Open Arms Internal Medicine & Pediatrics, PC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

MD043621L Issued in PA

Legal business name

OPEN ARMS INTERNAL MEDICINE & PEDIATRICS, PC

Practice address

3155 Lycoming Creek Rd
Williamsport, PA 17701-1032

Phone

(570) 244-1877

NPI assigned

Nov 14, 2017

Last updated

Nov 14, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Russell Lewis Gombosi, MDNPI 1528078433

Title

Owner

Phone

(570) 244-1877

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Russell Lewis Gombosi, MD

  • Internal Medicine Physician
  • Williamsport, PA
  • NPI 1528078433
  Medicare reassignment Care Compare group NPD Authorized official
• Laura Mae Aguirre, CRNP

  • Nurse Practitioner
  • Williamsport, PA
  • NPI 1093577942
  Medicare reassignment Care Compare group NPD
• George Ann Foreman, RN

  • Gerontology Nurse Practitioner
  • Wellsboro, PA
  • NPI 1851058580

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Erika Noelle Sherlinski, PA-C

  • Physician Assistant
  • Danville, PA
  • NPI 1144867219
  Medicare reassignment
• Julian Gombosi

  • Licensed Practical Nurse
  • Williamsport, PA
  • NPI 1518389121
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510617600000",
    "number": "1154834927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5271 STATE ROUTE 973 E",
            "city": "COGAN STATION",
            "state": "PA",
            "postal_code": "177288500",
            "telephone_number": "570-244-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 LYCOMING CREEK RD",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011032",
            "telephone_number": "570-244-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN ARMS INTERNAL MEDICINE & PEDIATRICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-11-14",
        "status": "A",
        "authorized_official_last_name": "GOMBOSI",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-244-1877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "PA",
            "license": "MD043621L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1528078433",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stuart Olinsky
• Kurt H Olsen, PHD
• Douglas J Ombongi, CRNA
• Myoe Htet Htet Oo, MD
• Jamie Lee Opela
• Vwaire Jude Ese Orhurhu, MD, MPH
• Krystin Osborne
• Jessica Osman, DO
• Mohamed Osman, MD
• Leila Adhiambo Otieno, CRNA

• Multi-Specialty Clinic/Center in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Multi-Specialty Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.