Gregg Severs (NPI# 1205964368, PAC ID# 0648378877) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1205964368 |
| PAC ID by PECOS | 0648378877 |
| Professional Enrollment ID | I20070612000030 |
| Full Name | Gregg Severs |
| Organization Legal Name | LACKAWANNA VALLEY DERMATOLOGY ASSOCIATES LIMITED |
| Address |
327 N Washington Ave 200 Lackawanna Valley Dermatology Associates Ltd Scranton PA 18503-1535 |
| Phone Number | 5709615522 |
| Gender | M |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 2668459066 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390001 | GEISINGER-COMMUNITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 327 N Washington Ave, 200 Lackawanna Valley Dermatology Associates Ltd, Scranton, PA 18503-1535 | 5709615522 | LACKAWANNA VALLEY DERMATOLOGY ASSOCIATES LIMITED |
| Organization Legal Name | LACKAWANNA VALLEY DERMATOLOGY ASSOCIATES LIMITED |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark F Suchter | Dermatology | Lackawanna Valley Dermatology Associates Limited | 327 N Washington Ave, 200 Lackawanna Valley Dermatology Associates Ltd, Scranton, PA 18503-1535 |
| Michael J Odonnell | Dermatology | Lackawanna Valley Dermatology Associates Limited | 327 N Washington Ave, 200 Lackawanna Valley Dermatology Associates Ltd, Scranton, PA 18503-1535 |
| Lori Sayegh | Physician Assistant | Lackawanna Valley Dermatology Associates Limited | 327 N Washington Ave, 200 Lackawanna Valley Dermatology Associates Ltd, Scranton, PA 18503-1535 |
| Kara L Rempe | Physician Assistant | Lackawanna Valley Dermatology Associates Limited | 327 N Washington Ave, 200 Lackawanna Valley Dermatology Associates Ltd, Scranton, PA 18503-1535 |
| Mark Marsili | Dermatology | Lackawanna Valley Dermatology Associates Limited | 327 N Washington Ave, 200 Lackawanna Valley Dermatology Associates Ltd, Scranton, PA 18503-1535 |
| Fredric S Brown | Dermatology | Lackawanna Valley Dermatology Associates Limited | 327 N Washington Ave, 200 Lackawanna Valley Dermatology Associates Ltd, Scranton, PA 18503-1535 |
| Elyse M Laneski | Physician Assistant | Lackawanna Valley Dermatology Associates Limited | 327 N Washington Ave, 200 Lackawanna Valley Dermatology Associates Ltd, Scranton, PA 18503-1535 |
| Meghan Katherine Cawley | Physician Assistant | Lackawanna Valley Dermatology Associates Limited | 327 N Washington Ave, 200 Lackawanna Valley Dermatology Associates Ltd, Scranton, PA 18503-1535 |
| Gina B Kuloszewski | Physician Assistant | Lackawanna Valley Dermatology Associates Limited | 327 N Washington Ave, 200 Lackawanna Valley Dermatology Associates Ltd, Scranton, PA 18503-1535 |
| Casey A Vescovi | Physician Assistant | Lackawanna Valley Dermatology Associates Limited | 327 N Washington Ave, 200 Lackawanna Valley Dermatology Associates Ltd, Scranton, PA 18503-1535 |
| Street Address |
327 N WASHINGTON AVE 200 LACKAWANNA VALLEY DERMATOLOGY ASSOCIATES LTD |
| City | SCRANTON |
| State | PA |
| Zip | 18503-1535 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark F Suchter | Dermatology | Lackawanna Valley Dermatology Associates Limited | 327 N Washington Ave, 200 Lackawanna Valley Dermatology Associates Ltd, Scranton, PA 18503-1535 |
| Michael J Odonnell | Dermatology | Lackawanna Valley Dermatology Associates Limited | 327 N Washington Ave, 200 Lackawanna Valley Dermatology Associates Ltd, Scranton, PA 18503-1535 |
| David Mark Hazzouri | Oral Surgery | 327 N Washington Ave, Suite 609, Scranton, PA 18503-1539 | |
| Lori Sayegh | Physician Assistant | Lackawanna Valley Dermatology Associates Limited | 327 N Washington Ave, 200 Lackawanna Valley Dermatology Associates Ltd, Scranton, PA 18503-1535 |
| Kara L Rempe | Physician Assistant | Lackawanna Valley Dermatology Associates Limited | 327 N Washington Ave, 200 Lackawanna Valley Dermatology Associates Ltd, Scranton, PA 18503-1535 |
| Mark Marsili | Dermatology | Lackawanna Valley Dermatology Associates Limited | 327 N Washington Ave, 200 Lackawanna Valley Dermatology Associates Ltd, Scranton, PA 18503-1535 |
| Fredric S Brown | Dermatology | Lackawanna Valley Dermatology Associates Limited | 327 N Washington Ave, 200 Lackawanna Valley Dermatology Associates Ltd, Scranton, PA 18503-1535 |
| Elyse M Laneski | Physician Assistant | Lackawanna Valley Dermatology Associates Limited | 327 N Washington Ave, 200 Lackawanna Valley Dermatology Associates Ltd, Scranton, PA 18503-1535 |
| Meghan Katherine Cawley | Physician Assistant | Lackawanna Valley Dermatology Associates Limited | 327 N Washington Ave, 200 Lackawanna Valley Dermatology Associates Ltd, Scranton, PA 18503-1535 |
| Gina B Kuloszewski | Physician Assistant | Lackawanna Valley Dermatology Associates Limited | 327 N Washington Ave, 200 Lackawanna Valley Dermatology Associates Ltd, Scranton, PA 18503-1535 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley N Adams | Nurse Practitioner | Pa Department of Military and Veterans Affairs | 401 Penn Ave, Scranton, PA 18503-1213 |
| Linda Timme | Clinical Social Worker | Integrative Counseling Services, PC | 300 Mulberry St, Suite 201, Scranton, PA 18503-1233 |
| Allen J Duricko | Psychologist, Clinical | 300 Mulberry St, Suite 306, Scranton, PA 18503-1233 | |
| Edward J Mcnichols Iii | Clinical Social Worker | Integrative Counseling Services, PC | 300 Mulberry St, Suite 201, Scranton, PA 18503-1233 |
| Leah B Losavich | Clinical Social Worker | Integrative Counseling Services, PC | 300 Mulberry St, Suite 201, Scranton, PA 18503-1233 |
| Thomas P Smith | Psychologist, Clinical | 321 Spruce St, Suite 7, Scranton, PA 18503-1400 | |
| David A Wadas | Audiologist | Audiology and Hearing Centers of Nepa LLC | 321 Spruce St, Scranton, PA 18503-1400 |
| Richard J Burns Jr. | Obstetrics/gynecology | 321 Spruce St, Suite 609, Scranton, PA 18503-1409 | |
| Casey A Vescovi | Physician Assistant | Lackawanna Valley Dermatology Associates Limited | 327 N Washington Ave, 200 Lackawanna Valley Dermatology Associates Ltd, Scranton, PA 18503-1535 |
| Jessica A Frawley Woolfolk | Physician Assistant | Lackawanna Valley Dermatology Associates Limited | 327 N Washington Ave, Suite 200, Scranton, PA 18503-1535 |
| Find all physicians in zip 18503 | |||
| City | SCRANTON |
| Zip Code | 18503 |
| Specialty | DERMATOLOGY |
| City + Specialty | SCRANTON + DERMATOLOGY |
Please comment or provide details below to improve the information on Gregg Severs.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.