, Lock Haven, PA 17745 | 2020-01-21 |
| 1740759539 | Jason Michael Niederriter | Pharmacist | 313-337 West Bald Eagle Street, Lock Haven, PA 17745 | 2018-11-21 |
| 1194240879 | Rene Pacificador Villegas | Physical Therapist | 502 East Howard St., Bellefonte, PA 17745 | 2017-08-03 |
| 1497101638 | Drew Ryan | Student in an Organized Health Care Education/Training Program | 15 Cochise Trail, Lock Haven, PA 17745 | 2016-05-06 |
| 1861766644 | Thomas John Ciuchta | Dentist | 44 E. Church Street, Lock Haven, PA 17745 | 2012-02-27 |
| 1497085021 | Abby Lynn Brown | Social Worker | 206 East Water Street, Lock Haven, PA 17745 | 2010-01-04 |
| 1093976482 | Infant Development Program Inc | Early Intervention Provider Agency | 980 East Water St, Lock Haven, PA 17745 | 2008-06-19 |
| 1073635769 | Richard Lee Powers II | Dentist | 525 High Street, Lock Haven, PA 17745 | 2007-04-04 |
| 1184792863 | Shailendra Nath Kapoor | Urology | 214 High Street, Flemington, PA 17745 | 2006-12-01 |
| 1629156054 | Samuel R Rockey Dmd PC | Dentist | 320 E Water St, Lock Haven, PA 17745 | 2006-11-02 |
| Find all providers in zip 17745 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230468 | St Clair Medical Services, Inc. | Urology | 2000 Oxford Dr Ste 410, Bethel Park, PA 15102-1841 | 2020-09-22 |
| 1326673690 | Glade Run Medical Associates, Inc. | Urology | 500 Medical Arts Bldg Ste 520, Kittanning, PA 16201-7137 | 2020-03-07 |
| 1235779943 | Stacey Oberhauser | Urology | Center for Urologic Care of Berks County, 1320 Broadcasting Road, Suite 200, Wyomissing, PA 19610 | 2020-01-10 |
| 1558859645 | East Freedom Surgical Associates, LLC | Urology | 15721 Dunnings Hwy, Duncansville, PA 16635 | 2018-04-25 |
| 1528560943 | Lancaster Urology PC | Urology | 175 Martin Ave Ste 300, Ephrata, PA 17522-1761 | 2018-03-01 |
| 1841706561 | Urology of Central Pennsylvania, Inc | Urology | 815 Sir Thomas Ct Ste 100, Harrisburg, PA 17109-4839 | 2017-12-18 |
| 1003326869 | St Luke's Physician Group Inc | Urology | 5325 Northgate Dr Ste 203, Bethlehem, PA 18017-9413 | 2017-10-06 |
| 1952829350 | Centers for Advanced Urology, LLC | Urology | 140 W Germantown Pike Ste 250, Plymouth Meeting, PA 19462-1421 | 2017-09-06 |
| 1346767944 | Nazareth Physician Services | Urology | 2701 Holme Ave Ste 101, Phila, PA 19152-2029 | 2017-08-24 |
| 1710403191 | Mercy Management of Sepa | Urology | 501 S 54th St Ste 227, Phila, PA 19143-1900 | 2017-08-17 |
| Find all providers with the same taxonomy | ||||
| City | LOCK HAVEN |
| Zip Code | 17745 |
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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.