MARY JANE SMALLEY (NPI# 1063661940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063661940 |
| Entity Type | Individual |
| Full Name | MARY JANE SMALLEY |
| Credential | CPNP |
| Practice Address |
1645 West 8th Street Shriners Hospitals for Children Erie Erie PA 16505-5097 |
| Mailing Address |
P O Box 8500 Shriners Hospitals for Children Lockbox #7642 Philadelphia PA 19178-7642 |
| Practice Telephone | 8008735437 |
| Practice Fax Number | 8148758796 |
| Mailing Telephone | 8132818478 |
| Mailing Fax Number | 8132818113 |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2012-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
SP009524 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
382009 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1645 WEST 8TH STREET SHRINERS HOSPITALS FOR CHILDREN ERIE |
| City | ERIE |
| State | PA |
| Zip Code | 16505-5097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033170469 | Marcie L Fitzgerald | Physician Assistant | 1645 West 8th Street, Shriners Hospitals for Children Erie, Erie, PA 16505-5097 | 2006-03-28 |
| 1316504699 | Robert Archbold | Student in an Organized Health Care Education/Training Program | 1645 West 8th Street, Suite 200, Erie, PA 16505 | 2019-05-22 |
| 1447588066 | Stephanie Elaine Lajohn | Nurse Anesthetist, Certified Registered | 1645 West 8th Street, Shriners Hospitals for Children Erie, Erie, PA 16505-5097 | 2009-11-19 |
| 1750425351 | Joao O Tavares | Orthopaedic Surgery | 1645 West 8th Street, Shriners Hospitals for Children Erie, Erie, PA 16505-5097 | 2007-02-16 |
| 1841334455 | Karl F Frankovitch | Orthopaedic Surgery | 1645 West 8th Street, Shriners Hospitals for Children Erie, Erie, PA 16505-5097 | 2007-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790275634 | Megan Elizabeth Rahill | Registered Nurse | 610 Seminole Dr, Erie, PA 16505 | 2018-05-16 |
| 1740784222 | Tracy Zong Cheng | Student in an Organized Health Care Education/Training Program | 1645 W 8th Street, Suite 200, Erie, PA 16505 | 2018-03-20 |
| 1073067724 | Epeople Health Care Inc | Home Health | 2133 W 8th St, Erie, PA 16505 | 2016-08-11 |
| 1629424411 | Kimberly Roderick | Registered Nurse | 1324 S. Shore Drive Apt. G07, Erie, PA 16505 | 2016-05-11 |
| 1437516432 | April Vogeley | Counselor | 1004 Farrell Road, Erie, PA 16505 | 2016-01-21 |
| 1538563499 | Laurence William Veihdeffer | Dentist | 2021 W 8 St., Erie, PA 16505 | 2014-10-21 |
| 1255617908 | Shannon Renee Luke | Licensed Practical Nurse | 1416 Custer Dr., Erie, PA 16505 | 2011-10-26 |
| 1699904227 | William Jackson Koehler | Social Worker | 2230 W 8th St Ste 2, Erie, PA 16505 | 2009-07-02 |
| 1972747657 | Kristen Marie Huber | Counselor | 823 Filmore Ave, Erie, PA 16505 | 2009-04-27 |
| 1851556351 | Stephanie Lynn Miller | Technician, Other | 2564 West 12th St., Erie, PA 16505 | 2008-07-23 |
| Find all providers in zip 16505 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861861270 | Marianne Bove | Nurse Practitioner | 3330 Peach St, Suite 106, Erie, PA 16508-2769 | 2015-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584404 | Elizabeth Perry Hayes | Nurse Practitioner | 837 Wilder St, Philadelphia, PA 19147-5713 | 2020-10-06 |
| 1013523133 | Hollis Hartman Stewart | Nurse Practitioner | 4 Foxwood Dr, Pittsburgh, PA 15238-2106 | 2020-09-23 |
| 1639784713 | Danzeleen Motil Mascaro | Nurse Practitioner | 503 Natalie Ln, Norristown, PA 19401-3111 | 2020-09-15 |
| 1952913527 | Lindsey Baranik | Nurse Practitioner | 711 Lawn Ave Ste 5, Sellersville, PA 18960-1583 | 2020-08-17 |
| 1952919771 | Caitlin Wetzler | Nurse Practitioner | 2028 Rittenhouse Sq Apt 103, Philadelphia, PA 19103-5621 | 2020-07-17 |
| 1871130120 | Alexandria Gustin | Nurse Practitioner | 500 Universisity Drive, Hershey, PA 17033-0858 | 2019-12-05 |
| 1013476134 | Victoria Nicole Hudson | Nurse Practitioner | 7056 Germantown Ave Ste 102, Philadelphia, PA 19119-1826 | 2019-03-18 |
| 1033674247 | Priscilla Korto A Tyler | Nurse Practitioner | 2509 Grove Ln, Trevose, PA 19053-6755 | 2019-02-01 |
| 1386108629 | Alison Leigh Kelley | Nurse Practitioner | 440 E Marshall St Fl 3, West Chester, PA 19380-5414 | 2019-01-30 |
| 1497239131 | Tal Levin-decanini | Nurse Practitioner | Complex Care Clinic, 4401 Penn Ave, Pittsburgh, PA 15224 | 2018-09-19 |
| 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.