MR. MARC ANDREW KOVALCHIK (NPI# 1871925842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871925842 |
| Entity Type | Individual |
| Full Name | MR. MARC ANDREW KOVALCHIK |
| Credential | MSN CNS BC |
| Practice Address |
1111 E End Blvd Wilkes Barre PA 18711-0030 |
| Practice Telephone | 5708243521 |
| Mailing Telephone | 5708243521 |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2013-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
CNS000155 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| 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 | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518399633 | Renee Eustice | Clinical Nurse Specialist | 1111 E End Blvd, Wilkes Barre, PA 18711-0030 | 2013-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558718981 | Ciara Lynch Levine | Clinical Nurse Specialist | 52 Cherry Farm Ln, West Chester, PA 19382-8346 | 2016-05-16 |
| 1841572625 | Ashley Lorren Bear | Clinical Nurse Specialist | 300 Robson Rd, Dillsburg, PA 17019-8920 | 2011-09-16 |
| 1992977664 | Shirley Mucha | Clinical Nurse Specialist | 3811 O Hara St, Erc 712, Pittburgh, PA 15213 | 2008-04-02 |
| 1972729333 | Pamela L Weaver | Clinical Nurse Specialist | 4127 Brownsville Rd, Lese Bldg Suite 207, Pittsburgh, PA 15227-3348 | 2007-04-17 |
| 1154449734 | Diane Goldblum-graff | Clinical Nurse Specialist | 521 Guinevere Dr, Newtown Square, PA 19073-4433 | 2007-03-26 |
| 1356469860 | Le Ann Guerriere Rynier | Clinical Nurse Specialist | Route 422 and Sportsman Road, Wernersville, PA 19565 | 2007-03-26 |
| 1972620094 | Judith Hauck | Clinical Nurse Specialist | 3 Enck Cir, Enola, PA 17025-1050 | 2007-03-23 |
| 1962538926 | Sharon Y Baron | Clinical Nurse Specialist | 1715 Green Valley Rd, Havertown, PA 19083-2520 | 2007-02-26 |
| 1942354097 | Michele Hamilton | Clinical Nurse Specialist | 110 Whitpain Hills, Michele Hamilton Cns, Blue Bell, PA 19422-1343 | 2007-01-23 |
| 1518071448 | Deborah Anne Fishman | Clinical Nurse Specialist | University Ave and Woodland Ave, Philadelphia, PA 19104 | 2006-08-18 |
| Find all providers with the same taxonomy | ||||
| City | WILKES BARRE |
| Zip Code | 18711 |
Please comment or provide details below to improve the information on MR. MARC ANDREW KOVALCHIK.
| 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.