DR. STEVEN J. BUSUTTIL (NPI# 1982627071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982627071 |
| Entity Type | Individual |
| Full Name | DR. STEVEN J. BUSUTTIL |
| Credential | M.D. |
| Practice Address |
1800 Mulberry St. Scranton PA 18510-6800 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-4903 |
| Practice Telephone | 5707037355 |
| Practice Fax Number | 5707037354 |
| Mailing Telephone | 5702716144 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | D0059723 | MD | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MD052677L | PA | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
010125051 | VA | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
200901618 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | FREESTATE | 17742 | 01 |
| MD | KAISER | 214337 | 01 |
| MD | BLUE SHIELD | 52248703 | 01 |
| MD | CAREFIRST | 0048 | 01 |
| MD | 402453200 | 05 | |
| PA | 102986697 | 05 | |
| MD | US HEALTHCARE | 112716 | 01 |
| MD | MDIPA | 217054 | 01 |
| NJ | 8798401 | 05 | |
| MD | GEISINGER PROVIDER | 53089 | 01 |
| DE | 0000471501 | 05 | |
| PA | 1232082/01 | 05 | |
| MD | UNITED HLTHCARE | 1700826 | 01 |
| VA | 1982627071 | 05 | |
| MD | P00104475 | 05 |
| Street Address |
1800 MULBERRY ST. |
| City | SCRANTON |
| State | PA |
| Zip Code | 18510-6800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831170869 | Jamshid Khademi | Anesthesiology | 1800 Mulberry St., Scranton, PA 18510-6800 | 2005-11-08 |
| 1194173849 | Sean Welenc | Physician Assistant | 1800 Mulberry St., Scranton, PA 18510-6800 | 2016-06-02 |
| 1134599327 | Sydney Leigh Shreck | Physician Assistant | 1800 Mulberry St., Scranton, PA 18510-6800 | 2015-09-30 |
| 1700134079 | Chandu Siripuram | Internal Medicine | 1800 Mulberry St., Scranton, PA 18510-6889 | 2012-08-16 |
| 1073860565 | Venu Gopal Kankani | Internal Medicine | 1800 Mulberry St., Scranton, PA 18510-6889 | 2012-08-14 |
| 1497019251 | Jayalakshmi Karunakaran Nair | Internal Medicine | 1800 Mulberry St., Scranton, PA 18510-6889 | 2012-06-26 |
| 1083973796 | Samana Zaidi | Internal Medicine | 1800 Mulberry St., Scranton, PA 18510-6889 | 2012-05-15 |
| 1821364548 | Venkataraman J Iyer | Anesthesiology | 1800 Mulberry St., Scranton, PA 18510-6800 | 2012-03-27 |
| 1376813279 | Pius Ochieng | Internal Medicine | 1800 Mulberry St., Scranton, PA 18510-6800 | 2012-01-09 |
| 1316228869 | Navneet Singh Dang | Internal Medicine | 1800 Mulberry St., Scranton, PA 18510-6889 | 2011-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427432335 | Marla Osborne Dempsey | Family Medicine | 1141 Clay Ave Ste 1, Dunmore, PA 18510 | 2015-07-10 |
| 1669620043 | Mary Jane Miskovsky | Nurse Practitioner | 800 Linden Street, University of Scranton Student Health Service, Scranton, PA 18510 | 2008-08-28 |
| 1427174739 | Cheryl Friedman | Registered Nurse | 1710 Mulberry Street, Scranton, PA 18510 | 2007-03-21 |
| 1619092970 | Susan Rudalavage | Dietitian, Registered | 640 Madison Avenue, Scranton, PA 18510 | 2007-03-19 |
| 1851469738 | Lackawanna Surgery Center LLC | Clinic/Center | 415 Adams Avenue, Scranton, PA 18510 | 2006-12-01 |
| 1679666150 | Nicholas M. Rocco | Nurse Anesthetist, Certified Registered | 700 Quincy Ave., Scranton, PA 18510 | 2006-10-02 |
| 1710927587 | Care Plus Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Jefferson Ave, Scranton, PA 18510 | 2006-06-08 |
| 1619934189 | James M Haggerty | Podiatrist | 521 Ash Street, Dunmore, PA 18510 | 2006-04-28 |
| 1962461145 | Kevin G Madden | Psychiatry & Neurology | 802 Jefferson Avenue, Scranton, PA 18510 | 2006-03-17 |
| 1720058795 | Mark Trently | Nurse Anesthetist, Certified Registered | 1822 Jmulberry St, Scranton, PA 18510 | 2006-01-24 |
| Find all providers in zip 18510 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003326901 | Alicia Kathleen Crinella | Surgery | 1800 Mulberry St, Scranton, PA 18510-2369 | 2017-10-05 |
| 1215372859 | David Ka Pun Phang | Surgery | 1800 Mulberry St, Scranton, PA 18510 | 2013-05-09 |
| 1255308441 | Vascular Diagnostic Center PC | Surgery | 700 Quincy Ave, Scranton, PA 18510-1724 | 2006-03-07 |
| 1437146008 | Alessandro Giovanni Smeraldi | Surgery | 1800 Mulberry St, Scranton, PA 18510-2369 | 2005-09-29 |
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|---|---|---|---|---|
| 1720630650 | Broad Street Professional Medical Services LLC | Surgery | 2033 S Broad St Ste A, Philadelphia, PA 19148-5505 | 2019-07-11 |
| 1124670922 | Broad Street Medical LLC | Surgery | 2033 S Broad St Ste B, Philadelphia, PA 19148-5505 | 2019-07-11 |
| 1932610755 | Vascular Surgical Specialists Pllc | Surgery | 1450 E Boot Rd Ste 600b, West Chester, PA 19380-5968 | 2017-10-19 |
| 1336515956 | Aria Health Physician Services | Surgery | 9501 Roosevelt Blvd Ste 312, Philadelphia, PA 19114-1028 | 2015-08-18 |
| 1437525490 | Advanced Vein and Laser Center Lancaster, LLC | Surgery | 896a Plaza Blvd, Lancaster, PA 17601-2745 | 2015-08-13 |
| 1447658877 | Center for Vein Restoration Pa Pllc | Surgery | 1338 Bristol Pike Ste 205, Bensalem, PA 19020-5679 | 2014-12-17 |
| 1023423167 | Catherine Go | Surgery | 420 S Aiken Ave, Apt A6, Pittsburgh, PA 15232-1226 | 2014-06-27 |
| 1659703635 | Walter J. Fagan | Surgery | 211 Center Ave, Jim Thorpe, PA 18229-1205 | 2013-08-01 |
| 1346521267 | Usa Vein Clinics of Philadelphia LLC | Surgery | 51 Cameron Rd, Huntingdon Valley, PA 19006-1401 | 2011-09-06 |
| 1124314893 | Nathan Loren Liang | Surgery | 200 Lothrop St # A-1017, Pittsburgh, PA 15213-2536 | 2011-06-21 |
| 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.