KATIE BLAZUSIAK (NPI# 1033589205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033589205 |
Entity Type | Individual |
Full Name | KATIE BLAZUSIAK |
Practice Address |
1250 S Cedar Crest Blvd Ste 300 Allentown PA 18103-6224 |
Mailing Address |
Po Box 783311 Philadelphia PA 19178-3311 |
Practice Telephone | 6104023110 |
Practice Fax Number | 6104023112 |
Enumeration Date | 2015-10-01 |
Last Update Date | 2015-10-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
SP015421 | PA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1250 S CEDAR CREST BLVD STE 300 |
City | ALLENTOWN |
State | PA |
Zip Code | 18103-6224 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477558062 | Sarah Dolcemascolo | Physician Assistant | 1250 S Cedar Crest Blvd, Ste 300, Allentown, PA 18103-6224 | 2005-06-20 |
1336782127 | Bella Hearing Systems | Hearing Instrument Specialist | 1250 S Cedar Crest Blvd, Allentown, PA 18103-6224 | 2019-10-24 |
1942768619 | Allyson Buckshaw | Nurse Practitioner | 1250 S Cedar Crest Blvd, Allentown, PA 18103-6224 | 2019-03-12 |
1992285712 | Matthew J Cummings | Physician Assistant | 1250 S Cedar Crest Blvd, Suite 110, Allentown, PA 18103-6224 | 2018-08-21 |
1841707866 | Tamara Callender | Nurse Practitioner | 1250 S Cedar Crest Blvd, Suite 400, Allentown, PA 18103 | 2017-12-30 |
1144730227 | Michelle Lynn Gessner | Physician Assistant | 1250 S Cedar Crest Blvd, Suite 400, Allentown, PA 18103 | 2017-10-03 |
1104362649 | Matthew Shaw | Physician Assistant | 1250 S Cedar Crest Blvd, Ste 110, Allentown, PA 18103-6224 | 2017-01-09 |
1699227314 | Connor Prince | Physician Assistant | 1250 S Cedar Crest Blvd, Ste 310, Allentown, PA 18103-6224 | 2016-10-28 |
1649729070 | Sarah Connors | Physician Assistant | 1250 S Cedar Crest Blvd, Ste 215, Allentown, PA 18103-6224 | 2016-09-27 |
1285183715 | Samantha Schramak | Physician Assistant | 1250 S Cedar Crest Blvd, #400, Allentown, PA 18103-6224 | 2016-09-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376156752 | Syed Ali Aown | Internal Medicine | 1200 Cedar Crest Blvd Department of Education-office Of, Allentown, PA 18103 | 2020-08-26 |
1558980169 | Shelley M. Spence | Occupational Therapist | 1243 South Cc Blvd., Suite 302, Allentown, PA 18103 | 2020-04-14 |
1386133791 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1259 S Cedar Crest Blvd Ste 336, Allentown, PA 18103 | 2018-05-02 |
1366939555 | St. Luke's Physician Group, Inc. | Family Medicine | 3570 Hamilton Blvd Ste 201, Allentown, PA 18103 | 2018-04-13 |
1942701008 | Bradford Young Family & Cosmetic Dentistry | Dentist | 1275 S. Cedar Crest Boulevard, Allentown, PA 18103 | 2018-02-23 |
1598275281 | Lorillie Soleta | Nurse Practitioner | Good Shepherd Rehabilitation Network, 850 South 5th St., Allentown, PA 18103 | 2017-10-06 |
1538681457 | Rahul Gupta | Internal Medicine | Lehigh Valley Physicians Practice, 1250 S. Cedar Crest Blvd, Ste. 300, Allentown, PA 18103 | 2017-07-12 |
1669992962 | Aaron Michael Roman | Audiologist | 1210 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-27 |
1134658404 | Gyujae Choi | Internal Medicine | 1200 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-08 |
1255713731 | Firely Home for Kids | Skilled Nursing Facility | 2402 Sunshine Rd, Allentown, PA 18103 | 2015-06-22 |
Find all providers in zip 18103 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790336543 | Angela Olarte | Nurse Practitioner | 1627 Chew St Ste 403, Allentown, PA 18102-3648 | 2019-09-24 |
1518432194 | Annette Gomez | Nurse Practitioner | 2024 Lehigh St Ste 100, Allentown, PA 18103-4938 | 2018-10-10 |
1518964907 | Catherine Teresa Caruso | Nurse Practitioner | 203 Park Vista Terrace, Allentown, PA 18104 | 2005-06-30 |
1104305887 | Rebecca L Dejesus | Nurse Practitioner | 1627 Chew St Ste 101, Allentown, PA 18102 | 2018-08-13 |
1821532912 | Debra Phyllis Raffo | Nurse Practitioner | 1605 N Cedar Crest Blvd Ste 110b, Allentown, PA 18104-2351 | 2016-12-08 |
1497204788 | Loretta Ann Devivo | Nurse Practitioner | 1627 Chew St, Allentown, PA 18102-3648 | 2016-09-27 |
1811441256 | Katherine Penetar | Nurse Practitioner | 1250 S Cedar Crest Blvd, Ste 310, Allentown, PA 18103-6224 | 2016-08-14 |
1902253131 | Allyson Edwards | Nurse Practitioner | 1250 S Cedar Crest Blvd, Ste 300, Allentown, PA 18103-6224 | 2016-05-18 |
1932572013 | Mark Harvey | Nurse Practitioner | 1230 S Cedar Crest Blvd, Ste 201, Allentown, PA 18103-6367 | 2015-11-11 |
1730565250 | Afanwingong Che Lafon | Nurse Practitioner | 1627 Chew St, Ground Floor, Allentown, PA 18102-3648 | 2015-08-06 |
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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.