| Caring Community Health Center | |
|
175 S Wilkes Barre Blvd Wilkes Barre PA 18702-5040 | |
| (570) 829-2621 | |
| Not Available |
| Full Name | Caring Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 175 S Wilkes Barre Blvd, Wilkes Barre, Pennsylvania |
| Authorized Official Name and Position | Matt Rogers (PRESIDENT) |
| Authorized Official Contact | 5702716781 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Caring Community Health Center 660 Baltimore Dr Ste 125 Wilkes Barre PA 18702-7962 Ph: () - | Caring Community Health Center 175 S Wilkes Barre Blvd Wilkes Barre PA 18702-5040 Ph: (570) 829-2621 |
| NPI Number | 1679038293 |
|---|---|
| Provider Enumeration Date | 02/07/2019 |
| Last Update Date | 01/27/2020 |
| Medicare PECOS PAC ID | 5698004588 |
|---|---|
| Medicare Enrollment ID | O20190830001893 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679038293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Nicholas P Chiumento |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043286685 PECOS PAC ID: 8325935190 Enrollment ID: I20040304000569 |
| Provider Name | Thomas Wilson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1962478842 PECOS PAC ID: 8426949470 Enrollment ID: I20040322000402 |
| Provider Name | Guillermo L Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689666836 PECOS PAC ID: 8729072970 Enrollment ID: I20040412001063 |
| Provider Name | Fareed Ahmad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750355079 PECOS PAC ID: 4880689157 Enrollment ID: I20040416000429 |
| Provider Name | Chaklader Naushad Jamal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578522355 PECOS PAC ID: 6800887167 Enrollment ID: I20040524001221 |
| Provider Name | Jing Cheng Zhao |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1619973302 PECOS PAC ID: 8729976220 Enrollment ID: I20040623000122 |
| Provider Name | Ecaterina Iriza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962494732 PECOS PAC ID: 2860469129 Enrollment ID: I20040915000735 |
| Provider Name | Gary W Lawrence |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679533699 PECOS PAC ID: 3476521873 Enrollment ID: I20040923000285 |
| Provider Name | Dennis Michael Fisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285601245 PECOS PAC ID: 0547227431 Enrollment ID: I20041213000370 |
| Provider Name | Debra A Lehr |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336173467 PECOS PAC ID: 1355393398 Enrollment ID: I20050218000069 |
| Provider Name | Grace Cervas Zeleznock |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1104871672 PECOS PAC ID: 7113972167 Enrollment ID: I20050314000268 |
| Provider Name | Salvatore P Sparich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326014960 PECOS PAC ID: 1355382557 Enrollment ID: I20050518000592 |
| Provider Name | Robert J Kupsho |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780644872 PECOS PAC ID: 4789626748 Enrollment ID: I20050531000924 |
| Provider Name | Richard Alfred Huntington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275592164 PECOS PAC ID: 2365486248 Enrollment ID: I20050613000085 |
| Provider Name | Michael A Kovalick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063472389 PECOS PAC ID: 5799717658 Enrollment ID: I20050831000709 |
| Provider Name | Thomas G Urosevich |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598715450 PECOS PAC ID: 1355330572 Enrollment ID: I20060104000457 |
| Provider Name | Brian Anthony Delvecchio |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1215993613 PECOS PAC ID: 5597776245 Enrollment ID: I20060510000146 |
| Provider Name | Stephen Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083641260 PECOS PAC ID: 9537073705 Enrollment ID: I20061109000470 |
| Provider Name | Eduardo D Tron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861457491 PECOS PAC ID: 1456300169 Enrollment ID: I20070402000206 |
| Provider Name | Graciela C Bianco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740230978 PECOS PAC ID: 2567449515 Enrollment ID: I20070511000040 |
| Provider Name | Wells T Reinheimer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1346441789 PECOS PAC ID: 9638279383 Enrollment ID: I20070710000621 |
| Provider Name | Jagadeesh Ramdas |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1932164977 PECOS PAC ID: 2769577246 Enrollment ID: I20070928000003 |
| Provider Name | Kendall R Dobbins |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1356317499 PECOS PAC ID: 4385722024 Enrollment ID: I20080422000516 |
| Provider Name | Robert G Notz |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609839513 PECOS PAC ID: 5597830794 Enrollment ID: I20080822000488 |
| Provider Name | Susan A Werner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841328697 PECOS PAC ID: 4880752260 Enrollment ID: I20081029000529 |
| Provider Name | Michael T Hatrak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780653295 PECOS PAC ID: 8921150145 Enrollment ID: I20090720000459 |
| Provider Name | Mauricio Campos-benitez |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1700028180 PECOS PAC ID: 1355498049 Enrollment ID: I20100309000443 |
| Provider Name | Frank Charles Olshemski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992767982 PECOS PAC ID: 9133313901 Enrollment ID: I20101105000324 |
| Provider Name | John Mark Prater |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992889885 PECOS PAC ID: 3072792886 Enrollment ID: I20110126000458 |
| Provider Name | Archana Chaudhari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528248572 PECOS PAC ID: 9133202484 Enrollment ID: I20110719000065 |
| Provider Name | Karen Lurito |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245223312 PECOS PAC ID: 4880675651 Enrollment ID: I20120119000468 |
| Provider Name | Marcel M Favetta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114994472 PECOS PAC ID: 2567486467 Enrollment ID: I20120524000522 |
| Provider Name | Anja O Landis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457374431 PECOS PAC ID: 5294991931 Enrollment ID: I20120724000578 |
| Provider Name | Stacy A Coolbaugh |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1508126475 PECOS PAC ID: 2264688308 Enrollment ID: I20120809000576 |
| Provider Name | Janice Frank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205183720 PECOS PAC ID: 6901055383 Enrollment ID: I20120928000012 |
| Provider Name | Jessica Yancoskie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861745267 PECOS PAC ID: 3971756289 Enrollment ID: I20130118000148 |
| Provider Name | Amy L Houm |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255313292 PECOS PAC ID: 3274502562 Enrollment ID: I20130813000176 |
| Provider Name | Tina Knorr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235387077 PECOS PAC ID: 9436377462 Enrollment ID: I20140904000413 |
| Provider Name | Daniel Upton |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1598080723 PECOS PAC ID: 3577782267 Enrollment ID: I20140911000350 |
| Provider Name | Terry L Alberico-rarig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962894824 PECOS PAC ID: 1052638384 Enrollment ID: I20150326000800 |
| Provider Name | Michael D Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376861922 PECOS PAC ID: 3476797929 Enrollment ID: I20150806010050 |
| Provider Name | Nicole M Polashenski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710275102 PECOS PAC ID: 6305152901 Enrollment ID: I20150827001125 |
| Provider Name | Ram N Bishnoi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972759157 PECOS PAC ID: 1456669480 Enrollment ID: I20150924001967 |
| Provider Name | Kathleen M Noss |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912263153 PECOS PAC ID: 3678883501 Enrollment ID: I20151105001167 |
| Provider Name | Kelly Jo Dalton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932365137 PECOS PAC ID: 2668650144 Enrollment ID: I20160715000039 |
| Provider Name | Rahul Bharucha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992048581 PECOS PAC ID: 1052615812 Enrollment ID: I20160906001181 |
| Provider Name | Stacy L Rosenberg |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1629364575 PECOS PAC ID: 0749569838 Enrollment ID: I20161112000106 |
| Provider Name | Jason Raymond Woloski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013334036 PECOS PAC ID: 6901039742 Enrollment ID: I20170712003830 |
| Provider Name | Evan Lee Mcclennen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467891101 PECOS PAC ID: 8820385230 Enrollment ID: I20170816000638 |
| Provider Name | Susan Generose |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1578843827 PECOS PAC ID: 5092073056 Enrollment ID: I20171220001393 |
| Provider Name | Ayesha R Shaikh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659461614 PECOS PAC ID: 8820356488 Enrollment ID: I20180103002057 |
| Provider Name | Maxwell Eric Tolan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366821274 PECOS PAC ID: 6002121571 Enrollment ID: I20180711002700 |
| Provider Name | Caroline M Baran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821485590 PECOS PAC ID: 0941504120 Enrollment ID: I20180718001612 |
| Provider Name | Collin Douglas Hair |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1487093688 PECOS PAC ID: 5294976270 Enrollment ID: I20180801000015 |
| Provider Name | Kristin Simmons Bennie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861811721 PECOS PAC ID: 4789988270 Enrollment ID: I20180814003312 |
| Provider Name | Juan Manuel Arreguin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346234200 PECOS PAC ID: 5294800918 Enrollment ID: I20180829003265 |
| Provider Name | Ashli Pellegrino |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497010953 PECOS PAC ID: 0446548812 Enrollment ID: I20181005000909 |
| Provider Name | Tammy L Merrifield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053894543 PECOS PAC ID: 7214289990 Enrollment ID: I20181008001556 |
| Provider Name | Akhila Rajaram |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144649286 PECOS PAC ID: 6507160629 Enrollment ID: I20181031001668 |
| Provider Name | Carrie M Pientka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639646789 PECOS PAC ID: 7618211814 Enrollment ID: I20181128002797 |
| Provider Name | Michael Justin Coffey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780719294 PECOS PAC ID: 9739377722 Enrollment ID: I20190424000670 |
| Provider Name | Douglas Vanderbrook |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770927741 PECOS PAC ID: 2264763143 Enrollment ID: I20191007002779 |
| Provider Name | Jennifer L Kotzmoyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396399820 PECOS PAC ID: 9133551302 Enrollment ID: I20191111000719 |
| Provider Name | Weber Wu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053790238 PECOS PAC ID: 5395053946 Enrollment ID: I20191204002518 |
| Provider Name | Thomas Huan Tien |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1700234051 PECOS PAC ID: 3072806538 Enrollment ID: I20200529002094 |
| Provider Name | Anand Prasad Sewak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982136479 PECOS PAC ID: 4385913276 Enrollment ID: I20200717002048 |
| Provider Name | Juan Carlos Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811341464 PECOS PAC ID: 6305266040 Enrollment ID: I20201019000228 |
| Provider Name | Mia Geneva Lin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093303745 PECOS PAC ID: 4880008481 Enrollment ID: I20210121002625 |
| Provider Name | Tequilla Tavockious Manning |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639674062 PECOS PAC ID: 0446590350 Enrollment ID: I20210807000055 |
| Provider Name | Joshua Ononuju |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083104566 PECOS PAC ID: 3678979101 Enrollment ID: I20210909001149 |
| Provider Name | Margaret Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306396882 PECOS PAC ID: 4385032846 Enrollment ID: I20211102002694 |
| Provider Name | Colleen Marie Barron |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1407510860 PECOS PAC ID: 7315336161 Enrollment ID: I20211116002379 |
| Provider Name | Jeanette Meriesky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982362075 PECOS PAC ID: 2860630902 Enrollment ID: I20220216000391 |
| Provider Name | Ana Kemple Reeves |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710447297 PECOS PAC ID: 3870986748 Enrollment ID: I20220217001174 |
| Provider Name | Alexei Boylan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1386194520 PECOS PAC ID: 3476930389 Enrollment ID: I20220516001095 |
| Provider Name | Angela Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467015974 PECOS PAC ID: 3072849603 Enrollment ID: I20220831003048 |
| Provider Name | Dana Marie Addesa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740907328 PECOS PAC ID: 8729458351 Enrollment ID: I20221222002844 |
| Provider Name | Raluca Andreea Slusser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205544079 PECOS PAC ID: 4082084595 Enrollment ID: I20221227002231 |
| Provider Name | Jennifer Wahy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295397057 PECOS PAC ID: 2365812245 Enrollment ID: I20230111000323 |
| Provider Name | Jennifer Betts |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932532777 PECOS PAC ID: 8123491651 Enrollment ID: I20230303002225 |
| Provider Name | Seneca Harberger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316332562 PECOS PAC ID: 5193016186 Enrollment ID: I20230621001120 |
| Provider Name | Ann Andrasovich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699372854 PECOS PAC ID: 1052774239 Enrollment ID: I20230906001248 |
| Provider Name | Salam Al-omaishi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962027334 PECOS PAC ID: 2365865474 Enrollment ID: I20230911003420 |
| Provider Name | Mofolasayo Motunrayo Adeniyi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831610724 PECOS PAC ID: 6901227743 Enrollment ID: I20231024000432 |
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