MEDICARE: GEORGE ANTHONY PTAKOWSKI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD040378-L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013027861
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGE ANTHONY PTAKOWSKI MD

Provider Business Mailing Address
First Line	:	1109 AUDUBON DRIVE
Second Line	:
City	:	CLARKS SUMMIT
State	:	PA
Zip	:	18411
Country	:	US
Telephone Number	:	570-576-4210
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 147
Second Line	:
City	:	POCONO LAKE
State	:	PA
Zip	:	18347-0147
Country	:	US
Telephone Number	:	570-646-6905
Fax Number	:	570-646-6009

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	01/08/2019

Similar Medicare Providers

1609876648 — DR. DEBORAH A BEITER MD
Practice Location Address:

130 RIVERFRONT TERRACE
POCONO LAKE, PA
18347-2519

Practice Phone: 570-643-5020
Practice Fax: 570-643-5020

1194803825 — MT. POCONO FAMILY PRACTICE CENTER
Practice Location Address:

RT 940 , 147
POCONO LAKE, PA
18347

Practice Phone: 570-646-6905
Practice Fax: 570-646-6009

1598835381 — BLANCHE HOWARD B.A., C.C.H.
Practice Location Address:

HC 88 BOX 424
POCONO LAKE, PA
18347-9612

Practice Phone: 570-646-0335
Practice Fax: 570-646-7418

1629130364 — DR. JAMES A. RINEHIMER D.D.S.
Practice Location Address:

HC 87 BOX 109A ROUTE 940 , VILLAGE PARK CENTER
POCONO LAKE, PA
18347

Practice Phone: 570-646-9444
Practice Fax: 570-646-6878

1376674283 — MAUREEN ANN RINEHIMER PT MHS
Practice Location Address:

1312 SAWMILL ROAD
POCONO LAKE, PA
18347-0000

Practice Phone: 570-646-2539
Practice Fax:

1285851576 — DR. SARA J. CORNELL PSY.D.
Practice Location Address:

906 ROUTE 940
POCONO LAKE, PA
18347-7891

Practice Phone: 570-991-2109
Practice Fax:

Directions to “ GEORGE ANTHONY PTAKOWSKI MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.