MICHAEL MARTYNIK (NPI# 1972519072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972519072 |
| Entity Type | Individual |
| Full Name | MICHAEL MARTYNIK |
| Credential | MD |
| Practice Address |
145 Hospital Ave Suite 200 Du Bois PA 15801-1462 |
| Mailing Address |
100 Hospital Ave Du Bois PA 15801-1440 |
| Practice Telephone | 8143759200 |
| Practice Fax Number | 8143759980 |
| Mailing Telephone | 8143759200 |
| Mailing Fax Number | 8143759980 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2011-09-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | MD033101E | PA | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 178238 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CDPHP | 10033939 | 01 | |
| NY | MVP HEALTHPLAN | 248074 | 01 |
| NY | 01915728 | 05 |
| Street Address |
145 HOSPITAL AVE SUITE 200 |
| City | DU BOIS |
| State | PA |
| Zip Code | 15801-1462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780688366 | Michael M Hall | Family Medicine | 145 Hospital Ave, Ste 104, Du Bois, PA 15801-1463 | 2005-06-10 |
| 1710518279 | Kaitlyn Marie Eckelberry | Physician Assistant | 145 Hospital Ave, Du Bois, PA 15801-1462 | 2020-02-03 |
| 1912546193 | Jamie Sue Miller | Registered Nurse | 145 Hospital Ave, Du Bois, PA 15801-1462 | 2020-01-05 |
| 1780125062 | Dubois Regional Medical Center | Clinical Neuropsychologist | 145 Hospital Ave, Suite 312, Du Bois, PA 15801-1462 | 2017-03-20 |
| 1215470679 | Melissa Allio | Nurse Practitioner | 145 Hospital Ave, Suite 315, Du Bois, PA 15801-1462 | 2016-12-02 |
| 1740645480 | Michele Harris | Nurse Practitioner | 145 Hospital Ave, Suite 212, Du Bois, PA 15801-1462 | 2015-12-23 |
| 1861868143 | Dubois Regional Medical Center - Penn Highlands Dubois Medical Arts | Surgery | 145 Hospital Ave, Du Bois, PA 15801-1462 | 2015-08-20 |
| 1841675469 | Dubois Regional Medical Center - Penn Highlands Family Medicine | Internal Medicine | 145 Hospital Ave, Suite 205, Du Bois, PA 15801-1462 | 2015-07-24 |
| 1205211265 | Cierra Sechman | Physician Assistant | 145 Hospital Ave, Suite 300, Du Bois, PA 15801-1462 | 2015-07-20 |
| 1912303223 | University Orthopedics Center, Ltd | Durable Medical Equipment & Medical Supplies | 145 Hospital Ave, Suite 311, Du Bois, PA 15801-1462 | 2014-11-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215551452 | Grace Polohonki | Counselor | 490 Jefers Street, Dubois, PA 15801 | 2020-06-03 |
| 1144869231 | Richard Lee Kerstetter II | Hearing Instrument Specialist | 124 San Juan Rd, Du Bois, PA 15801 | 2020-01-06 |
| 1700368487 | Holly Noel Knoll | Counselor | 490 Jeffers Street, Dubois, PA 15801 | 2018-08-30 |
| 1992298160 | Dubois Regional Medical Center | Family Medicine | 145 Hospital Ave Ste 315, Du Bois, PA 15801 | 2018-06-12 |
| 1154814846 | Sara Beth Stone | Dietitian, Registered | 16288 Treasure Lk, Du Bois, PA 15801 | 2018-06-07 |
| 1942790779 | Wendi Dawn Wenzel | Counselor | 490 Jeffers St., Dubois, PA 15801 | 2018-05-17 |
| 1144748443 | Nancy Foradora | Massage Therapist | 200 Narrows Creek Park Road, Dubois, PA 15801 | 2017-09-07 |
| 1679098891 | Deborah Jean Mitchell | Hearing Instrument Specialist | 900 Beaver Drive, Dubois, PA 15801 | 2017-08-09 |
| 1861937757 | Shaun M Kanouff | Counselor | 100 Caldwell Dr., Dubois, PA 15801 | 2016-12-30 |
| 1164897740 | Drayer Physical Therapy Institute LLC | Physical Therapist | 873 Beaver Drive, Dubois, PA 15801 | 2015-12-08 |
| Find all providers in zip 15801 | ||||
| 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 |
|---|---|---|---|---|
| 1497144562 | John Samuel Banerji | Urology | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2015-01-13 |
| 1659470748 | Joseph E Chang | Urology | 145 Hospital Ave, Suite 200, Du Bois, PA 15801-1462 | 2006-09-22 |
| 1619076049 | Assodolah Assadnia | Urology | 145 Hospital Ave, Suite 313, Du Bois, PA 15801-1462 | 2006-09-22 |
| 1477657195 | Dubois Regional Medical Center | Urology | 145 Hospital Ave, Suite 200, Du Bois, PA 15801-1462 | 2006-09-12 |
| 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 |
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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.