Dr. Russell T. Wible
Oral & Maxillofacial Surgery

Address: 689 N Hermitage Rd, Hermitage, PA 16148-3203
Phone: 7249814222

Dr. Russell T. Wible (NPI# 1831376284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1831376284
Entity Type Individual
Full Name Dr. Russell T. Wible
Credential D.M.D.
Gender Male
Practice Address 689 N Hermitage Rd
Hermitage
PA 16148-3203
Practice Telephone 7249814222
Practice Fax Number 7249814228
Mailing Address 689 N Hermitage Rd
Hermitage
PA 16148-3203
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2008-01-29
Last Update Date 2008-01-29

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 204E00000X Oral & Maxillofacial Surgery Allopathic & Osteopathic Physicians DS027889L PA

Other Provider Identifier

State Identifier Issuer Type Code
PA HMO2375673 OTHER AETNA
OH 000000325486 OTHER ANTHEM
PA PPO4420848 OTHER AETNA
PA 419683 OTHER BC/BS
PA 204563 OTHER UPMC

Physician Overview

NPI 1831376284
PAC ID by PECOS 8820008683
Professional Enrollment ID I20101201001184
Full Name Russell T Wible
Gender M
Medical School UNIV OF PITTSBURGH SCHOOL OF DENTAL MEDICINE
Graduation Year 1986
Primary Specialty ORAL SURGERY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
390211 SHARON REGIONAL HEALTH SYSTEM

Office Location

Street Address 689 N HERMITAGE RD
City HERMITAGE
State PA
Zip Code 16148-3203

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689670515 Davis Counseling Services Psychologist 689 N Hermitage Rd, Hermitage, PA 16148 2005-06-24
1821322009 Lymphedema Place, LLC Durable Medical Equipment & Medical Supplies 689 N Hermitage Rd, Ste 4, Hermitage, PA 16148-3203 2009-09-22
1134145279 Regina Scarmack Counselor 689 N Hermitage Rd, Hermitage, PA 16148-3203 2006-07-14
1568488773 Mary E. Davis Psychologist 689 N Hermitage Rd, Hermitage, PA 16148-3203 2006-07-14
1255364659 Melinda L. Hogue Social Worker 689 N Hermitage Rd, Hermitage, PA 16148-3203 2006-07-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770001513 Lee Ann Hougelman Licensed Practical Nurse 5454 E. State St., Hermitage, PA 16148 2017-08-31
1194245001 Samantha C Kilar Audiologist 1623 Dutch Lane, Hermitage, PA 16148 2017-06-21
1912289638 Amanda Jo Kline Physical Therapy Assistant 260 S Buhl Farm Drive, Whispering Oaks Suite 326, Hermitage, PA 16148 2011-09-20
1447548573 Robert Joseph Jackson Licensed Practical Nurse 5454 East State St, Hermitage, PA 16148 2011-07-11
1134416126 Marc Andrew Campbell Surgery 3952 Amhurst Drive, Hermitage, PA 16148 2011-06-29
1386974673 Susan Dawn Mehallick Specialist/Technologist 1005 Campus Circle, Hermitage, PA 16148 2010-01-08
1598906307 Elizabeth Anne Dague Counselor 40 Cohasset Drive, Hermitage, PA 16148 2009-03-09
1487829537 Denise E Kelley Counselor 3679 State St, Ste G, Hermitage, PA 16148 2008-04-29
1982883328 Health Link Services Community/Behavioral Health 2921 E State Street, Hermitage, PA 16148 2007-11-02
1689861965 Assisted Living Concepts Inc Assisted Living Facility 2400 Garden Way, Hermitage, PA 16148 2007-10-01
Find all providers in zip 16148

Taxonomy Information

Taxonomy Code 204E00000X
Grouping Allopathic & Osteopathic Physicians
Classification Oral & Maxillofacial Surgery

Taxonomy Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1104398510 Advanced Oral Surgery and Implant Center Oral & Maxillofacial Surgery 2571 Baglyos Cir Ste B23, Bethlehem, PA 18020-8051 2018-12-24
1376990853 Center City Oral & Maxillofacial Surgery Oral & Maxillofacial Surgery 1740 South St Ste 302, Philadelphia, PA 19146-1572 2016-05-16
1962782318 Stuart None Heydt Oral & Maxillofacial Surgery 544 Olde Course Rd, Hershey, PA 17033-1337 2011-08-17
1023338845 Donald E Roland Jr. Oral & Maxillofacial Surgery 500 Heritage Dr, Pottstown, PA 19464-3233 2010-06-03
1316176159 Jason W Yu Oral & Maxillofacial Surgery 3400 Civic Center Blvd Fl 14, Philadelphia, PA 19104-5127 2009-07-14
1346418241 Jonathan L Voiner Oral & Maxillofacial Surgery 21 Industrial Blvd Suite 100, Paoli, PA 19301 2008-02-13
1669694964 Aloysius Vincetn Murcko Sr. Oral & Maxillofacial Surgery 7421 Sharon Mercer Road, Mercer, PA 16137-6538 2007-05-03
1780705475 Drs Ronald & Christopher Dileo Oral & Maxillofacial Surgery 4104 W Tilghman Street, Allentown, PA 18104 2007-04-02
1760544282 Richard T Kingston Jr. Oral & Maxillofacial Surgery 2414 Schoenersville Rd, Bethlehem, PA 18017 2006-12-14
1144396177 Pasqual Associates Oral & Maxillofacial Surgery 603 Washington Road, Pittsburgh, PA 15228-1909 2006-11-28
Find all providers with the same taxonomy

Competitor

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City HERMITAGE
Zip Code 16148

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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