| |
700 High Street Williamsport PA 17701-3198 | |
(570) 321-3454 | |
(570) 321-3455 |
Full Name | |
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Speciality | Internal Medicine |
Location | 700 High Street, Williamsport, Pennsylvania |
Authorized Official Name and Position | Melissa Davis (VP/COO) |
Authorized Official Contact | 5703207696 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1201 Grampian Blvd Williamsport PA 17701-1900 Ph: () - | 700 High Street Williamsport PA 17701-3198 Ph: (570) 321-3454 |
NPI Number | 1235366857 |
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Provider Enumeration Date | 06/22/2009 |
Last Update Date | 10/23/2015 |
Medicare PECOS PAC ID | 2264336460 |
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Medicare Enrollment ID | O20090909000479 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235366857 | NPI | - | NPPES |
2130352 | Other | PA | HIGHMARK BLUE SHIELD |
0017300760192 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
Provider Name | James J Boylan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538159546 PECOS PAC ID: 0446243927 Enrollment ID: I20040408000657 |
Provider Name | Emily Theresa Suvock |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1750453239 PECOS PAC ID: 7618978735 Enrollment ID: I20070116000358 |
Provider Name | Amit Sohagia |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1447456306 PECOS PAC ID: 5395832216 Enrollment ID: I20071024000534 |
Provider Name | Stacy G Prall |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1437207685 PECOS PAC ID: 3173615069 Enrollment ID: I20100115000835 |
Provider Name | Duane E Ahlbrandt |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1942289046 PECOS PAC ID: 0042284341 Enrollment ID: I20100513000873 |
Provider Name | Heather J Gerst |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1114193299 PECOS PAC ID: 0244403939 Enrollment ID: I20111025000124 |
Provider Name | Steven W Cohen |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1275608929 PECOS PAC ID: 4183880891 Enrollment ID: I20120725000300 |
Provider Name | Vivek Kumar |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1427190461 PECOS PAC ID: 8224285234 Enrollment ID: I20120827000668 |
Provider Name | Puneet Basi |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1730343120 PECOS PAC ID: 8820247240 Enrollment ID: I20120928000505 |
Provider Name | Anna Maryalice Cooper |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295320075 PECOS PAC ID: 1254747785 Enrollment ID: I20210309001113 |
Provider Name | Lila G Glotfelty |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1790102002 PECOS PAC ID: 0042511321 Enrollment ID: I20211111001045 |
Provider Name | Ann Joo Lee |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1396979126 PECOS PAC ID: 9739307638 Enrollment ID: I20211230001659 |
Provider Name | David Pinn |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1992048722 PECOS PAC ID: 2668712589 Enrollment ID: I20231108000032 |
Provider Name | Paresh Sojitra |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1508251059 PECOS PAC ID: 2961754908 Enrollment ID: I20240829001623 |
Provider Name | Urooj Ahmed |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1093354698 PECOS PAC ID: 0345204525 Enrollment ID: I20241015000676 |
Provider Name | David Scott Sachar |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1770644478 PECOS PAC ID: 0345373049 Enrollment ID: I20241113001987 |
Geisinger-hm Joint Venture, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1824 E 3rd St, Williamsport, PA 17701 Phone: 570-601-2200 Fax: 570-601-2202 | |
Open Arms Internal Medicine & Pediatrics, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3155 Lycoming Creek Rd, Williamsport, PA 17701 Phone: 570-244-1877 | |