RALPH A. ODIERNO (NPI# 1023440450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023440450 |
| Entity Type | Individual |
| Full Name | RALPH A. ODIERNO |
| Credential | PAC |
| Practice Address |
701 Ostrum St Suite 603 Fountain Hill PA 18015-1155 |
| Practice Telephone | 4845263990 |
| Practice Fax Number | 6108682915 |
| Mailing Telephone | 4845263990 |
| Mailing Fax Number | 6108682915 |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2013-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA056212 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
701 OSTRUM ST SUITE 603 |
| City | FOUNTAIN HILL |
| State | PA |
| Zip Code | 18015-1155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508869710 | Robert S Gayner | Internal Medicine | 701 Ostrum St, Suite 602, Fountain Hill, PA 18015-1155 | 2005-05-23 |
| 1417571720 | Daniel George Franey | Surgery | 701 Ostrum St, Fountain Hill, PA 18015-1155 | 2020-06-02 |
| 1295359594 | Anthony Patrick Allsbrook | Surgery | 701 Ostrum St, Fountain Hill, PA 18015-1155 | 2020-06-02 |
| 1346782182 | Robbie S Hicks | Physician Assistant | 701 Ostrum St, Suite 201, Fountain Hill, PA 18015-1155 | 2016-11-10 |
| 1265983522 | Alexandra Therese Heavilon | Physician Assistant | 701 Ostrum St, Suite 403, Fountain Hill, PA 18015-1155 | 2016-10-20 |
| 1295285773 | Jacqueline Edwards | Physician Assistant | 701 Ostrum St, Suite 201, Fountain Hill, PA 18015-1155 | 2016-10-10 |
| 1144693284 | Ellyn Yackanicz | Physician Assistant | 701 Ostrum St, Suite 603, Fountain Hill, PA 18015-1155 | 2015-11-12 |
| 1528430931 | Hayley Rose Stauffer | Physician Assistant | 701 Ostrum St, Suite 601, Fountain Hill, PA 18015-1155 | 2015-10-25 |
| 1063880961 | Faith Burns | Physician Assistant | 701 Ostrum St, Suite 201, Fountain Hill, PA 18015-1155 | 2015-09-09 |
| 1003218777 | Breanna Little | Physician Assistant | 701 Ostrum St, Suite 302, Fountain Hill, PA 18015-1155 | 2014-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285253120 | Lorrette Ayers | Social Worker | St. Luke's Hospice, 2455 Black River Road, Bethlehem, PA 18015 | 2020-04-10 |
| 1982246278 | Hannah Do | Pharmacist | 817 E 4th St Apt 1, Bethlehem, PA 18015 | 2019-10-08 |
| 1568023737 | Nathan William White | Orthopaedic Surgery | 801 Ostrum Street Priscilla Payne Hurd Bldg, Bethlehem, PA 18015 | 2019-06-27 |
| 1437710076 | Samuel Schadt | Student in an Organized Health Care Education/Training Program | St. Luke's University Hospital, 801 Ostrum Street, Bethlehem, PA 18015 | 2019-06-25 |
| 1437716537 | Rachael Kramer | Counselor | 825 Delaware Avenue, Bethlehem, PA 18015 | 2019-05-23 |
| 1891358172 | Marko Yacoub | Dentist | 511 E 3rd Street, Fowler Bldg Suite 301, Bethlehem, PA 18015 | 2019-04-22 |
| 1649749748 | Chelsea Marie Breimann | Counselor | 826 Deleware Avenue, Fountain Hill, PA 18015 | 2018-11-19 |
| 1780179986 | Megan Minor | Emergency Medicine | 801 Ostrum St Ste 1, Bethlehem, PA 18015 | 2018-06-29 |
| 1831606128 | Lehigh University Autism Services | Clinic/Center | 111 Research Dr., Bethlehem, PA 18015 | 2018-01-08 |
| 1669901476 | Swati Agnihotri | Dentist | 511 E. 3rd Street Fowler Bldg, Suite 301, Bethlehem, PA 18015 | 2017-06-06 |
| Find all providers in zip 18015 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831667526 | Kaylee Grapsy | Physician Assistant | 701 Ostrum St Ste 503, Fountain Hill, PA 18015-1153 | 2018-11-12 |
| 1902315716 | Jessica Ketty Nalepka | Physician Assistant | 701 Ostrum St Ste 201, Fountain Hill, PA 18015-1152 | 2017-09-25 |
| 1346782182 | Robbie S Hicks | Physician Assistant | 701 Ostrum St, Suite 201, Fountain Hill, PA 18015-1155 | 2016-11-10 |
| 1265983522 | Alexandra Therese Heavilon | Physician Assistant | 701 Ostrum St, Suite 403, Fountain Hill, PA 18015-1155 | 2016-10-20 |
| 1164970927 | Jessica Thompson | Physician Assistant | 701 Ostrum St Ste 201, Fountain Hill, PA 18015-1152 | 2016-09-21 |
| 1144693284 | Ellyn Yackanicz | Physician Assistant | 701 Ostrum St, Suite 603, Fountain Hill, PA 18015-1155 | 2015-11-12 |
| 1528430931 | Hayley Rose Stauffer | Physician Assistant | 701 Ostrum St, Suite 601, Fountain Hill, PA 18015-1155 | 2015-10-25 |
| 1063880961 | Faith Burns | Physician Assistant | 701 Ostrum St, Suite 201, Fountain Hill, PA 18015-1155 | 2015-09-09 |
| 1235567603 | Natalie Chiarolanza | Physician Assistant | 701 Ostrum St, Suite 501, Fountain Hill, PA 18015-1155 | 2013-10-23 |
| 1871939298 | Abigail M. Richey | Physician Assistant | 701 Ostrum St, Suite 601, Fountain Hill, PA 18015-1155 | 2013-05-13 |
| Find all providers in FOUNTAIN HILL | ||||
| City | FOUNTAIN HILL |
| Zip Code | 18015 |
Please comment or provide details below to improve the information on RALPH A. ODIERNO.
| 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.