| Digestive Disease Associates, Ltd | |
|
1011 Reed Ave Suite 300 Wyomissing PA 19610-2002 | |
| (610) 374-4401 | |
| (610) 374-7140 |
| Full Name | Digestive Disease Associates, Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 1011 Reed Ave, Wyomissing, Pennsylvania |
| Authorized Official Name and Position | Christine L Yoder (ADMINISTRATOR) |
| Authorized Official Contact | 6103744401 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Digestive Disease Associates, Ltd 1011 Reed Ave Suite 300 Wyomissing PA 19610-2002 Ph: (610) 374-4401 | Digestive Disease Associates, Ltd 1011 Reed Ave Suite 300 Wyomissing PA 19610-2002 Ph: (610) 374-4401 |
| NPI Number | 1699742080 |
|---|---|
| Provider Enumeration Date | 03/03/2006 |
| Last Update Date | 01/29/2018 |
| Medicare PECOS PAC ID | 3375526049 |
|---|---|
| Medicare Enrollment ID | O20040611001399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699742080 | NPI | - | NPPES |
| 1007424690003 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | James G Logue |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598894198 PECOS PAC ID: 1456323633 Enrollment ID: I20040809000714 |
| Provider Name | Patrick M Mcmahon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114996709 PECOS PAC ID: 6608769575 Enrollment ID: I20050520000128 |
| Provider Name | Louis Laluna |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073580486 PECOS PAC ID: 2466400072 Enrollment ID: I20050602001135 |
| Provider Name | John F Altomare |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932173143 PECOS PAC ID: 8527079649 Enrollment ID: I20060605000086 |
| Provider Name | Ravi Kishan Ghanta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821043134 PECOS PAC ID: 4082513916 Enrollment ID: I20060612000262 |
| Provider Name | Lisa Anne Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679591994 PECOS PAC ID: 2668475351 Enrollment ID: I20060818000274 |
| Provider Name | Sharon L Swierczynski |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1528099256 PECOS PAC ID: 3072554286 Enrollment ID: I20070307000011 |
| Provider Name | Paul Kim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285853887 PECOS PAC ID: 2668570482 Enrollment ID: I20070601000318 |
| Provider Name | Brian H T Le |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649317959 PECOS PAC ID: 3072613959 Enrollment ID: I20070706000085 |
| Provider Name | Naeem Akhtar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194726828 PECOS PAC ID: 2769578871 Enrollment ID: I20071022000214 |
| Provider Name | Aparna M Mele |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851512719 PECOS PAC ID: 3577643980 Enrollment ID: I20080110000152 |
| Provider Name | Julie A Horst |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205002284 PECOS PAC ID: 9739250903 Enrollment ID: I20080616000303 |
| Provider Name | Jettie V Hunt |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205885084 PECOS PAC ID: 7911055231 Enrollment ID: I20090424000383 |
| Provider Name | Adam J Spiegel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639317993 PECOS PAC ID: 3678624509 Enrollment ID: I20090706000324 |
| Provider Name | Marc R Filstein |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1275606444 PECOS PAC ID: 5395890917 Enrollment ID: I20090903000521 |
| Provider Name | William B Kimmel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1699773267 PECOS PAC ID: 4284780024 Enrollment ID: I20090921000580 |
| Provider Name | Meena S Desai |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699795799 PECOS PAC ID: 2466354071 Enrollment ID: I20100524000231 |
| Provider Name | Ann Mahadeviah |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124074034 PECOS PAC ID: 4183755457 Enrollment ID: I20100630000438 |
| Provider Name | Daniel Blecker |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154393684 PECOS PAC ID: 7113813791 Enrollment ID: I20101007000222 |
| Provider Name | Seth E Rosenzweig |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184691511 PECOS PAC ID: 5193773703 Enrollment ID: I20101019001562 |
| Provider Name | Carl D. Mele |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922072172 PECOS PAC ID: 9436175726 Enrollment ID: I20101022000566 |
| Provider Name | Anirudh Masand-rai |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295702629 PECOS PAC ID: 7911893599 Enrollment ID: I20101025000554 |
| Provider Name | Stuart A Weber |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356327092 PECOS PAC ID: 3870788342 Enrollment ID: I20101110000082 |
| Provider Name | Frederic A Meyers |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902996176 PECOS PAC ID: 2264335876 Enrollment ID: I20110421000108 |
| Provider Name | Michael A Waronker |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275623449 PECOS PAC ID: 3274545785 Enrollment ID: I20110425000087 |
| Provider Name | Nirav R. Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023148731 PECOS PAC ID: 6002910353 Enrollment ID: I20110629000535 |
| Provider Name | Michael J Doherty |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528043080 PECOS PAC ID: 3274711874 Enrollment ID: I20110630000370 |
| Provider Name | Debra T Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710269766 PECOS PAC ID: 4082886833 Enrollment ID: I20111020000500 |
| Provider Name | Christopher Bahy Ibrahim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205065125 PECOS PAC ID: 3072668250 Enrollment ID: I20130617000510 |
| Provider Name | Brian P Mcallister |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760702336 PECOS PAC ID: 7517191810 Enrollment ID: I20130927000259 |
| Provider Name | Nicholas R Lambros |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831512318 PECOS PAC ID: 6002046893 Enrollment ID: I20140221001472 |
| Provider Name | Philip J Elbaum |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235484031 PECOS PAC ID: 4385860642 Enrollment ID: I20140722001206 |
| Provider Name | Farid Razavi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407099112 PECOS PAC ID: 1658686332 Enrollment ID: I20150811004390 |
| Provider Name | Nina S Bandyopadhyay |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720309024 PECOS PAC ID: 2769607928 Enrollment ID: I20160720000036 |
| Provider Name | Mark J Mentrikoski |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1427372044 PECOS PAC ID: 3274760491 Enrollment ID: I20170213000072 |
| Provider Name | Kevin Gordon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174815625 PECOS PAC ID: 5698044840 Enrollment ID: I20170705000033 |
| Provider Name | Franklin Defelippo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497085211 PECOS PAC ID: 7618004888 Enrollment ID: I20171020002813 |
| Provider Name | Christopher M Pietruszynski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508371956 PECOS PAC ID: 2668731068 Enrollment ID: I20180110001875 |
| Provider Name | Emily B Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124536396 PECOS PAC ID: 2264792134 Enrollment ID: I20180214002092 |
| Provider Name | Jennifer S Hooper |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225273352 PECOS PAC ID: 2769545623 Enrollment ID: I20180320001287 |
| Provider Name | Eren Taydas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902164742 PECOS PAC ID: 0547574519 Enrollment ID: I20180530002036 |
| Provider Name | Robert B Cooper |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558704403 PECOS PAC ID: 6901130665 Enrollment ID: I20190628002307 |
| Provider Name | Michael F Riverso |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538506381 PECOS PAC ID: 8325281652 Enrollment ID: I20190703000344 |
Pennsylvania Dialysis Clinic Of Reading, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 625 Spring St, Wyomissing, PA 19610 Phone: 610-375-1215 Fax: 610-375-0245 | |
Alliance Community Healthcare, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1235 Penn Ave, Wyomissing, PA 19610 Phone: 551-256-8404 | |
Berks Internal Medicine Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 560 Van Reed Road, Suite 101, Wyomissing, PA 19610 Phone: 610-378-1601 Fax: 610-378-7839 | |
S. M. Lago Internal Medicine Associates, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2747 Century Blvd., Suite 100, Wyomissing, PA 19610 Phone: 610-373-8430 | |
Wyomissing Open Mri, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 55 Commerce Dr, Wyomissing, PA 19610 Phone: 610-477-1950 Fax: 610-477-1940 | |
Lloyd M.wolf Iii D.o. Internal Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Meridian Blvd, Wyomissing, PA 19610 Phone: 610-743-3139 Fax: 610-743-3143 | |
Wyomissing Family Medical Assoc Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1075 Berkshire Blvd, Ste 950, Wyomissing, PA 19610 Phone: 610-375-8225 Fax: 610-375-1883 |