CENTERVILLE CLINICS INC. (NPI# 1912988452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912988452 |
| Entity Type | Organization |
| Organization Name | CENTERVILLE CLINICS INC. |
| Practice Address |
1070 Old National Pike Fredericktown PA 15333-2114 |
| Practice Telephone | 7246326801 |
| Mailing Telephone | 7246326801 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2008-04-17 |
| Authorized Official Name | MRS. PATRICIA MARTOS (DIRECTOR PERSONNEL/FINANCE) |
| Authorized Official Telephone | 7246326801 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007288440027 | 05 | |
| PA | HGSA - MEDICARE | 031221 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538346812 | Centerville Clinics Inc. | Specialist | 27 Highland Ave, Washington, PA 15301-4061 | 2008-01-29 |
| Street Address |
1070 OLD NATIONAL PIKE |
| City | FREDERICKTOWN |
| State | PA |
| Zip Code | 15333-2114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023009198 | Yong Dae Cho | Family Medicine | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2005-10-28 |
| 1689286999 | Christina Lombard | Nurse Practitioner | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2020-08-18 |
| 1699301721 | Janet Lynn Geramita | Dental Hygienist | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2020-03-20 |
| 1912543422 | Daniel Ryan Hinderliter | Nurse Practitioner | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2019-11-19 |
| 1073163689 | Maryann Fee | Counselor | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2019-09-16 |
| 1790247732 | Cassie Davis | Counselor | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2019-04-01 |
| 1891251625 | Amber Marie Prebeg | Nurse Practitioner | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2019-02-17 |
| 1538637517 | Amy Florence | Social Worker | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2018-11-07 |
| 1003397365 | Alexandria Marie Bakos | Nurse Practitioner | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2018-08-24 |
| 1417434358 | Gary Butler II | Nurse Practitioner | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2018-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760968853 | Centerville Clinics Inc | Social Worker | Beth Center Middle School, 136 Crawford Road, Fredericktown, PA 15333 | 2018-07-12 |
| 1871079962 | Centerville Clinics Inc | Social Worker | Beth Center Elementary School, 194 Crawford Road, Fredericktown, PA 15333 | 2018-07-12 |
| 1235181124 | James William Davis IIi | Dentist | 1070 Old National Pike Road, Fredericktown, PA 15333 | 2006-05-17 |
| 1336126937 | Marsha Lawrence | Eyewear Supplier (Equipment, not the service) | 525 Front St, Fredericktown, PA 15333 | 2005-12-27 |
| 1881878361 | Marsha Lee Lawrence | Eyewear Supplier (Equipment, not the service) | 525 Front St, Fredericktown, PA 15333 | 2007-12-20 |
| 1164600995 | Centerville Clinics, Inc. | Specialist | 179 Crawford Rd, Fredericktown, PA 15333-2011 | 2008-02-04 |
| 1720339393 | Centervillle Clinics, Inc | Specialist | 179 Crawford Rd, Fredericktown, PA 15333-2011 | 2012-09-24 |
| 1073656559 | Bethlehem-center School District | Local Education Agency (LEA) | 194 Crawford Rd, Fredericktown, PA 15333-2012 | 2007-02-15 |
| 1699249508 | Scott Robert Hargraves | Physical Therapist | 205 Ridgewood Dr, Fredericktown, PA 15333-2020 | 2019-01-14 |
| 1902861925 | Michelle Renee Stepp | Chiropractor | 3317 Route 40, Fredericktown, PA 15333-2111 | 2006-04-20 |
| Find all providers in zip 15333 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230468 | St Clair Medical Services, Inc. | Urology | 2000 Oxford Dr Ste 410, Bethel Park, PA 15102-1841 | 2020-09-22 |
| 1326673690 | Glade Run Medical Associates, Inc. | Urology | 500 Medical Arts Bldg Ste 520, Kittanning, PA 16201-7137 | 2020-03-07 |
| 1235779943 | Stacey Oberhauser | Urology | Center for Urologic Care of Berks County, 1320 Broadcasting Road, Suite 200, Wyomissing, PA 19610 | 2020-01-10 |
| 1558859645 | East Freedom Surgical Associates, LLC | Urology | 15721 Dunnings Hwy, Duncansville, PA 16635 | 2018-04-25 |
| 1528560943 | Lancaster Urology PC | Urology | 175 Martin Ave Ste 300, Ephrata, PA 17522-1761 | 2018-03-01 |
| 1841706561 | Urology of Central Pennsylvania, Inc | Urology | 815 Sir Thomas Ct Ste 100, Harrisburg, PA 17109-4839 | 2017-12-18 |
| 1003326869 | St Luke's Physician Group Inc | Urology | 5325 Northgate Dr Ste 203, Bethlehem, PA 18017-9413 | 2017-10-06 |
| 1952829350 | Centers for Advanced Urology, LLC | Urology | 140 W Germantown Pike Ste 250, Plymouth Meeting, PA 19462-1421 | 2017-09-06 |
| 1346767944 | Nazareth Physician Services | Urology | 2701 Holme Ave Ste 101, Phila, PA 19152-2029 | 2017-08-24 |
| 1710403191 | Mercy Management of Sepa | Urology | 501 S 54th St Ste 227, Phila, PA 19143-1900 | 2017-08-17 |
| Find all providers with the same taxonomy | ||||
| City | FREDERICKTOWN |
| Zip Code | 15333 |
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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.