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BLOOMSBURG PHYSICIAN SERVICES OBGYN
NPI 1124236708
Obstetrics & Gynecology in Bloomsburg, PA

Active since May 18, 2007
410 GLENN AVE, SUITE 2, BLOOMSBURG, PA 17815(570) 387-2474(570) 387-2397 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bloomsburg Physician Services Obgyn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLOOMSBURG PHYSICIAN SERVICES OBGYN (NPI 1124236708) is a healthcare organization registered as an obstetrics & gynecology in Bloomsburg, Pennsylvania and active in the NPI registry since May 2007. The organization lists Joseph Devito, Cfo, as its authorized official.

NPPES Registry Identity

NPI1124236708
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameBLOOMSBURG PHYSICIAN SERVICES
Location Address410 GLENN AVE, SUITE 2Bloomsburg, PA 17815-1200
Mailing Address410 Glenn Ave, Suite 2Bloomsburg, PA 17815-1200 · (570) 387-2474 · Fax (570) 387-2397
Phone(570) 387-2474
Fax(570) 387-2397
Organization SubpartNo
Authorized OfficialJoseph DevitoCfo · (570) 387-2148
Enumeration DateMay 18, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1124236708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
410 GLENN AVE, Bloomsburg, PA 17815
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Other Names 1

Other NameBloomsburg Physician Services Obgyn

Other Identifiers 5

Medicaid1015090000002PA
Other94984PA · Ghp Number
Other50052725PA · Cbc Number
Other1388085PA · Highmark Number
Other819545PA · First Priority

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYNN PERSING PT
Physical Therapist
410 GLENN AVE, SUITE 101
BLOOMSBURG, PA 17815
Columbia County (570) 387-2135
KELLY KLINGER OT
Occupational Therapist
410 GLENN AVE, SUITE 101
BLOOMSBURG, PA 17815
Columbia County (570) 387-2135
MRS. CHRISTINE L RESELE RN
Registered Nurse
410 GLENN AVE, SUITE200
BLOOMSBURG, PA 17815
Columbia County (570) 784-1723
LISA FOSTER
Registered Nurse
410 GLENN AVE, SUITE 200
BLOOMSBURG, PA 17815
Columbia County (580) 784-1723
SUSQUEHANNA PHYSICAL THERAPY ASSOCIATES, INC.
Clinic/Center (Physical Therapy)
410 GLENN AVE
BLOOMSBURG, PA 17815
Columbia County (570) 387-2135
KAREN CAMPBELL DPM
Podiatrist
410 GLENN AVE, SUITE 201
BLOOMSBURG, PA 17815
Columbia County (570) 387-2202
KELLY SUE KISHBAUGH MSPT
Physical Therapist
410 GLENN AVE, SUITE 101
BLOOMSBURG, PA 17815
Columbia County (570) 387-2135
ANN MARIE ZUMBO MD
Internal Medicine
410 GLENN AVE, SUITE301
BLOOMSBURG, PA 17815
Columbia County (570) 387-7682

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bloomsburg Physician Services's NPI number?

The NPI number for Bloomsburg Physician Services is 1124236708. It was assigned to this organization in the NPPES registry on May 18, 2007. The provider is also known as Bloomsburg Physician Services Obgyn.

Where is Bloomsburg Physician Services located?

Bloomsburg Physician Services is located at 410 Glenn Ave Suite 2, Bloomsburg, PA 17815. The listed phone number is (570) 387-2474.

What is Bloomsburg Physician Services's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Bloomsburg Physician Services was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.