MR. DANE J DOORNBOS (NPI# 1750541579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750541579 |
| Entity Type | Individual |
| Full Name | MR. DANE J DOORNBOS |
| Credential | PA-C |
| Practice Address |
1111 E End Blvd Wilkes Barre PA 18711-0030 |
| Mailing Address |
208 W Center Hill Rd Dallas PA 18612-1306 |
| Practice Telephone | 5708243521 |
| Mailing Telephone | 4049857214 |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2020-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
5601005058 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 827 Linden Ave, Baltimore, MD 212014606 | 4102258000 |
| Street Address |
1111 E END BLVD |
| City | WILKES BARRE |
| State | PA |
| Zip Code | 18711-0030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245295922 | Bharat Singh | Internal Medicine | 1111 E End Blvd, Wilkes Barre, PA 18711-0030 | 2006-04-18 |
| 1083215297 | Amie O'malia | Recreation Therapist | 1111 E End Blvd, Wilkes Barre, PA 18711-0030 | 2020-11-04 |
| 1417557745 | Emily Herron | Pharmacist | 1111 E End Blvd, Wilkes Barre, PA 18711-0030 | 2020-10-27 |
| 1487253910 | Sara Jane Skoritowski | Pharmacist | 1111 E End Blvd, Wilkes Barre, PA 18711-0030 | 2020-10-26 |
| 1215536743 | Casondra Smicherko | Pharmacist | 1111 E End Blvd, Wilkes Barre, PA 18711-0030 | 2020-10-26 |
| 1932708450 | Laura Mowery | Pharmacist | 1111 E End Blvd, Wilkes Barre, PA 18711-0030 | 2020-10-26 |
| 1720697741 | Lori A Miller | Social Worker | 1111 E End Blvd, Wilkes Barre, PA 18711-0030 | 2020-07-27 |
| 1477179588 | Stephanie Renee Ward | Registered Nurse | 1111 E End Blvd, Wilkes Barre, PA 18711-0026 | 2020-06-24 |
| 1538783246 | Matthew Brian Banford | Occupational Therapist | 1111 E End Blvd, Wilkes Barre, PA 18711-0030 | 2020-05-29 |
| 1285269217 | Arielle Burkavage | Dentist | 1111 E End Blvd, Wilkes Barre, PA 18711-0030 | 2020-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467924274 | Leeann Kayal | Nurse Practitioner | 111 East End Boulevard, Wilkes Barre, PA 18711 | 2018-12-19 |
| 1336661701 | Patricia Dworak | Occupational Therapist | 1175 East Mountain Boulevard, Wilkes-barre, PA 18711 | 2017-07-07 |
| 1992160352 | Hope Danishanko | Social Worker | 111 East End Blvd, Wilkes Barre, PA 18711 | 2015-12-29 |
| 1477962785 | Jennifer L. Heck | Physical Therapist | 1140 Route 315, Suite 207, Wilkes-barre, PA 18711 | 2014-08-12 |
| 1821338807 | Melinda Flaim | Physical Therapist | 1555 East End Blvd, Wilkes Barre, PA 18711 | 2013-02-27 |
| 1598900953 | Elizabeth Patricia Keating | Pharmacist | 1000 East Mountain Drive, Wilkes Barre, PA 18711 | 2008-12-12 |
| 1457433294 | Christopher William O'brien | Specialist/Technologist | King's College, 133 North River Street, Wilkes-barre, PA 18711 | 2006-10-20 |
| 1821197450 | Louis Jay Freedman | Obstetrics & Gynecology | Valley Medical Building, 3rd Floor, 1010 East Mountain Boulevard, Wilkes-barre, PA 18711 | 2006-09-21 |
| 1730282625 | Natalia N Belikova | Internal Medicine | 1111 East End Boulvard, Wilkesbarre, PA 18711 | 2006-09-06 |
| 1609883628 | Va Medical Center | General Acute Care Hospital | 1111 East End Blvd., Wilkes-barre, PA 18711 | 2006-08-02 |
| Find all providers in zip 18711 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948212 | Anthony Christensen Guariglia Jr. | Physician Assistant | 1155 Highway 315 Blvd, Wilkes Barre, PA 18702-6928 | 2020-09-24 |
| 1134638943 | George Ritz IIi | Physician Assistant | 575 N River Street Emergency Department, Wilkes Barre, PA 18764-0001 | 2017-09-25 |
| 1023551033 | Erin Corrine Neuner | Physician Assistant | 1000 E. Mountain Blvd, Wilkes Barre, PA 18711-3478 | 2016-11-22 |
| 1205386430 | Anthony Raymond Raineri | Physician Assistant | 1175 E. Mountain Blvd, Orthopaedics Dept., Wilkes Barre, PA 18702-3885 | 2016-10-12 |
| 1619306230 | Carissa Taroli | Physician Assistant | 189 E Market St, Wilkes Barre, PA 18702-5243 | 2013-11-04 |
| 1821043779 | Mary E Mazaleski | Physician Assistant | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2006-05-22 |
| 1518933662 | Mary M Azarewicz | Physician Assistant | 25 Church Street, Wilkes Barre, PA 18765 | 2006-02-28 |
| 1982213062 | Erin Leigh Dougherty | Physician Assistant | 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 | 2020-07-24 |
| 1467060756 | Laura Brady | Physician Assistant | 1175 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2020-07-22 |
| 1437776150 | Alyssa M Callela | Physician Assistant | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2020-06-29 |
| Find all providers in WILKES BARRE | ||||
| City | WILKES BARRE |
| Zip Code | 18711 |
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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.