Louise Breakstone (NPI# 1831126010, PAC ID# 2769554070) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1831126010 |
| PAC ID by PECOS | 2769554070 |
| Professional Enrollment ID | I20091221000371 |
| Full Name | Louise Breakstone |
| Organization Legal Name | INTERMOUNTAIN MEDICAL GROUP INC |
| Address |
215 E Main St Plymouth PA 18651-3012 |
| Phone Number | 5707799014 |
| Gender | F |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7810894987 |
| Number of Group Practice Members | 73 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390137 | WILKES-BARRE GENERAL HOSPITAL |
| 390270 | GEISINGER WYOMING VALLEY MEDICAL CENTER |
| 390072 | BERWICK HOSPITAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 610 Wyoming Ave, Suite 2, Kingston, PA 18704-3702 | INTERMOUNTAIN MEDICAL GROUP INC | |
| 618 Wyoming Ave, Kingston, PA 18704-3702 | 5702839063 | INTERMOUNTAIN MEDICAL GROUP INC |
| 215 E Main St, Plymouth, PA 18651-3012 | 5707799014 | INTERMOUNTAIN MEDICAL GROUP INC |
| 575 N River St, Wilkes Barre, PA 18702-2634 | 5706750900 | INTERMOUNTAIN MEDICAL GROUP INC |
| Organization Legal Name | INTERMOUNTAIN MEDICAL GROUP INC |
| Physicians | 69 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Rittenberg | Urology | Intermountain Medical Group Inc | 423 3rd Ave, Suite B, Kingston, PA 18704-5809 |
| Tarah Zajaczkowski | Physician Assistant | Intermountain Medical Group Inc | 16 Luzerne Ave, Suite 125, West Pittston, PA 18643-2817 |
| Kelly Sabaluski | Nurse Practitioner | Intermountain Medical Group Inc | 445 Wyoming Ave, Kingston, PA 18704-3601 |
| Kelly Babinski | Nurse Practitioner | Intermountain Medical Group Inc | 743 Jefferson Ave, Suite 203, Scranton, PA 18510-1638 |
| Kevin K Musto | Internal Medicine | Intermountain Medical Group Inc | 901 Wyoming Ave, West Pittston, PA 18643-2742 |
| Fred Usoh | Anesthesiology | Intermountain Medical Group Inc | 468 Northampton St, Kingston, PA 18704-4566 |
| Kimberly T Serine | Physician Assistant | Intermountain Medical Group Inc | 1099 S Township Blvd, Pittston, PA 18640-3247 |
| Noelle Altavilla | Registered Dietitian Or Nutrition Professional | Intermountain Medical Group Inc | 2 Poplar St, Kingston, PA 18704-3709 |
| Kamlesh R Patel | Internal Medicine | Intermountain Medical Group Inc | 500 Scott St, Wilkes Barre, PA 18702-5616 |
| Daniel J Dudrick | Family Medicine | Intermountain Medical Group Inc | 610 Wyoming Ave, Suite 2, Kingston, PA 18704-3702 |
| Street Address |
215 E MAIN ST |
| City | PLYMOUTH |
| State | PA |
| Zip | 18651-3012 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelsi B Krienert | Nurse Practitioner | Faith Regional Physician Services LLC | 215 E Main St, Frps Pierce Family Medicine, Pierce, NE 68767-0067 |
| Brian P Quinn | Clinical Social Worker | 215 E Main St, Suite 207, Huntington, NY 11743-6907 | |
| Courtney S Lloyd | Clinical Social Worker | Regional Health Care Affiliates, Inc | 215 E Main St, Providence, KY 42450-1261 |
| Monica Stone | Family Medicine | Cumberland Family Medical Center, Inc. | 215 E Main St, Hodgenville, KY 42748-1305 |
| Lori R Marrero | Nurse Practitioner | Regional Health Care Affiliates, Inc | 215 E Main St, Providence, KY 42450-1261 |
| Kassy Rickard | Nurse Practitioner | Regional Health Care Affiliates, Inc | 215 E Main St, Providence, KY 42450-1261 |
| Richard S Gold | Internal Medicine | Smithtown Medical Specialists, PC | 215 E Main St, Smithtown, NY 11787-2807 |
| Robert James Maiorino | Oral Surgery | 215 E Main St, Huntington, NY 11743-7904 | |
| Sue Lindsey | Clinical Social Worker | Regional Health Care Affiliates, Inc | 215 E Main St, Providence, KY 42450-1261 |
| Emma I Buchanan | Nurse Practitioner | Regional Health Care Affiliates, Inc | 215 E Main St, Providence, KY 42450-1261 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter Michael Kaminski | Podiatry | 75 Washington Ave, Plymouth, PA 18651-1744 | |
| Leonard Joseph Boyek | Optometry | 1 E Main St, Plymouth, PA 18651-3016 | |
| Andrew J Krashnak Iii | Chiropractic | 42 E Main St, Plymouth, PA 18651-3017 |
| City | PLYMOUTH |
| Zip Code | 18651 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PLYMOUTH + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Louise Breakstone.
| 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.