MR. KEITH LODGE (NPI# 1104084714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104084714 |
| Entity Type | Individual |
| Full Name | MR. KEITH LODGE |
| Credential | M.S.ED |
| Practice Address |
1 Hospital Way Butler PA 16001-4670 |
| Mailing Address |
10164 Sudberry Dr Wexford PA 15090-9576 |
| Practice Telephone | 7242844275 |
| Mailing Telephone | 7242844275 |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2017-03-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
25 400 761 | PA | Behavioral Health & Social Service Providers |
| Street Address |
1 HOSPITAL WAY |
| City | BUTLER |
| State | PA |
| Zip Code | 16001-4670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134126295 | Clyde Schultheis | Radiology | 1 Hospital Way, Butler Imaging and Interventional Associates, Butler, PA 16001 | 2005-07-05 |
| 1720687924 | Lindsey Marie Mcferron | Nurse Anesthetist, Certified Registered | 1 Hospital Way, Butler, PA 16001-4670 | 2020-10-20 |
| 1710591011 | Butler Medical Providers | Nurse Anesthetist, Certified Registered | 1 Hospital Way, Butler, PA 16001-4670 | 2020-09-03 |
| 1780297275 | Kelsey Michenko | Physician Assistant | 1 Hospital Way, Butler, PA 16001-4670 | 2020-08-25 |
| 1497367650 | Mary E Defelice | Nurse Practitioner | 1 Hospital Way, Butler, PA 16001-4670 | 2020-08-19 |
| 1659989945 | Sophia I Koury | Physician Assistant | 1 Hospital Way, Butler, PA 16001-4670 | 2020-07-22 |
| 1558979203 | Bryan L Artiles | Nurse Practitioner | 1 Hospital Way, Butler, PA 16001-4670 | 2020-07-20 |
| 1154946911 | Sara Marie Kazman | Physician Assistant | 1 Hospital Way, Butler, PA 16001-4670 | 2020-06-08 |
| 1215565387 | Alyssa Nicole Dodd | Pharmacist | 1 Hospital Way, Butler, PA 16001-4670 | 2020-04-01 |
| 1700428885 | Brendon Ignatz | Nurse Anesthetist, Certified Registered | 1 Hospital Way, Butler, PA 16001-4670 | 2019-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407347842 | Sara Rae Saeler | Speech-Language Pathologist | Lifesteps Early Education Center, 383 New Castle Road, Butler, PA 16001 | 2018-05-22 |
| 1265937601 | Sang Chul Lee | Dentist | 222 W Cunningham St Ste 106, Butler, PA 16001 | 2018-03-27 |
| 1255850251 | Kristin Michelle Mohler | Nurse Practitioner | 353 N. Duffy Rd, Butler, PA 16001 | 2017-09-12 |
| 1164977096 | Jessica Rossman | Optometrist | 120 Hollywood Dr Ste 102, Butler, PA 16001 | 2016-08-21 |
| 1801244355 | The Care Center | Case Management | 115-121 East North Street, Butler, PA 16001 | 2016-05-25 |
| 1912385287 | Jennifer Marie Nelson | Registered Nurse | 121 Sawmill Ln, Butler, PA 16001 | 2015-05-07 |
| 1659799427 | Kelli M. Ruby | Psychiatry & Neurology | 901 E Brady St Ste 103, Butler, PA 16001 | 2014-03-31 |
| 1942627815 | Good Choices Counseling, LLC | Social Worker | 1022a North Main Street Extension, Butler, PA 16001 | 2014-03-27 |
| 1821415068 | Jill Charlene Ferguson | Counselor | 200 Renaissance Drive, Suite 301, Butler, PA 16001 | 2014-03-26 |
| 1922435668 | Sarah J Wagner | Counselor | 371 North Main Street, Second Floor, Butler, PA 16001 | 2013-09-26 |
| Find all providers in zip 16001 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225561699 | Nancy Williams | Counselor | 188 Kiel Ave, Butler, NJ 07405-1639 | 2017-04-04 |
| 1225448160 | Carol Katulich | Counselor | 226 New Castle St, Kids Count Inc., Butler, PA 16001-5254 | 2014-04-30 |
| 1285969972 | R Condon Consulting | Counselor | 115 Mar Vel Dr, Butler, PA 16001-1411 | 2009-10-14 |
| 1912232604 | Rhiannon W Condon | Counselor | 115 Mar Vel Dr, Butler, PA 16001-1411 | 2009-10-14 |
| 1750569588 | Charles Christian Diamond | Counselor | 325 New Castle Rd, Butler, PA 16001-2418 | 2008-02-04 |
| 1740467976 | Ellen Obrien Gaiser Addiction Center | Counselor | 315 Liberty Street, Butler, PA 16001-0000 | 2008-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740896851 | Laurelcare South/west LLC | Counselor | 1200 Brooks Ln Ste 210, Jefferson Hills, PA 15025-3761 | 2020-09-23 |
| 1750993325 | Dennis Lee Haynes Jr. | Counselor | 3501 Forbes Ave Fl 9, Pittsburgh, PA 15213-3317 | 2020-08-17 |
| 1992314850 | Finding Her Way, LLC | Counselor | 501 Valley Brook Rd Ste 204b, Mc Murray, PA 15317-3428 | 2020-07-27 |
| 1922626035 | Jane-marie Kennedy | Counselor | 2970 Corporate Ct Ste 1, Orefield, PA 18069-3158 | 2020-07-07 |
| 1871110270 | Randy Paul Macsisak | Counselor | 451 Chew St Ste 106, Allentown, PA 18102-3412 | 2020-07-01 |
| 1215554233 | Scott T Reiman | Counselor | 1224 Whitehall Ave, Easton, PA 18045-5621 | 2020-06-26 |
| 1386269231 | Rasheeda Jackson | Counselor | 117 Rosemar St, Philadelphia, PA 19120-1922 | 2020-06-16 |
| 1043835457 | Kelly Anne Clarke | Counselor | American Treatment Network Physician & Associates, 1120 Township Line Road, Havertown, PA 19083 | 2020-06-11 |
| 1215551452 | Grace Polohonki | Counselor | 490 Jefers Street, Dubois, PA 15801 | 2020-06-03 |
| 1902420425 | Harry Shane Falwell | Counselor | 2203 W Liberty St, Allentown, PA 18104-4323 | 2020-06-01 |
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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.