| Keystone Orthopaedic Specialists, Llc | |
|
1270 Broadcasting Rd, Wyomissing, PA 19610-3203 | |
| (610) 376-5600 | |
| (610) 372-7684 |
| Full Name | Keystone Orthopaedic Specialists, Llc |
|---|---|
| Type | Facility |
| Speciality | Orthopaedic Surgery |
| Location | 1270 Broadcasting Rd, Wyomissing, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255666012 | NPI | - | NPPES |
| Provider Name | John J Mahoney |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1184660474 PECOS PAC ID: 0244122752 Enrollment ID: I20040329000917 |
| Provider Name | Robert Harris Salvage |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386671436 PECOS PAC ID: 5294727566 Enrollment ID: I20040330001012 |
| Provider Name | William Guillermo Cano |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1730103177 PECOS PAC ID: 1052303468 Enrollment ID: I20040402000868 |
| Provider Name | Yong I Park |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1154368819 PECOS PAC ID: 8921085580 Enrollment ID: I20040701000602 |
| Provider Name | Steven Evans |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336149186 PECOS PAC ID: 2264412915 Enrollment ID: I20040722000965 |
| Provider Name | Stephen P Banco |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881686772 PECOS PAC ID: 5597737767 Enrollment ID: I20040809000656 |
| Provider Name | Eric R Ratner |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1083677819 PECOS PAC ID: 2769442920 Enrollment ID: I20041013000383 |
| Provider Name | Kevin M Terefenko |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609874148 PECOS PAC ID: 2466401674 Enrollment ID: I20050114000220 |
| Provider Name | David J Abraham |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205897964 PECOS PAC ID: 5890680409 Enrollment ID: I20050517000476 |
| Provider Name | Raymond Scott Cook |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1922006220 PECOS PAC ID: 4981640505 Enrollment ID: I20050706000206 |
| Provider Name | Michael Weaver |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083692693 PECOS PAC ID: 8426087073 Enrollment ID: I20050804000644 |
| Provider Name | Ronald B Lincow |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1659384014 PECOS PAC ID: 0446252043 Enrollment ID: I20070212000238 |
| Provider Name | Denise M Donahue |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1518091867 PECOS PAC ID: 9830296441 Enrollment ID: I20070516000150 |
| Provider Name | Aaron L. Ebling |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285665612 PECOS PAC ID: 8820182082 Enrollment ID: I20070919000097 |
| Provider Name | Carl D Burnett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134232580 PECOS PAC ID: 3870651268 Enrollment ID: I20081029000664 |
| Provider Name | Carol A Roach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699826032 PECOS PAC ID: 8628137353 Enrollment ID: I20081110000311 |
| Provider Name | Paul Christopher Neuman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013915479 PECOS PAC ID: 6901856483 Enrollment ID: I20081211000716 |
| Provider Name | Joseph M Bowers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780644450 PECOS PAC ID: 8022151331 Enrollment ID: I20100209000686 |
| Provider Name | Stephen C Longenecker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548262355 PECOS PAC ID: 8022914688 Enrollment ID: I20100312000442 |
| Provider Name | William Clark |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205837747 PECOS PAC ID: 9234264797 Enrollment ID: I20100412000031 |
| Provider Name | John P Stelmach |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619975174 PECOS PAC ID: 9739139213 Enrollment ID: I20100601000260 |
| Provider Name | John A Martin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154329522 PECOS PAC ID: 2668422148 Enrollment ID: I20100629000751 |
| Provider Name | Paul J Marr |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1407854961 PECOS PAC ID: 3779614102 Enrollment ID: I20100629000855 |
| Provider Name | Joseph N Stoudt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497753453 PECOS PAC ID: 1658402086 Enrollment ID: I20100629000888 |
| Provider Name | John C Dethoff |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366440810 PECOS PAC ID: 0244289437 Enrollment ID: I20100630000069 |
| Provider Name | Laurie Marie Yocum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740288703 PECOS PAC ID: 6406988823 Enrollment ID: I20100721000465 |
| Provider Name | Randy Edward Yocum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295733251 PECOS PAC ID: 8921130345 Enrollment ID: I20100721000493 |
| Provider Name | Scott E Rosenthal |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1861494023 PECOS PAC ID: 6901086388 Enrollment ID: I20110203000083 |
| Provider Name | Steven J Collina |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1700979945 PECOS PAC ID: 9436321585 Enrollment ID: I20111013000387 |
| Provider Name | Douglas L Kemp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154388593 PECOS PAC ID: 0547437303 Enrollment ID: I20120118000712 |
| Provider Name | Joel A Henry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144287343 PECOS PAC ID: 1355508557 Enrollment ID: I20120131000011 |
| Provider Name | Courtney M Bates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487999660 PECOS PAC ID: 3678718483 Enrollment ID: I20130327000487 |
| Provider Name | Jason D Berk |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1538326145 PECOS PAC ID: 1658513486 Enrollment ID: I20130807000795 |
| Provider Name | Jaclyn Barber Barber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417356643 PECOS PAC ID: 4587885926 Enrollment ID: I20141028001153 |
| Provider Name | Zenaida Kutz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205233103 PECOS PAC ID: 0749507937 Enrollment ID: I20150327000833 |
| Provider Name | Keith A Heck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457647984 PECOS PAC ID: 1254651995 Enrollment ID: I20150521000225 |
| Provider Name | Kevin J Denis |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1073953550 PECOS PAC ID: 8022302173 Enrollment ID: I20160811002279 |
| Provider Name | Rebecca A Neri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205363306 PECOS PAC ID: 9133485261 Enrollment ID: I20171106003164 |
| Provider Name | Angelo P Savelloni |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1043638000 PECOS PAC ID: 8527322767 Enrollment ID: I20180516000192 |
| Provider Name | Edward Marc Delsole |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093159857 PECOS PAC ID: 6305191446 Enrollment ID: I20180614000029 |
| Provider Name | Christopher W V Schumacher |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356635619 PECOS PAC ID: 3274829338 Enrollment ID: I20181106002342 |
| Provider Name | Kenneth John Mcalpine |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023351194 PECOS PAC ID: 1456583814 Enrollment ID: I20190619000651 |
| Provider Name | Lauren Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578187928 PECOS PAC ID: 8426471053 Enrollment ID: I20200714003931 |
| Provider Name | Steven M Presciutti |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821225293 PECOS PAC ID: 6507173523 Enrollment ID: I20210526001305 |
| Provider Name | Victoria A Trovillion |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1336766211 PECOS PAC ID: 7113340746 Enrollment ID: I20230915003571 |
| Mailing Address | Practice Location Address |
|---|---|
| Keystone Orthopaedic Specialists, Llc 1270 Broadcasting Rd, Wyomissing, PA 19610 Ph: (610) 376-5600 | Keystone Orthopaedic Specialists, Llc 1270 Broadcasting Rd, Wyomissing, PA 19610-3203 Ph: (610) 376-5600 |