Timothy M Rose (NPI# 1174518138, PAC ID# 8426047630) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1174518138 |
| PAC ID by PECOS | 8426047630 |
| Professional Enrollment ID | I20040511001287 |
| Full Name | Timothy M Rose |
| Organization Legal Name | NORTHEASTERN REHABILITATION ASSOCIATES, PC |
| Address |
5 Morgan Hwy Suite 4 Scranton PA 18508-2641 |
| Phone Number | 5703443788 |
| Gender | M |
| Credential | PA |
| Graduation Year | 1999 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5193714723 |
| Number of Group Practice Members | 43 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390119 | MOSES TAYLOR HOSPITAL |
| 390237 | REGIONAL HOSPITAL OF SCRANTON |
| 390001 | GEISINGER-COMMUNITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1800 Mulberry St, Scranton, PA 18510-2369 | 5707038000 | NORTHEASTERN REHABILITATION ASSOCIATES, PC |
| 5 Morgan Hwy, Suite 4, Scranton, PA 18508-2641 | 5703443788 | NORTHEASTERN REHABILITATION ASSOCIATES, PC |
| Organization Legal Name | NORTHEASTERN REHABILITATION ASSOCIATES, PC |
| Physicians | 48 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Joseph Stoko | Physical Medicine and Rehabilitation | Northeastern Rehabilitation Associates, PC | 475 Morgan Hwy, Scranton, PA 18508 |
| Paul W Horchos | Physical Medicine and Rehabilitation | Northeastern Rehabilitation Associates, PC | 5 Morgan Hwy, Suite 4, Scranton, PA 18508-2641 |
| Scott Naftulin | Physical Medicine and Rehabilitation | Northeastern Rehabilitation Associates, PC | 3400 Bath Pike, Suite 400 4th Fl, Bethlehem, PA 18017-2498 |
| Michael David Wolk | Physical Medicine and Rehabilitation | Northeastern Rehabilitation Associates, PC | 5 Morgan Hwy, Suite 4, Scranton, PA 18508-2641 |
| Alejandro G Fernando | Physician Assistant | Northeastern Rehabilitation Associates, PC | 5 Morgan Hwy, Suite 4, Scranton, PA 18508-2641 |
| Kelly E Williams | Physical Medicine and Rehabilitation | Northeastern Rehabilitation Associates, PC | 5 Morgan Hwy, Suite 4, Scranton, PA 18508-2641 |
| Mary K Walsh | Nurse Practitioner | Northeastern Rehabilitation Associates, PC | 5 Morgan Hwy, Suite 4, Scranton, PA 18508-2641 |
| John A Kline Jr. | Physical Medicine and Rehabilitation | Northeastern Rehabilitation Associates, PC | 5 Morgan Hwy, Suite 4, Scranton, PA 18508-2641 |
| Adam William Yngelmo | Physician Assistant | Northeastern Rehabilitation Associates, PC | 5 Morgan Hwy, Suite 4, Scranton, PA 18508-2641 |
| Amanda B Yesvetz | Physician Assistant | Northeastern Rehabilitation Associates, PC | 5 Morgan Hwy, Suite 4, Scranton, PA 18508-2641 |
| Street Address |
5 MORGAN HWY SUITE 4 |
| City | SCRANTON |
| State | PA |
| Zip | 18508-2641 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul W Horchos | Physical Medicine and Rehabilitation | Northeastern Rehabilitation Associates, PC | 5 Morgan Hwy, Suite 4, Scranton, PA 18508-2641 |
| Norman Schulman | Radiation Oncology | Delta Medix PC | 5 Morgan Hwy, Suite 7, Scranton, PA 18508-2641 |
| Michael David Wolk | Physical Medicine and Rehabilitation | Northeastern Rehabilitation Associates, PC | 5 Morgan Hwy, Suite 4, Scranton, PA 18508-2641 |
| Alejandro G Fernando | Physician Assistant | Northeastern Rehabilitation Associates, PC | 5 Morgan Hwy, Suite 4, Scranton, PA 18508-2641 |
| Kelly E Williams | Physical Medicine and Rehabilitation | Northeastern Rehabilitation Associates, PC | 5 Morgan Hwy, Suite 4, Scranton, PA 18508-2641 |
| Mary K Walsh | Nurse Practitioner | Northeastern Rehabilitation Associates, PC | 5 Morgan Hwy, Suite 4, Scranton, PA 18508-2641 |
| John A Kline Jr. | Physical Medicine and Rehabilitation | Northeastern Rehabilitation Associates, PC | 5 Morgan Hwy, Suite 4, Scranton, PA 18508-2641 |
| Adam William Yngelmo | Physician Assistant | Northeastern Rehabilitation Associates, PC | 5 Morgan Hwy, Suite 4, Scranton, PA 18508-2641 |
| Amanda B Yesvetz | Physician Assistant | Northeastern Rehabilitation Associates, PC | 5 Morgan Hwy, Suite 4, Scranton, PA 18508-2641 |
| Maurya M Carr | Physical Therapy | Northeastern Rehabilitation Associates, PC | 5 Morgan Hwy, Suite 4, Scranton, PA 18508-2641 |
| Find all physicians in the same address | |||
| 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 | PHYSICIAN ASSISTANT |
| City + Specialty | SCRANTON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Timothy M Rose.
| 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.