Tarah Zajaczkowski (NPI# 1275009524, PAC ID# 7618212002) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1275009524 |
| PAC ID by PECOS | 7618212002 |
| Professional Enrollment ID | I20181212002001 |
| Full Name | Tarah Zajaczkowski |
| Organization Legal Name | INTERMOUNTAIN MEDICAL GROUP INC |
| Address |
16 Luzerne Ave Suite 125 West Pittston PA 18643-2817 |
| Phone Number | 5706546714 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| 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 |
| 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 |
| 16 Luzerne Ave, Suite 125, West Pittston, PA 18643-2817 | 5706546714 | 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 |
| 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 |
| Marnetta S Bradford | Nurse Practitioner | Intermountain Medical Group Inc | 665 Carey Ave, Hanover Township, PA 18706-5466 |
| Street Address |
16 LUZERNE AVE SUITE 125 |
| City | WEST PITTSTON |
| State | PA |
| Zip | 18643-2817 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald Nardell | Family Medicine | Intermountain Medical Group Inc | 16 Luzerne Ave, Suite 125, West Pittston, PA 18643-2817 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William S Chromey | Chiropractic | Chromey Chiropractic Center PC | 328 Donnas Way, Exeter, PA 18643-1243 |
| Francis M Angelella | Psychologist, Clinical | 1277 Wyoming Ave, Exeter, PA 18643-1435 | |
| Andrew J Stuka | Family Practice | Luzerne County General Practice Associates LLC | 1701 Wyoming Ave, Exeter, PA 18643-1491 |
| Maryellen E Marranca | Chiropractic | 1137 Wyoming Ave, Exeter, PA 18643-1944 | |
| Nicholas J Telincho Jr. | Clinical Social Worker | 317 Chase St, West Pittston, PA 18643-2011 | |
| Diane M Delregno | Optometry | Eye Care Specialists, P.C. | 170 Boston Ave, West Pittston, PA 18643-2724 |
| Robert P Burry Jr. | Podiatry | Michael C Baloga Dpm, PC | 810 Wyoming Ave, West Pittston, PA 18643-2741 |
| Michael C Baloga Jr. | Podiatry | Michael C Baloga Dpm, PC | 810 Wyoming Ave, West Pittston, PA 18643-2741 |
| Felicia C Bock | Podiatry | Michael C Baloga Dpm, PC | 810 Wyoming Ave, West Pittston, PA 18643-2741 |
| Michael C Baloga | Podiatry | Michael C Baloga Dpm, PC | 810 Wyoming Ave, West Pittston, PA 18643-2741 |
| Find all physicians in zip 18643 | |||
| City | WEST PITTSTON |
| Zip Code | 18643 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WEST PITTSTON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Tarah Zajaczkowski.
| 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.