WALDEMAR SZCZUPAK


Address: 116 Interstate Pkwy, Bradford, PA 16701-1036
Phone: 8143683123

WALDEMAR SZCZUPAK (NPI# 1962459701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962459701
Entity Type Individual
Full Name WALDEMAR SZCZUPAK
Credential MD
Practice Address 116 Interstate Pkwy
Bradford
PA 16701-1036
Mailing Address Po Box 159
Bradford
PA 16701-0159
Practice Telephone 8143683123
Mailing Telephone 8143683123
Enumeration Date 2006-05-27
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
MD036989E PA Allopathic & Osteopathic Physicians

Office Location

Street Address 116 INTERSTATE PKWY
City BRADFORD
State PA
Zip Code 16701-1036

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134123060 Nathaniel Lars Graham Surgery 116 Interstate Pkwy, Suite 31, Bradford, PA 16701-1036 2005-06-09
1063909661 Scott Flick Physician Assistant 116 Interstate Pkwy, Bradford, PA 16701-1036 2018-04-18
1114439023 Cynthia Simms Registered Nurse 116 Interstate Pkwy, Bradford, PA 16701-1036 2017-11-01
1396275970 Mary Siepierski Physician Assistant 116 Interstate Pkwy, Bradford, PA 16701-1036 2017-06-15
1396287991 Keystone Medical Services of Bradford PC Emergency Medicine 116 Interstate Pkwy, Bradford, PA 16701-1036 2016-11-14
1245781426 Tracy Lynn Andrus Physician Assistant 116 Interstate Pkwy, Suite 32, Bradford, PA 16701-1036 2016-10-22
1184081911 Andrew Davidson Nurse Practitioner 116 Interstate Pkwy, Bradford, PA 16701-1036 2016-01-25
1699177725 Megan Powell Dietitian, Registered 116 Interstate Pkwy, Bradford, PA 16701-1036 2014-09-19
1588076194 David Hefferan Nurse Anesthetist, Certified Registered 116 Interstate Pkwy, Bradford, PA 16701-1036 2014-05-30
1073956850 Olean General Hospital Family Medicine 116 Interstate Pkwy, Suite 42, Bradford, PA 16701-1036 2013-04-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417557232 Allison Keller Pharmacist 50 Foster Brook Bvld, Bradford, PA 16701 2020-10-30
1043767734 Asim Makhdom Orthopaedic Surgery 195 Pleasant Street, Suite 5, Bradford, PA 16701 2016-09-09
1821435322 Family Wellness Chiropractic Inc. Chiropractor 536 East Main Street, Bradford, PA 16701 2013-05-24
1285983973 Ashley Lynn Disney Physician Assistant 181 Interstate Parkway, Bradford, PA 16701 2012-09-10
1760799563 Paulinus Joseph Sorg Physical Therapist 24 West Washington Street, Bradford, PA 16701 2010-09-01
1215194535 Jill Lorryn Campbell Speech-Language Pathologist 412 Langmaid Ln, Bradford, PA 16701 2008-05-22
1689890048 Brian Alan Volpe Dentist 84 Boylston St, Bradford, PA 16701 2007-04-17
1366564098 Lori Ann Peterson Speech-Language Pathologist 110 Campus Drive, Bradford, PA 16701 2007-04-04
1760507776 Bruce Lee Sitler Physical Therapist Bradford Ecumenical Home, 100 St. Francis Drive, Bradford, PA 16701 2007-03-20
1932294451 Nancy Marie Fuhrman Chiropractor 28 Davis Street, Union Square, Bradford, PA 16701 2006-10-03
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Taxonomy Information

Taxonomy Code 207PE0004X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Emergency Medical Services

Taxonomy Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205862240 Jerry Levadas Emergency Medicine 116 Interstate Pkwy, Bradford, PA 16701-1036 2006-06-23
1871533984 John Breznik Emergency Medicine 116 Interstate Pkwy, Bradford, PA 16701-1036 2006-06-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1053920645 Ems Medical Care, LLC Emergency Medicine 347 N Pottstown Pike Ste 102, Exton, PA 19341-2222 2020-07-29
1275097156 Sean Thomas Cook Emergency Medicine 421 College Park Dr, Monroeville, PA 15146-1535 2019-01-25
1821593849 Nicole Ann Lollo Emergency Medicine 365 Spring Ave, Mars, PA 16046 2018-03-30
1326451758 Earl David Morgan Emergency Medicine 5439 Rt 153, Brockport, PA 15823 2014-06-03
1073802112 Elizabeth Guttman Sevin Emergency Medicine 400 Hidden River Rd, Penn Valley, PA 19072-1113 2011-03-29
1740414820 Jason Becker Emergency Medicine 5501 Old York Road, Korman Basement, Tabor Emergency Physicians, Phila, PA 19141 2009-05-05
1477711190 Brian J Clohessy Emergency Medicine Red Lion and Knights Road, Frankford Hospital, Philadelphia, PA 19114 2008-05-29
1720272818 Maggie Beams Emergency Medicine 1218 Walnut St Apt 1003, Philadelphia, PA 19107-5446 2007-08-31
1336280296 Thomas Baumgarten Emergency Medicine Cove Forge Road, Route 1, Williamsburg, PA 16693 2007-02-12
1407906613 Mark William Van Dyke Emergency Medicine 306 W 11th St 2nd Fl, Erie, PA 16501-1705 2007-01-11
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Competitor

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City BRADFORD
Zip Code 16701

Improve Information

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Dataset Information

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.

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