DR. THOMAS MATTHEW CHURILLA (NPI# 1881039147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881039147 |
| Entity Type | Individual |
| Full Name | DR. THOMAS MATTHEW CHURILLA |
| Credential | M.D. |
| Practice Address |
1110 Meade St Dunmore PA 18512 |
| Mailing Address |
1110 Meade St Dunmore PA 18512-3169 |
| Practice Telephone | 2157286900 |
| Mailing Telephone | 5705047217 |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2018-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
MD461763 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
1110 MEADE ST |
| City | DUNMORE |
| State | PA |
| Zip Code | 18512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972507648 | Harmar D. Brereton | Specialist | 1110 Meade St, Dunmore, PA 18512-3169 | 2005-06-09 |
| 1083934939 | Christine Paroby | Speech-Language Pathologist | 1110 Meade St, Dunmore, PA 18512-3169 | 2010-06-02 |
| 1922326396 | Meghan Stott Haggerty | Radiology | 1110 Meade St, Dunmore, PA 18512-3169 | 2010-05-11 |
| 1487831673 | Christopher Albert Peters | Radiology | 1110 Meade St, Dunmore, PA 18512-3169 | 2008-01-30 |
| 1891794467 | Northeast Radiation Oncology Center | Radiology | 1110 Meade St, Dunmore, PA 18512 | 2005-07-18 |
| 1912902081 | Madhava Baikadi | Specialist | 1110 Meade St, Dunmore, PA 18512-3169 | 2005-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730715822 | Suzette Jones | Nurse Practitioner | Mid-state Occupational Health Services, Inc., 1000 Meade Street, Dunmore, PA 18512 | 2020-03-20 |
| 1588175814 | Young Men's Christian Association of Greater Scranton | Health Educator | 706 North Blakely Street, Dunmore, PA 18512 | 2017-10-13 |
| 1033633763 | Kaitlyn Elizabeth Sledzinski | Occupational Therapist | 1000 Mill St., Dunmore, PA 18512 | 2017-08-03 |
| 1417366170 | Kristen Marie Miller | Social Worker | 502 North Blakely Street, Dunmore, PA 18512 | 2014-08-07 |
| 1689923799 | John Charles White | Social Worker | 502 Blakely St., Dunmore, PA 18512 | 2012-09-05 |
| 1043465594 | Anthony Harry Funaro | Radiology | 201 S. Blakely Street, Pmb - 197, Dunmore, PA 18512 | 2008-11-25 |
| 1932387602 | Maureen Judith Rebar | Social Worker | 32 Emerald Dr, Throop, PA 18512 | 2008-02-05 |
| 1316006398 | Frank Richard Padula | Dentist | 320 W Drinker St, Dunmore, PA 18512 | 2006-12-06 |
| 1366516163 | Peter W Shorten | Chiropractor | 115 W Drinker St, Dunmore, PA 18512 | 2006-11-20 |
| 1164592853 | Patricia Sweeney | Nurse Practitioner | 1208 O'neil Highway, Dunmore, PA 18512 | 2006-11-09 |
| Find all providers in zip 18512 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922326396 | Meghan Stott Haggerty | Radiology | 1110 Meade St, Dunmore, PA 18512-3169 | 2010-05-11 |
| 1487831673 | Christopher Albert Peters | Radiology | 1110 Meade St, Dunmore, PA 18512-3169 | 2008-01-30 |
| 1891794467 | Northeast Radiation Oncology Center | Radiology | 1110 Meade St, Dunmore, PA 18512 | 2005-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912433632 | Victor Eric Chen | Radiology | 111 S 11th St # G301, Philadelphia, PA 19107 | 2017-05-02 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1346635455 | Adam Christopher Mueller | Radiology | 111 S 11th St Ste G-301, Philadelphia, PA 19107-4824 | 2015-04-06 |
| 1790027662 | George Edward Mccarthy Jr. | Radiology | 419 Riverview Rd, Swarthmore, PA 19081-1222 | 2013-03-19 |
| 1891033619 | Melvin Fisher Strockbine | Radiology | 805 Michigan Ave, Lemoyne, PA 17043-1207 | 2013-01-29 |
| 1558611947 | East Coast Radiation Oncology PC | Radiology | 1701 E Broad St, Hazleton, PA 18201-5621 | 2012-09-13 |
| 1487916193 | Sonam Sharma | Radiology | 3400 Civic Blvd, Philadelphia, PA 19104-4206 | 2012-06-10 |
| 1053684449 | Donald E. Red | Radiology | 741 Hillview Rd, Malvern, PA 19355-3430 | 2012-02-15 |
| 1972875763 | Gregory Christopher Treharne | Radiology | 100 One Norwegian Plaza, Pottsville, PA 17901-6029 | 2012-02-08 |
| 1215209382 | Melvyn Paul Richter | Radiology | 335 Waring Rd, Elkins Park, PA 19027 | 2012-02-03 |
| Find all providers with the same taxonomy | ||||
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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.