DUBOIS REGIONAL MEDICAL CENTER - PENN HIGHLANDS DUBOIS EAST CAMPUS (NPI# 1851776397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851776397 |
Entity Type | Organization |
Organization Name | DUBOIS REGIONAL MEDICAL CENTER - PENN HIGHLANDS DUBOIS EAST CAMPUS |
Other Organization Name | PENN HIGHLANDS DUBOIS |
Practice Address |
635 Maple Ave Du Bois PA 15801-2376 |
Mailing Address |
100 Hospital Ave Du Bois PA 15801-1440 |
Practice Telephone | 8143712200 |
Practice Fax Number | 8143754232 |
Mailing Telephone | 8143712200 |
Mailing Fax Number | 8143754232 |
Enumeration Date | 2015-07-27 |
Last Update Date | 2020-10-19 |
Authorized Official Name | BRIAN KLINE (CFO) |
Authorized Official Telephone | 8143756377 |
Is Organization Subpart | Y |
Parent Organization Name | PENN HIGHLANDS HEALTHCARE |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
N | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
Allopathic & Osteopathic Physicians | ||
N | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
Allopathic & Osteopathic Physicians | ||
N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 1007740880070 | 05 |
Other Name | Type Code |
---|---|
Penn Highlands DuBois | Doing Business As Name - Organization |
Street Address |
635 MAPLE AVE |
City | DU BOIS |
State | PA |
Zip Code | 15801-2376 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528002573 | John Wade Lobb | Psychologist | 635 Maple Ave, Du Bois, PA 15801-2376 | 2006-06-16 |
1962917245 | Mary Elizabeth Logan | Nurse Practitioner | 635 Maple Ave, Du Bois, PA 15801-2376 | 2017-12-07 |
1033661335 | Bethany Lindemuth | Social Worker | 635 Maple Ave, Du Bois, PA 15801 | 2016-11-03 |
1881063279 | Olivia Luzier | Social Worker | 635 Maple Ave, Du Bois, PA 15801-2376 | 2015-09-16 |
1366836959 | Arianne Zimmerman | Counselor | 635 Maple Ave, Du Bois, PA 15801-2376 | 2015-03-23 |
1487937199 | Dubois Regional Medical Center | Internal Medicine | 635 Maple Ave, Du Bois, PA 15801-2376 | 2011-09-20 |
1770893141 | Megan E Lyle | Physician Assistant | 635 Maple Ave, Du Bois, PA 15801-2376 | 2010-10-19 |
1710296157 | Dubois Regional Medical Center | Family Medicine | 635 Maple Ave, Du Bois, PA 15801 | 2010-10-04 |
1043523657 | Huma Ansari | Psychiatry & Neurology | 635 Maple Ave, Du Bois, PA 15801-2376 | 2010-07-24 |
1851521850 | Matthew Bridgman | Clinical Neuropsychologist | 635 Maple Ave, Du Bois, PA 15801-2376 | 2009-07-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215551452 | Grace Polohonki | Counselor | 490 Jefers Street, Dubois, PA 15801 | 2020-06-03 |
1144869231 | Richard Lee Kerstetter II | Hearing Instrument Specialist | 124 San Juan Rd, Du Bois, PA 15801 | 2020-01-06 |
1700368487 | Holly Noel Knoll | Counselor | 490 Jeffers Street, Dubois, PA 15801 | 2018-08-30 |
1992298160 | Dubois Regional Medical Center | Family Medicine | 145 Hospital Ave Ste 315, Du Bois, PA 15801 | 2018-06-12 |
1154814846 | Sara Beth Stone | Dietitian, Registered | 16288 Treasure Lk, Du Bois, PA 15801 | 2018-06-07 |
1942790779 | Wendi Dawn Wenzel | Counselor | 490 Jeffers St., Dubois, PA 15801 | 2018-05-17 |
1144748443 | Nancy Foradora | Massage Therapist | 200 Narrows Creek Park Road, Dubois, PA 15801 | 2017-09-07 |
1679098891 | Deborah Jean Mitchell | Hearing Instrument Specialist | 900 Beaver Drive, Dubois, PA 15801 | 2017-08-09 |
1861937757 | Shaun M Kanouff | Counselor | 100 Caldwell Dr., Dubois, PA 15801 | 2016-12-30 |
1164897740 | Drayer Physical Therapy Institute LLC | Physical Therapist | 873 Beaver Drive, Dubois, PA 15801 | 2015-12-08 |
Find all providers in zip 15801 |
Taxonomy Code | 207RI0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Infectious Disease |
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588670285 | Tuesdae Stainbrook | Internal Medicine | 135 Midway Dr Ste B, Du Bois, PA 15801-3857 | 2006-08-01 |
1316305626 | Trucare Internal Medicine & Infectious Diseases Pllc | Internal Medicine | 135 Midway Dr Ste B, Du Bois, PA 15801-3857 | 2016-02-01 |
1306946710 | Dubois Regional Medical Center | Internal Medicine | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2006-09-25 |
1407951213 | Dubois Regional Medical Center | Internal Medicine | 635 Maple Ave, Du Bois, PA 15801-2376 | 2006-09-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831730324 | M. Pia De Girolamo | Internal Medicine | 624 Woodbrook Dr, Ambler, PA 19002-1828 | 2019-10-05 |
1922659051 | Norberto Soto | Internal Medicine | 6 Shakespeare Ct, Ivyland, PA 18974-2338 | 2019-09-20 |
1447776729 | Mercy Management of Sepa | Internal Medicine | 1501 Lansdowne Ave Ste 302, Darby, PA 19023-1333 | 2017-08-17 |
1033576384 | Roger J. Pomerantz | Internal Medicine | 711 Harvest Hill Dr, Chalfont, PA 18914-1526 | 2016-01-18 |
1013381011 | Paul Axelsen | Internal Medicine | 928 Ivycroft Rd, Wayne, PA 19087-2014 | 2015-11-15 |
1801281340 | Erica Weinstein | Internal Medicine | 3801 Filbert St Ste 103a, Philadelphia, PA 19104 | 2015-04-01 |
1609273119 | Margaret Trexler Hessen | Internal Medicine | 3940 Darby Rd, Bryn Mawr, PA 19010-2014 | 2014-11-26 |
1457761082 | Qi Quan Leong | Internal Medicine | 501 S 54th St Ste 128, Philadelphia, PA 19143 | 2014-05-05 |
1114346186 | Cassandra Oehler | Internal Medicine | 1307 Federal St Ste B110, Pittsburgh, PA 15212-4773 | 2014-04-07 |
1477970309 | Peter Volpe | Internal Medicine | 3601 Fifth Ave Suite 5b, Pittburgh, PA 15213-1716 | 2014-03-28 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on DUBOIS REGIONAL MEDICAL CENTER - PENN HIGHLANDS DUBOIS EAST CAMPUS.
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.