DR. SHANE RICHARD SPECHT (NPI# 1023545662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023545662 |
Entity Type | Individual |
Full Name | DR. SHANE RICHARD SPECHT |
Credential | DO |
Practice Address |
4830 Londonderry Rd Harrisburg PA 17109-5207 |
Mailing Address |
704 Knoll Dr Mount Joy PA 17552-9411 |
Practice Telephone | 7176572595 |
Mailing Telephone | 6103345515 |
Enumeration Date | 2017-05-14 |
Last Update Date | 2017-05-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | PA | Student, Health Care |
Street Address |
4830 LONDONDERRY RD |
City | HARRISBURG |
State | PA |
Zip Code | 17109-5207 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205832177 | David Bronstein Do Richard H Jeffries Do Professional Assoc | Internal Medicine | 4830 Londonderry Rd, Harrisburg, PA 17109-5207 | 2005-06-24 |
1134760465 | Gabrielle Marie Kulig | Registered Nurse | 4830 Londonderry Rd, Harrisburg, PA 17109-5207 | 2019-10-08 |
1013493105 | Gina M Koons | Registered Nurse | 4830 Londonderry Rd, Harrisburg, PA 17109-5207 | 2018-07-12 |
1588188858 | Brieann N Buletza | Physical Therapist | 4830 Londonderry Rd, Harrisburg, PA 17109-5207 | 2017-07-28 |
1033646955 | Matthew Heffernan | Student in an Organized Health Care Education/Training Program | 4830 Londonderry Rd, Harrisburg, PA 17109-5207 | 2017-05-23 |
1427585629 | Aaron Charles Barasch | Internal Medicine | 4830 Londonderry Rd, Harrisburg, PA 17109-5207 | 2017-05-18 |
1013444587 | Dominic Joseph Pinciotti | Student in an Organized Health Care Education/Training Program | 4830 Londonderry Rd, Harrisburg, PA 17109-5207 | 2017-05-16 |
1962818377 | Sarah Elizabeth Rhodes | Internal Medicine | 4830 Londonderry Rd, Harrisburg, PA 17109-5207 | 2014-07-07 |
1720329170 | Caitlin Johanna Warf | Internal Medicine | 4830 Londonderry Rd, Harrisburg, PA 17109-5207 | 2013-03-11 |
1184952855 | Anthony Mark Hackett | Physician Assistant | 4830 Londonderry Rd, Harrisburg, PA 17109-5207 | 2009-11-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841786852 | Caroline Lippe | Surgery | Upmc Pinnacle Training Programs, 4300 Londonderry Road, Harrisburg, PA 17109 | 2018-07-03 |
1073000477 | Sunny R Parekh | Orthopaedic Surgery | Upmc Pinnacle, 4300 Londonderry Road, Harrisburg, PA 17109 | 2018-04-20 |
1003329459 | Liyah Care Homecare, LLC | In Home Supportive Care | 301 N. Progress Ave, #c5, Harrisburg, PA 17109 | 2017-11-08 |
1073069951 | Hannah Marie Lafleur | Specialist/Technologist | 500 Nevada Ave., Harrisburg, PA 17109 | 2016-08-30 |
1467792333 | Donna M Oswandel | Registered Nurse | 4300 Londonderry Rd Ste 202, Harrisburg, PA 17109 | 2013-02-28 |
1841575206 | Jeanine D Bucek | Nurse Practitioner | 550 North Progress Avenue, Harrisburg, PA 17109 | 2011-10-18 |
1225348899 | Ashley Dominique Hudson | Optometrist | Route 22 and Colonial Rd., Suite 74, Harrisburg, PA 17109 | 2010-10-18 |
1215177183 | Schappell Chiropractic, PC | Chiropractor | 3301 Schoolhouse Lane, Harrisburg, PA 17109 | 2009-03-04 |
1902057524 | Orthopedic Surgeons Ltd | Orthopaedic Surgery | 450 Powers Avenue, Harrisburg, PA 17109 | 2008-10-01 |
1124286984 | Scott Kevin Leedy | Dentist | 3106 Walnut Street, Harrisburg, PA 17109 | 2008-05-29 |
Find all providers in zip 17109 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114541364 | Kolsoum Yari | Student in an Organized Health Care Education/Training Program | 205 S Front St, Suite 3c Upmc Pinnacle Internal Medicin, Harrisburg, PA 17104 | 2020-06-03 |
1568086932 | Firdausi Abubakar Matawalle | Student in an Organized Health Care Education/Training Program | 205 S Front Street, Suite 3c Upmc Pinnacle Hospital, Harrisburg, PA 17104 | 2020-06-02 |
1467075853 | Medhavi Rajput | Student in an Organized Health Care Education/Training Program | 205 S Front St, Suite 3c Upmc Pinnacle, Internal Medici, Harrisburg, PA 17104 | 2020-05-20 |
1306496443 | Jinah Kim | Student in an Organized Health Care Education/Training Program | 205 S. Front St., Brady Building, Harrisburg, PA 17104 | 2019-09-19 |
1548723786 | Tabinda Saleem | Student in an Organized Health Care Education/Training Program | 2055 Front Street, Upmc Pinnacle Hospital, Suite 3c, Harrisburg, PA 17104 | 2019-04-12 |
1124581376 | Hafiz Muhammad Siddi Qurashi | Student in an Organized Health Care Education/Training Program | 205 S. Front Street, Upmc Pinnacle Hospital, Suite 3c, Harrisburg, PA 17104 | 2019-04-12 |
1558824870 | Panupong Hansrivijit | Student in an Organized Health Care Education/Training Program | 205 S. Front Street, Upmc Pinnacle Internal Medicine, Suite 3c, Harrisburg, PA 17104 | 2019-04-12 |
1063974376 | Fnu Kriti | Student in an Organized Health Care Education/Training Program | 205 S. Front Street - Upmc Pinnacle, Suite 3c, Harrisburg, PA 17104 | 2019-04-04 |
1093276180 | Christina Terri Dimech | Student in an Organized Health Care Education/Training Program | 205 S. Front Street, Suite 3c, Harrisburg, PA 17104 | 2019-03-29 |
1962969683 | Taylor Marie Brown | Student in an Organized Health Care Education/Training Program | 6052 Roseway Ct, Harrisburg, NC 28075-6505 | 2019-02-28 |
Find all providers in HARRISBURG |
City | HARRISBURG |
Zip Code | 17109 |
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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.