BLOOMSBURG PHYSICIAN SERVICES (NPI# 1770790974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770790974 |
| Entity Type | Organization |
| Organization Name | BLOOMSBURG PHYSICIAN SERVICES |
| Other Organization Name | BLOOMSBURG PHYSICIAN SERVICES GEN SURG |
| Practice Address |
410 Glenn Ave Suite 203 Bloomsburg PA 17815-1200 |
| Practice Telephone | 5703872339 |
| Practice Fax Number | 5703872487 |
| Mailing Telephone | 5703872339 |
| Mailing Fax Number | 5703872487 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOSEPH DEVITO (CFO) |
| Authorized Official Telephone | 5703872148 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0014107290004 | 05 | |
| PA | HIGHMARK NUMBER | 739865 | 01 |
| PA | GHP NUMBER | 8807 | 01 |
| PA | CBC NUMBER | 50052731 | 01 |
| Other Name | Type Code |
|---|---|
| BLOOMSBURG PHYSICIAN SERVICES GEN SURG | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811913536 | Bloomsburg Physician Services | Family Medicine | 401 Glenn Ave, Bloomsburg, PA 17815-1247 | 2006-07-14 |
| 1124236708 | Bloomsburg Physician Services | Obstetrics & Gynecology | 410 Glenn Ave, Suite 2, Bloomsburg, PA 17815-1200 | 2007-05-18 |
| Street Address |
410 GLENN AVE SUITE 203 |
| City | BLOOMSBURG |
| State | PA |
| Zip Code | 17815-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366448268 | Columbia Montour Home Health Services Vna, Inc. | Home Health | 410 Glenn Ave, Suite 200, Bloomsburg, PA 17815-1200 | 2005-06-24 |
| 1326572363 | Kayla Zambiasi | Registered Nurse | 410 Glenn Ave, Bloomsburg, PA 17815-1200 | 2017-04-17 |
| 1184042350 | Lisa Foster | Registered Nurse | 410 Glenn Ave, Suite 200, Bloomsburg, PA 17815-1200 | 2014-04-03 |
| 1659702975 | Mid-state Occupational Health Services, Inc. | Clinic/Center | 410 Glenn Ave, Suite 2, Bloomsburg, PA 17815-1200 | 2013-12-12 |
| 1245665967 | Columbia Montour Home Health Svcs., Vna | Home Health | 410 Glenn Ave, Suite 200, Bloomsburg, PA 17815-1200 | 2013-09-12 |
| 1073956272 | Christine L Resele | Registered Nurse | 410 Glenn Ave, Suite200, Bloomsburg, PA 17815-1200 | 2013-04-08 |
| 1487097671 | Christine Marie Hayes | Registered Nurse | 410 Glenn Ave, Suite 200, Bloomsburg, PA 17815-1200 | 2013-04-08 |
| 1871732883 | Anita Lynn Rose | Registered Nurse | 410 Glenn Ave, Suite 200, Bloomsburg, PA 17815-1200 | 2009-02-13 |
| 1447412317 | Donna Rae Pauling | Registered Nurse | 410 Glenn Ave, Suite 200, Bloomsburg, PA 17815-1200 | 2008-07-01 |
| 1295905487 | Kelly Sue Kishbaugh | Physical Therapist | 410 Glenn Ave, Suite 101, Bloomsburg, PA 17815-1200 | 2008-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780295733 | Geisinger Clinic | Emergency Medicine | 545 Fair Street, Bloomsburg, PA 17815 | 2020-08-13 |
| 1124457551 | Patricia Marie Archey | Physician Assistant | 93 Avon Ave, Bloomsburg, PA 17815 | 2013-11-06 |
| 1154684561 | Alice Michele Weaver Maczuga | Social Worker | 816 Central Road, Bollmsburg, PA 17815 | 2012-06-20 |
| 1396069332 | Cmsu Behavioral Health and Developmental Services | Community/Behavioral Health | 675 Locust St, Bloomsburg, PA 17815 | 2010-03-19 |
| 1922235829 | Joel Stephen Hamilton | Dentist | 2 Audubon Court, Bloomsburg, PA 17815 | 2009-06-18 |
| 1508011685 | Cindy A Prosseda | Social Worker | 6850 Lowes Road, Bloomsburg, PA 17815 | 2008-11-17 |
| 1881854271 | Francis Joseph Welk | Physical Therapist | 410 Glen Ave, Suite 101 Susquehanna Physical Therapy Associates, Bloomsburg, PA 17815 | 2008-06-10 |
| 1679652390 | John A Scerbo | Dentist | 812 Central Road, Bloomsburg, PA 17815 | 2006-11-03 |
| 1104914811 | Columbia Ancillary Services Inc | Durable Medical Equipment & Medical Supplies | 1141 Ridge Road, Bloomsburg, PA 17815 | 2006-10-10 |
| 1922192681 | Patricia M. Taylor | Speech-Language Pathologist | 6530 Main Street, Bloomsburg, PA 17815 | 2006-10-03 |
| Find all providers in zip 17815 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073561635 | James S Gregory | Surgery | 2231 Bentley Dr, Bloomsburg, PA 17815-7701 | 2006-05-05 |
| 1326017112 | Patrick Erwin | Surgery | 439 E 1st St, Bloomsburg, PA 17815-1417 | 2006-03-15 |
| 1316998065 | John E. Widger | Surgery | 439 E 1st St, Bloomsburg, PA 17815-1417 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060655 | Western Pa Surgery Center, Beaver County Branch, LLC | Surgery | 103 Pleasant Dr, Aliquippa, PA 15001-1333 | 2020-10-12 |
| 1558977546 | Abington Memorial Hospital | Surgery | 2701 Blair Mill Rd Ste 17, Willow Grove, PA 19090-1041 | 2020-09-16 |
| 1518579762 | St. Luke's Physician Group Inc. | Surgery | 3735 Nazareth Rd Ste 303, Easton, PA 18045-8338 | 2020-08-19 |
| 1417565847 | St. Luke's Physician Group Inc. | Surgery | 5325 Northgate Dr Ste 204, Bethlehem, PA 18017-9413 | 2020-07-22 |
| 1073135935 | Amr Mohamed Elsayed | Surgery | 36 N 13th St Apt 2, Allentown, PA 18102-4300 | 2020-05-14 |
| 1346878436 | Beaver Valley Foot Clinic PC | Surgery | 20555 Route 19 Ste D, Cranberry Township, PA 16066-7525 | 2020-04-01 |
| 1922653914 | Tower Health Medical Group | Surgery | 301 S 7th Ave Ste 3070, West Reading, PA 19611-1495 | 2019-08-06 |
| 1558916833 | Allegheny Clinic | Surgery | 4815 Liberty Avenue Suite 215, Pittsburgh, PA 15224-2156 | 2019-08-05 |
| 1548820350 | St. Luke's Physician Group, Inc | Surgery | 575 S 9th St Ste 8, Lehighton, PA 18235-2517 | 2019-06-14 |
| 1538725700 | Golla Ent | Surgery | 107 Gamma Dr Ste 110, Pittsburgh, PA 15238-2917 | 2019-05-14 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMSBURG |
| Zip Code | 17815 |
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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.