KATHLEEN MANTZ GOTWALS (NPI# 1033119482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033119482 |
| Entity Type | Individual |
| Full Name | KATHLEEN MANTZ GOTWALS |
| Credential | PA-C |
| Practice Address |
2781 Geryville Pike Pennsburg PA 18073-2306 |
| Mailing Address |
Po Box 216 Pennsburg PA 18073-0216 |
| Practice Telephone | 2156798071 |
| Practice Fax Number | 2155414171 |
| Mailing Telephone | 2156798071 |
| Mailing Fax Number | 2155414171 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA002439L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2781 GERYVILLE PIKE |
| City | PENNSBURG |
| State | PA |
| Zip Code | 18073-2306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730566357 | Valley Medical Center of Pennsburg, LLC | Physician Assistant | 2781 Geryville Pike, Pennsburg, PA 18073-2306 | 2015-05-04 |
| 1629078936 | Priscilla Jean Benner | Internal Medicine | 2781 Geryville Pike, Pennsburg, PA 18073-2306 | 2005-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558610162 | Laura Tomasso | Registered Nurse | 115 Penn St, Pennsburg, PA 18073 | 2012-08-29 |
| 1558312710 | Upper Perk Family Dental | Dentist | 2771 Geryville Pike, Pennsburg, PA 18073 | 2006-05-13 |
| 1679535686 | Stephanie Elizabeth Cleaver | Physical Therapist | 101 7th Street, Pennsburg, PA 18073 | 2006-04-05 |
| 1427578467 | Sarah Anne Heck | Occupational Therapist | 530 Macoby St, Pennsburg, PA 18073 | 2017-06-21 |
| 1619424256 | Linzy Peloso | Nurse Practitioner | 925 Main Street, #100, Pennsburg, PA 18073 | 2016-09-01 |
| 1023469608 | Next Step Foot & Ankle Center, LLC | Podiatrist | 158 Main St, Pennsburg, PA 18073 | 2016-06-25 |
| 1447631155 | Brittany Kuperavage | Family Medicine | 2793 Geryville Pike Ste 200, Pennsburg, PA 18073 | 2015-06-18 |
| 1710377288 | Amber Wunder | Behavioral Analyst | 1044 Runaway Dr, Pennsburg, PA 18073 | 2015-02-04 |
| 1265466130 | Richard A Ciccantelli | Podiatrist | 158 Main St, Pennsburg, PA 18073 | 2006-07-10 |
| 1982659603 | Richard B Bray | Dentist | 2771 Geryville Pike, Pennsburg, PA 18073 | 2006-05-23 |
| Find all providers in zip 18073 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355341 | Julia Majewicz Wilson | Physician Assistant | 111 Pa-715, #102, Brodheadsville, PA 18322 | 2020-10-29 |
| 1417557273 | Jared Michael Yon | Physician Assistant | 902 Dale Ave, Bradfordwoods, PA 15015-1236 | 2020-10-29 |
| 1295335230 | Jillian Ann Korgeski | Physician Assistant | 400 Corner St, Dunmore, PA 18512-2348 | 2020-10-29 |
| 1821697376 | Sidney Patel | Physician Assistant | 1834 Oregon Pike Ste 20, Lancaster, PA 17601-6463 | 2020-10-25 |
| 1629677356 | Jason Christopher Takacs Jr. | Physician Assistant | 510 Stockton Rdg, Cranberry Township, PA 16066-2280 | 2020-10-23 |
| 1467051763 | Molly Catherine Peters | Physician Assistant | 4338 Boone St, Philadelphia, PA 19128-4901 | 2020-10-19 |
| 1508465840 | Tran Quyen Tran | Physician Assistant | 2941 Hillside Rd, Broomall, PA 19008-1304 | 2020-10-19 |
| 1275132656 | Jessica Haley Stecklein | Physician Assistant | 696 Fir Ave, Langhorne, PA 19047-5450 | 2020-10-18 |
| 1083212625 | Kele Ferreira | Physician Assistant | 1201 Sandhill Rd, Lebanon, PA 17046-1943 | 2020-10-15 |
| 1386251619 | Nicholas James Lazorka | Physician Assistant | 195 Chapmans Round Top Rd, Montoursville, PA 17754-7508 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
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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.