MAINLINE MEDICAL ASSOCIATES INC (NPI# 1790796100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790796100 |
| Entity Type | Organization |
| Organization Name | MAINLINE MEDICAL ASSOCIATES INC |
| Practice Address |
1400 9th Ave Altoona PA 16602-2415 |
| Mailing Address |
792 Gallitzin Rd Cresson PA 16630-2213 |
| Practice Telephone | 8149418811 |
| Practice Fax Number | 8149418828 |
| Mailing Telephone | 8148868161 |
| Mailing Fax Number | 8148862955 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2012-10-26 |
| Authorized Official Name | VAL MIGNOGNA (PRACTICE MANAGER) |
| Authorized Official Telephone | 8149418811 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | 010099A | PA | Laboratories |
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001746002 | 05 | |
| PA | HIGHMARK GROUP PROVIDER # | 056175 | 01 |
| PA | MEDICARE ID - TYPE UNSPECIFIED PT GROUP # | 056175 | 01 |
| Street Address |
1400 9TH AVE |
| City | ALTOONA |
| State | PA |
| Zip Code | 16602-2415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548254873 | Tanya Lohr Holsopple | Family Medicine | 1400 9th Ave, Altoona, PA 16602-2415 | 2005-09-01 |
| 1881256196 | Abigail Rose Shaffer | Physician Assistant | 1400 9th Ave, Altoona, PA 16602-2415 | 2019-07-08 |
| 1790136869 | April Nicole Cindric | Family Medicine | 1400 9th Ave, Altoona, PA 16602-2415 | 2016-06-29 |
| 1336465814 | Jeffrey Brandon Armstrong | Family Medicine | 1400 9th Ave, Altoona, PA 16602-2415 | 2010-04-09 |
| 1710169461 | Beth Alison Lutton | Dietitian, Registered | 1400 9th Ave, Altoona, PA 16602-2415 | 2007-12-04 |
| 1366583700 | Mainline Medical Associates, Inc. | Non-Pharmacy Dispensing Site | 1400 9th Ave, Altoona, PA 16602-2415 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817646 | John Francis Cain | Registered Nurse | 319 Meadowlark Ave, Altoona, PA 16602 | 2020-10-06 |
| 1023650991 | Rahaf Obeid | Pharmacist | 508 E Plank Road, Altoona, PA 16602 | 2019-10-12 |
| 1346713641 | Justin M Delasko | Dietitian, Registered | 905 Logan Blvd, Altoona, PA 16602 | 2019-01-09 |
| 1679932420 | Dottie Jean Morgan | Speech-Language Pathologist | 501 Valley View Blvd., Altoona, PA 16602 | 2016-02-22 |
| 1922409283 | Rite Aid of Pennsylvania LLC | Durable Medical Equipment & Medical Supplies | 1600 9th Avenue, Altoona, PA 16602 | 2014-09-05 |
| 1972918878 | Grane Hospice Care, Inc. | Hospice Care, Community Based | 115 Union Ave Ste 100, Altoona, PA 16602 | 2014-06-30 |
| 1033524921 | Grane Hospice Care, Inc. | Home Health | 115 Union Ave Ste 300, Altoona, PA 16602 | 2014-06-30 |
| 1306184858 | Lighthouse Medical, LLC | Physical Medicine & Rehabilitation | 301 E. Pleasant Valley Blvd, Altoona, PA 16602 | 2013-01-17 |
| 1497042576 | Michala Seidel | Counselor | 3010 7th Avenue, Alternative Community Resource Program, Altoona, PA 16602 | 2011-07-08 |
| 1205121647 | Rebekah Brown | Preventive Medicine | 301 E Pleasant Valley Blvd., Altoona, PA 16602 | 2011-06-14 |
| Find all providers in zip 16602 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790323608 | Solidaritus Health Wisconsin Sc | Family Medicine | 1476 Blazing Star Blvd Ste 4, Altoona, WI 54720-4002 | 2019-12-11 |
| 1952839300 | Anthony R Hafez | Family Medicine | 501 Howard Ave Ste F4, Altoona, PA 16601-4818 | 2017-05-30 |
| 1154784833 | Steven Long | Family Medicine | 3085 Meadowlark Ln, Altoona, WI 54720-2656 | 2016-03-31 |
| 1760898795 | Matthew Nicholson | Family Medicine | 160 Adventureland Dr Nw Ste C, Altoona, IA 50009 | 2014-07-10 |
| 1013047133 | Judith L. Jacobus, M.d. | Family Medicine | 1701 12th Ave. Bldg F, Altoona, PA 16601 | 2007-03-07 |
| 1639240344 | Elias Mounif Rifkah | Family Medicine | 120 Chestnut Ave, Altoona, PA 16601-4926 | 2006-11-13 |
| 1780622621 | Pinecroft Medical Center | Family Medicine | 417 Sabbath Rest Rd Ste 3, Altoona, PA 16601-7567 | 2006-06-03 |
| 1740230838 | Jodi Hansen Ritsch | Family Medicine | 1476 Blazing Star Blvd, Suite 4, Altoona, WI 54720 | 2006-05-11 |
| 1265492458 | Debra Ann Sixta | Family Medicine | 2720 8th St Sw, Altoona, IA 50009-1028 | 2006-03-23 |
| 1982670485 | Joseph William Coppola Jr. | Family Medicine | 753 8th St Sw, Altoona, IA 50009 | 2006-02-24 |
| Find all providers in ALTOONA | ||||
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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.