RANDY PAUL MACSISAK (NPI# 1871110270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871110270 |
Entity Type | Individual |
Full Name | RANDY PAUL MACSISAK |
Practice Address |
451 Chew St Ste 106 Allentown PA 18102-3412 |
Practice Telephone | 6107997113 |
Practice Fax Number | 6106633270 |
Mailing Telephone | 6107997113 |
Mailing Fax Number | 6106633270 |
Enumeration Date | 2020-07-01 |
Last Update Date | 2020-07-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
Street Address |
451 CHEW ST STE 106 |
City | ALLENTOWN |
State | PA |
Zip Code | 18102-3412 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548808363 | Katherine Camoni | Counselor | 451 West Chew St., Allentwon, PA 18102 | 2019-12-11 |
1346802931 | Kelly Alexander | Counselor | 451 W . Chew Street, Allentown, PA 18102 | 2019-07-03 |
1457910481 | Ayza Taimur | Internal Medicine | 1627 West Chew Street, 101, Allentown, PA 18102 | 2019-06-12 |
1972161602 | Emily Skutnik | Internal Medicine | Lvpp 1627 West Chew Street #101, Allentown, PA 18102 | 2019-05-29 |
1508336652 | Mercy A Gonzalez Devillacis | Counselor | 843 N . 6 Th St, Allentown, PA 18102 | 2018-12-03 |
1134611742 | Amanda Catherine Koziel | Family Medicine | 218 N. 2nd Street, Allentown, PA 18102 | 2018-05-31 |
1174981369 | Marcos Morales | Counselor | 462 W. Walnut Street, Allentown, PA 18102 | 2016-02-03 |
1740688423 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 451 W. Chew St., Suite 105, Allentown, PA 18102 | 2014-12-12 |
1982006250 | Martha Lebron | Nurse Practitioner | 451 Chew St Ste 400, Allentown, PA 18102 | 2014-09-18 |
1841699741 | Nicole Tennant | Physical Therapy Assistant | 613 W Allen St, Allentown, PA 18102 | 2014-08-15 |
Find all providers in zip 18102 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902420425 | Harry Shane Falwell | Counselor | 2203 W Liberty St, Allentown, PA 18104-4323 | 2020-06-01 |
1346802931 | Kelly Alexander | Counselor | 451 W . Chew Street, Allentown, PA 18102 | 2019-07-03 |
1619431350 | Kerin Oksienik | Counselor | 1424 Dayspring Dr Ste 230, Allentown, PA 18106-9488 | 2019-01-28 |
1952873937 | Connie Uff | Counselor | 6235 Hamilton Blvd Ste 105, Allentown, PA 18106-9698 | 2019-01-01 |
1538644042 | Dario Jon Karlovic Jr. | Counselor | 737 N 25th St, Allentown, PA 18104-3931 | 2018-10-01 |
1558895300 | Joanna Bacelli | Counselor | 961 Marcon Blvd Ste 304, Allentown, PA 18109-9373 | 2017-04-19 |
1861818338 | Louise Elizabeth Foote | Counselor | 318 S 18th St, Allentown, PA 18104-6717 | 2014-03-08 |
1376899286 | Susan Beth Avrich | Counselor | 4032 Evergreen Rd, Allentown, PA 18104-4452 | 2012-07-29 |
1760754733 | Michael J Krim | Counselor | 343 Hopewell Dr, Allentown, PA 18104-8502 | 2012-02-06 |
1326379199 | Dorothy Joyce Myers | Counselor | 4400 South Cedarbrook Rd, Habit Opco, Allentown, PA 18103 | 2010-01-19 |
Find all providers in ALLENTOWN |
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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.