David J Portonova (NPI# 1457606865, PAC ID# 1951612613) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1457606865 |
| PAC ID by PECOS | 1951612613 |
| Professional Enrollment ID | I20150622001749 |
| Full Name | David J Portonova |
| Organization Legal Name | PORTONOVA FOOT AND ANKLE SPECIALISTS LLC |
| Address |
410 Glen Ave Suite 201 Bloomsburg PA 17815-1200 |
| Phone Number | 5703872202 |
| Gender | M |
| Medical School | HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 1456669746 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390003 | GEISINGER-BLOOMSBURG HOSPITAL |
| 390185 | LEHIGH VALLEY HOSPITAL - HAZLETON |
| Address | Phone | Organization |
|---|---|---|
| 410 Glen Ave, Suite 201, Bloomsburg, PA 17815-1200 | 5703872202 | PORTONOVA FOOT AND ANKLE SPECIALISTS LLC |
| Organization Legal Name | PORTONOVA FOOT AND ANKLE SPECIALISTS LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew C Kujat | Podiatry | Portonova Foot and Ankle Specialists LLC | 410 Glen Ave, Suite 201, Bloomsburg, PA 17815-1200 |
| Street Address |
410 GLEN AVE SUITE 201 |
| City | BLOOMSBURG |
| State | PA |
| Zip | 17815-1200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald Joseph Avenia | Ophthalmology | 410 Glen Ave, Suite 302, Bloomsburg, PA 17815-1200 | |
| Matthew C Kujat | Podiatry | Portonova Foot and Ankle Specialists LLC | 410 Glen Ave, Suite 201, Bloomsburg, PA 17815-1200 |
| Karen M Campbell | Podiatry | 410 Glen Ave, Bloomsburg, PA 17815-1200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Neil R Engelman | Chiropractic | 1319 N Market St, Berwick, PA 17815 | |
| Amanda Weremedic | Qualified Audiologist | Husky Research Corporation Inc | 400 E 2nd St, Centennial Hall, Bloomsburg, PA 17815-1301 |
| Deborah R John | Qualified Audiologist | Husky Research Corporation Inc | 400 E 2nd St, Centennial Hall, Bloomsburg, PA 17815-1301 |
| Jennifer M Nudo | Qualified Speech Language Pathologist | Husky Research Corporation Inc | 400 E 2nd St, Centennial Hall, Bloomsburg, PA 17815-1301 |
| Danielle N Huss | Qualified Speech Language Pathologist | Husky Research Corporation Inc | 400 E 2nd St, Centennial Hall, Bloomsburg, PA 17815-1301 |
| Anita Louise Wasileski | Speech Language Pathologist | Husky Research Corporation Inc | 400 E 2nd St, Centennial Hall, Bloomsburg, PA 17815-1301 |
| Christi L Moncavage | Audiologist | Husky Research Corporation Inc | 400 E 2nd St, Centennial Hall, Bloomsburg, PA 17815-1301 |
| Robert A Meloy | Internal Medicine | Geisinger Clinic | 447 E 1st St, Bloomsburg, PA 17815-1417 |
| Patrick J Erwin | General Surgery | Geisinger Clinic | 439 E 1st St, Bloomsburg, PA 17815-1417 |
| John Robert Ramey | Urology | Geisinger Clinic | 439 E 1st St, Bloomsburg, PA 17815-1417 |
| Find all physicians in zip 17815 | |||
| City | BLOOMSBURG |
| Zip Code | 17815 |
| Specialty | PODIATRY |
| City + Specialty | BLOOMSBURG + PODIATRY |
Please comment or provide details below to improve the information on David J Portonova.
| 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.