MR. GREGORY A CUSTER (NPI# 1043389976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043389976 |
| Entity Type | Individual |
| Full Name | MR. GREGORY A CUSTER |
| Credential | PAC |
| Practice Address |
188 Industrial Park Rd Ste B Ebensburg PA 15931-4107 |
| Practice Telephone | 8144719005 |
| Practice Fax Number | 8144719007 |
| Mailing Telephone | 8144719005 |
| Mailing Fax Number | 8144719007 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA051350 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891808887 | Gregory Eric Custer | Dentist | 13615 N Cedarburg Road, Mequon, WI 53097 | 2006-08-16 |
| 1770568388 | Gregory Scott Custer | Counselor | 601 Addison Ave, Twin Falls, ID 83301-5204 | 2005-12-07 |
| Street Address |
188 INDUSTRIAL PARK RD STE B |
| City | EBENSBURG |
| State | PA |
| Zip Code | 15931-4107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588652986 | Elizabeth J Woods | Physician Assistant | 188 Industrial Park Rd, Ste B, Ebensburg, PA 15931-4107 | 2005-10-10 |
| 1831505981 | Dlp Conemaugh Physician Practices LLC | Family Medicine | 188 Industrial Park Rd, Ste. B, Ebensburg, PA 15931-4125 | 2014-07-09 |
| 1467882373 | Conemaugh Health Initiatives | Family Medicine | 188 Industrial Park Rd, Suite B, Ebensburg, PA 15931-4125 | 2013-11-14 |
| 1467881052 | Jodi M Rager | Nurse Practitioner | 188 Industrial Park Rd, Ste B, Ebensburg, PA 15931-4107 | 2013-11-05 |
| 1801992151 | Warner Family Medicine PC | Family Medicine | 188 Industrial Park Rd, Ste B 1, Ebensburg, PA 15931 | 2006-09-15 |
| 1831141159 | Nicole L Clapper | Family Medicine | 188 Industrial Park Rd, Suite B, Ebensburg, PA 15931-4125 | 2006-05-16 |
| 1568450872 | Michael J Warner | Neuromusculoskeletal Medicine & OMM | 188 Industrial Park Rd, Ste B, Ebensburg, PA 15931-4107 | 2005-10-11 |
| 1932197340 | Margaret K Warner | Family Medicine | 188 Industrial Park Rd, Ste B, Ebensburg, PA 15931-4107 | 2005-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245751288 | From The Heart Penn State | Home Health | 2354 Colver Road, Ebensburg, PA 15931 | 2017-06-29 |
| 1154722304 | Brenda Lee Stewart-bezilla | Specialist | 429 Manor Drive, Ebensburg, PA 15931 | 2014-09-08 |
| 1376959213 | Dlp Conemaugh Physician Practices LLC | Internal Medicine | 139 Cook Rd Ste 140, Ebensburg, PA 15931 | 2014-07-10 |
| 1083990220 | Brian J Sidone | Counselor | 3720 New Germany Rd, Ebensburg, PA 15931 | 2011-11-02 |
| 1508158643 | Ibrahim Mustafa Altubasi | Physical Therapist | 3053 New Germany Road, Ebensburg, PA 15931 | 2011-05-09 |
| 1710281381 | Samantha R Snowberger | Counselor | 499 Manor Dr, Ebensburg, PA 15931 | 2010-12-22 |
| 1003090416 | Robert Regis Maruca | Dentist | 300 W Highland Ave, Ebensburg, PA 15931 | 2007-12-20 |
| 1346375466 | Danna Johnson | Pharmacist | 4501 William Penn Highway, Ebensburg, PA 15931 | 2007-02-22 |
| 1811094352 | Bruce Allen Felix | Optometrist | 300 Wal-mart Drive, The Vision Center, Ebensburg, PA 15931 | 2006-09-19 |
| 1255440947 | Errol Dudley Henriques | General Practice | 519 North Caroline Street, Ebensburg, PA 15931 | 2006-08-29 |
| Find all providers in zip 15931 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588652986 | Elizabeth J Woods | Physician Assistant | 188 Industrial Park Rd, Ste B, Ebensburg, PA 15931-4107 | 2005-10-10 |
| 1609196757 | Julie Anne Reitnauer | Physician Assistant | 1100 W High St, Ebensburg, PA 15931-1706 | 2010-06-10 |
| 1386866192 | Cynthia Ann Cunningham | Physician Assistant | 425 Manor Dr, Ebensburg, PA 15931-4917 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316762 | Alyssa Ann Mikes | Physician Assistant | 6 New Countryside Dr, West Chester, PA 19382-6456 | 2020-11-08 |
| 1720689011 | Marissa Dawn Lamary | Physician Assistant | 1500 Fifth Ave Bldg Leveld, Mckeesport, PA 15132-2422 | 2020-11-04 |
| 1013517796 | Kifany M Gower | Physician Assistant | 1158 Wyoming Ave, Exeter, PA 18643-1815 | 2020-10-30 |
| 1922608645 | Meghan Michelle Allen | Physician Assistant | 4800 Friendship Ave Ste 439, Pittsburgh, PA 15224-1722 | 2020-10-30 |
| 1912507807 | Rachel Nye | Physician Assistant | 124 Home Depot Dr Ste D, Franklin, PA 16323-8030 | 2020-10-29 |
| 1487254306 | Zane T Mcguire | Physician Assistant | 378 W Chestnut St Ste 103, Washington, PA 15301-4661 | 2020-10-29 |
| 1740889443 | Tricia Harenza | Physician Assistant | 27 Sandy Ln Ste 250, Lewistown, PA 17044-1372 | 2020-10-22 |
| 1336748425 | Alexis Marie Ivosevic | Physician Assistant | 98 Deer Park Ln, Hawley, PA 18428-8223 | 2020-10-20 |
| 1780283986 | Margaret Ann Malloy | Physician Assistant | 3223 N Broad St Fl 1, Philadelphia, PA 19140-5007 | 2020-10-20 |
| 1851990170 | Jessica Marie Giordano | Physician Assistant | 201 Penn Valley Ter, Yardley, PA 19067-1028 | 2020-10-19 |
| 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.