DR. DARCIE DESIDERIO (NPI# 1093956773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093956773 |
| Entity Type | Individual |
| Full Name | DR. DARCIE DESIDERIO |
| Credential | DNP, AGACNP-BC |
| Practice Address |
740 High St Ste 2001 Williamsport PA 17701-3102 |
| Mailing Address |
1201 Grampian Blvd Williamsport PA 17701-1900 |
| Practice Telephone | 5703212800 |
| Practice Fax Number | 5703213351 |
| Mailing Telephone | 5703268723 |
| Mailing Fax Number | 5703268922 |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2020-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
SP021543 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
SP021543 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
740 HIGH ST STE 2001 |
| City | WILLIAMSPORT |
| State | PA |
| Zip Code | 17701-3102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427043553 | Raymond S Resnick | Internal Medicine | 740 High St Ste 2001, Williamsport, PA 17701-3102 | 2005-09-14 |
| 1366908329 | Carlo Disalvo Gardner | Physician Assistant | 740 High St Ste 2001, Williamsport, PA 17701-3102 | 2019-02-14 |
| 1508340746 | Kelsey Lee Beard | Nurse Practitioner | 740 High St Ste 2001, Williamsport, PA 17701-3102 | 2018-09-24 |
| 1033691126 | Merete Alicia Vogelsong | Nurse Practitioner | 740 High St Ste 2001, Williamsport, PA 17701-3102 | 2018-09-05 |
| 1750709259 | Christopher Enwonwu | Radiology | 740 High St Ste 2001, Williamsport, PA 17701-3102 | 2014-04-01 |
| 1235571092 | Katie Anne Petersen | Nurse Practitioner | 740 High St Ste 2001, Williamsport, PA 17701-3102 | 2013-07-22 |
| 1578903134 | Umar Tariq | Radiology | 740 High St Ste 2001, Williamsport, PA 17701-3102 | 2013-06-27 |
| 1710276944 | Renee Dallasen Muchnik | Internal Medicine | 740 High St Ste 2001, Williamsport, PA 17701-3102 | 2011-03-28 |
| 1225331184 | Casey Yossa | Surgery | 740 High St Ste 2001, Williamsport, PA 17701-3102 | 2010-12-15 |
| 1619946498 | Charles H. Haney IIi | Physician Assistant | 740 High St Ste 2001, Williamsport, PA 17701-3102 | 2006-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
| 1396395299 | Susan E Fetzer | Occupational Therapy Assistant | Upmc Susquehanna,625 West Edwin Street, Williamsport, PA 17701 | 2019-09-13 |
| 1184280984 | Craig Andrew Tuller | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 | 2019-05-16 |
| 1760048045 | Michael Harvey | Student in an Organized Health Care Education/Training Program | 740 High St. Suite 4001, Williamsport, PA 17701 | 2019-05-13 |
| 1275196008 | Olivia Fladmark | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 | 2019-04-17 |
| 1528551231 | Mark Hampton Chiropractic Inc. | Durable Medical Equipment & Medical Supplies | 1111 East 3rd Street, Williamsport, PA 17701 | 2018-06-08 |
| 1548710882 | Central Pennsylvania Rehabilitation Medicine, Inc | Physical Medicine & Rehabilitation | 460 River Ave Ste 1, Williamsport, PA 17701 | 2016-10-11 |
| 1376096784 | Christine Kessler | Physician Assistant | One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 | 2016-08-02 |
| 1629440276 | Matthew Ray Rebuck | Specialist/Technologist | 220 N Reach Rd, Williamsport, PA 17701 | 2015-10-22 |
| 1508237223 | Neihl Williamson | Physician Assistant | 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 | 2015-10-08 |
| Find all providers in zip 17701 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184073025 | Danielle Renae Brannon | Nurse Practitioner | 1100 Grampian Blvd, Williamsport, PA 17701-1909 | 2016-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496575 | Albert Abbo | Nurse Practitioner | 801 Spruce St Fl 3, Philadelphia, PA 19107-5701 | 2020-10-30 |
| 1902411721 | Sean Arthur Deiter | Nurse Practitioner | 3619 Gypsy Ln, Philadelphia, PA 19129-1612 | 2020-09-09 |
| 1972117687 | Christopher Brian Cox | Nurse Practitioner | 4527 Kingsessing Ave Fl 1, Philadelphia, PA 19143-3712 | 2020-09-01 |
| 1700499969 | Maliha Amjed | Nurse Practitioner | 261 Old York Rd Ste 724, Jenkintown, PA 19046-3725 | 2020-08-27 |
| 1821606989 | Tony George | Nurse Practitioner | 1228 Meinel Rd, Huntingdon Valley, PA 19006-8412 | 2020-07-15 |
| 1780292854 | Malroney Mclean | Nurse Practitioner | 5300 Birney Hwy, Aston, PA 19014-1597 | 2020-07-15 |
| 1093336174 | Abdul Rahman Sesay | Nurse Practitioner | 741 Sharon Ave, Collingdale, PA 19023-3531 | 2020-04-30 |
| 1053949081 | Anna Sorci | Nurse Practitioner | 5401 Old York Rd # Klein300, Philadelphia, PA 19141-3030 | 2020-03-27 |
| 1235777863 | Kari Flynn | Nurse Practitioner | 255 W Lancaster Ave Ste 124, Paoli, PA 19301-1764 | 2019-12-13 |
| 1972149839 | Andrea Rivera Rodriguez | Nurse Practitioner | 1250 S Cedar Crest Blvd # 250, Allentown, PA 18103-6224 | 2019-11-25 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSPORT |
| Zip Code | 17701 |
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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.