PENN STATE HERSHEY ENDOSCOPY CENTER LLC (NPI# 1073816690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073816690 |
| Entity Type | Organization |
| Organization Name | PENN STATE HERSHEY ENDOSCOPY CENTER LLC |
| Practice Address |
32 Colonnade Way State College PA 16803-2309 |
| Practice Telephone | 8142724481 |
| Practice Fax Number | 8142724470 |
| Mailing Telephone | 8142724481 |
| Mailing Fax Number | 8142724470 |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2011-09-08 |
| Authorized Official Name | DR. JOEL HAIGHT (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8142724481 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
2287I501 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MEDICARE CCN | 39C0001291 | 01 |
| Street Address |
32 COLONNADE WAY |
| City | STATE COLLEGE |
| State | PA |
| Zip Code | 16803-2309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992781959 | Sara B Ferguson | Dermatology | 32 Colonnade Way, State College, PA 16803-2309 | 2005-12-21 |
| 1891320941 | Jill Nicole Sathish | Nurse Practitioner | 32 Colonnade Way, State College, PA 16803-2309 | 2020-03-10 |
| 1508203811 | Cassandra Joy Simonetta | Dermatology | 32 Colonnade Way, State College, PA 16803 | 2013-05-28 |
| 1679889471 | Tara S Baney | Nurse Practitioner | 32 Colonnade Way, State College, PA 16803 | 2010-08-31 |
| 1124170089 | Scott Kenneth Andrews | Family Medicine | 32 Colonnade Way, State College, PA 16803-2309 | 2007-01-18 |
| 1598729634 | Juan Qiu | Family Medicine | 32 Colonnade Way, State College, PA 16803 | 2006-04-14 |
| 1306809421 | Dawn M. Sanzotti | Physician Assistant | 32 Colonnade Way, State College, PA 16803-2309 | 2006-04-10 |
| 1104895945 | Joel B Haight | Internal Medicine | 32 Colonnade Way, State College, PA 16803-2309 | 2006-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851581 | Tammy Lynn Terosky | Massage Therapist | 2134 Sandy Drive, Suite 6, State College, PA 16803 | 2020-08-12 |
| 1548748973 | Molly Gomez | Occupational Therapist | 260 Lions Hill Road, State College, PA 16803 | 2018-07-28 |
| 1568981827 | David Scott Kautz | Pharmacist | 1665 North Atherton Place, State College, PA 16803 | 2017-09-18 |
| 1245751023 | Zenovia Tarmohamed | Student in an Organized Health Care Education/Training Program | 1850 East Park Avenue, Suite 207, Penn State Health At Mount Nittany Medical Center, State College, PA 16803 | 2017-06-30 |
| 1407205362 | Alka Sood | Student in an Organized Health Care Education/Training Program | 1850 E. Park Avenue, State College, PA 16803 | 2016-06-10 |
| 1588018766 | Daniel Frankel | Student in an Organized Health Care Education/Training Program | 1850 East Park Avenue, Suite 207, State College, PA 16803 | 2016-04-14 |
| 1154791903 | Megan Widener | Physician Assistant | 2520 Green Tech Dr., Ste. D, State College, PA 16803 | 2015-10-05 |
| 1114301330 | Phuong Tran Courtney | Physician Assistant | 1613 North Atherton Street, Suite B, State College, PA 16803 | 2015-07-17 |
| 1164806840 | Amit Thatte | Student in an Organized Health Care Education/Training Program | 1850 East Park Ave., Suite 207, Penn State Hershey Medical Group, State College, PA 16803 | 2015-07-13 |
| 1245588946 | Phoenix Rehabilitation and Health Services, Inc. | Chiropractor | 1700 Old Gatesburg Road, Suite 210, State College, PA 16803 | 2012-08-28 |
| Find all providers in zip 16803 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780752378 | Mount Nittany Medical Center | Clinic/Center | 1800 E Park Ave, State College, PA 16803-6701 | 2006-12-01 |
| 1780750620 | Mount Nittany Medical Center | Clinic/Center | 1850 E Park Ave, State College, PA 16803-6706 | 2006-11-24 |
| 1356411144 | Geisinger Clinic | Clinic/Center | 200 Scenery Drive, State College, PA 16803 | 2006-11-08 |
| 1609977610 | Uoc Surgical Services, Ltd. | Clinic/Center | 101 Regent Ct, State College, PA 16801-7965 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871108068 | Tilden Ambulatory Surgery Center, LLC | Clinic/Center | 61 Industrial Dr, Hamburg, PA 19526-8768 | 2020-09-14 |
| 1447862834 | Us Cardio Washington LLC | Clinic/Center | 1000 Park Place Dr Ste 201, Washington, PA 15301-2064 | 2020-08-18 |
| 1518575778 | Eye Surgery of The Main Line, LLC | Clinic/Center | 333 E City Avenue, Two Bala Plaza, Bala Cynwyd, PA 19004-1501 | 2020-07-14 |
| 1053934919 | Doylestown Surgery Center, LLC | Clinic/Center | 593 West State Street, Doylestown, PA 18901 | 2020-05-26 |
| 1811534555 | Midlantic Urology Surgery Center, LLC | Clinic/Center | Valley Forge Office Center, Suite 100, 676-656 East Swedesford Road, Wayne, PA 19087 | 2019-12-02 |
| 1750927190 | Hermitage Endoscopy Center Inc | Clinic/Center | 949 N Hermitage Road, Hermitage, PA 16148 | 2019-11-20 |
| 1508400920 | Nazareth Endoscopy Center, LLC | Clinic/Center | 2401 Northampton St Ste 220, Easton, PA 18045-2764 | 2019-10-29 |
| 1235788878 | Integrated Surgical Institute, LLC | Clinic/Center | West Ridge Business Campus, 1001 James Drive, Leesport, PA 19533 | 2019-09-06 |
| 1841759040 | Beaver Valley Ambulatory Surgery Center, LLC | Clinic/Center | 79 Wagner Road, Suite 101, Monaca, PA 15061-2489 | 2019-03-18 |
| 1669931861 | Urology Health Surgery Center, LLC | Clinic/Center | 1974 Sproul Rd Ste 104, Broomall, PA 19008-3402 | 2019-03-18 |
| Find all providers with the same taxonomy | ||||
| City | STATE COLLEGE |
| Zip Code | 16803 |
Please comment or provide details below to improve the information on PENN STATE HERSHEY ENDOSCOPY CENTER LLC.
| 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.