Amanda M Grippo (NPI# 1841622610, PAC ID# 2860702172) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1841622610 |
| PAC ID by PECOS | 2860702172 |
| Professional Enrollment ID | I20151116002427 |
| Full Name | Amanda M Grippo |
| Organization Legal Name | LACKAWANNA MEDICAL GROUP PC |
| Address |
201 Smallacombe Dr Scranton PA 18508-2616 |
| Phone Number | 5709610171 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6800870882 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390001 | GEISINGER-COMMUNITY MEDICAL CENTER |
| 390137 | WILKES-BARRE GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 201 Smallacombe Dr, Scranton, PA 18508-2616 | 5709610171 | LACKAWANNA MEDICAL GROUP PC |
| Organization Legal Name | LACKAWANNA MEDICAL GROUP PC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles Grad | Gastroenterology | Lackawanna Medical Group PC | 201 Smallacombe Dr, Scranton, PA 18508-2616 |
| Martha Sue Ghosh | Gastroenterology | Lackawanna Medical Group PC | 201 Smallacombe Dr, Scranton, PA 18508-2616 |
| Emma Rubin | Internal Medicine | Lackawanna Medical Group PC | 201 Smallacombe Dr, Scranton, PA 18508-2695 |
| Frank A Milani | Internal Medicine | Lackawanna Medical Group PC | 201 Smallacombe Dr, Scranton, PA 18508-2616 |
| Street Address |
201 SMALLACOMBE DR |
| City | SCRANTON |
| State | PA |
| Zip | 18508-2616 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles Grad | Gastroenterology | Lackawanna Medical Group PC | 201 Smallacombe Dr, Scranton, PA 18508-2616 |
| Martha Sue Ghosh | Gastroenterology | Lackawanna Medical Group PC | 201 Smallacombe Dr, Scranton, PA 18508-2616 |
| Emma Rubin | Internal Medicine | Lackawanna Medical Group PC | 201 Smallacombe Dr, Scranton, PA 18508-2695 |
| Frank A Milani | Internal Medicine | Lackawanna Medical Group PC | 201 Smallacombe Dr, Scranton, PA 18508-2616 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Joseph Stoko | Physical Medicine and Rehabilitation | Northeastern Rehabilitation Associates, PC | 475 Morgan Hwy, Scranton, PA 18508 |
| Mark M Skevofilax | Diagnostic Radiology | Geisinger Clinic | 435 Scranton Carbondale Hwy, Scranton, PA 18508-1115 |
| Roseline Riaz | Internal Medicine | Express Urgent Care, LLC | 449 Scranton Carbondale Hwy, Scranton, PA 18508-1115 |
| Kathryn E Chesnick | Certified Registered Nurse Anesthetist (crna) | Lackawanna Physicians Ambulatory Surgery Center LLC | 423 Scranton Carbondale Hwy, Hi, Scranton, PA 18508-1115 |
| Sheryl L Oleski | Physical Medicine and Rehabilitation | Northeastern Rehabilitation Associates, PC | 423 Scranton Carbondale Hwy, Scranton, PA 18508-1115 |
| Jeffrey Todd Blum | Diagnostic Radiology | Geisinger Clinic | 435 Scranton Carbondale Hwy, Scranton, PA 18508-1115 |
| Mark S Slywka | Anesthesiology | Lackawanna Physicians Ambulatory Surgery Center LLC | 423 Scranton Carbondale Hwy, Hi, Scranton, PA 18508-1115 |
| Kenneth Levin | Interventional Radiology | Geisinger Clinic | 435 Scranton Carbondale Hwy, Scranton, PA 18508-1115 |
| Gerald N Larar | Diagnostic Radiology | Geisinger Clinic | 435 Scranton Carbondale Hwy, Scranton, PA 18508-1115 |
| Gabriel Ceron | Diagnostic Radiology | Geisinger Clinic | 435 Scranton Carbondale Hwy, Scranton, PA 18508-1115 |
| Find all physicians in zip 18508 | |||
| City | SCRANTON |
| Zip Code | 18508 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SCRANTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Amanda M Grippo.
| 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.