CHARLES EUGENE STREAM


Address: 133 East Fredeick Street, Lancaster, PA 17602
Phone: 7173949821

CHARLES EUGENE STREAM (NPI# 1114355104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114355104
Entity Type Individual
Full Name CHARLES EUGENE STREAM
Credential PA-C
Practice Address 133 East Fredeick Street
Lancaster
PA 17602
Practice Telephone 7173949821
Practice Fax Number 7173940175
Mailing Telephone 7173949821
Mailing Fax Number 7173940175
Enumeration Date 2013-10-29
Last Update Date 2013-10-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
MA001924L PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 133 EAST FREDEICK STREET
City LANCASTER
State PA
Zip Code 17602

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1083094577 Gracie Berry Counselor 413 Church St, Lancaster, PA 17602 2015-06-01
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1205236965 Maria Taylor Physician Assistant 555 N Duke Street, Lghp Hospitalists, Lancaster, PA 17602 2014-09-01
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821697376 Sidney Patel Physician Assistant 1834 Oregon Pike Ste 20, Lancaster, PA 17601-6463 2020-10-25
1982938593 Kathleen M. Thatcher Physician Assistant 401 N. Ewing Street, Fairfield Emergency Physicians, Lancaster, OH 43130 2009-09-29
1033373014 Rachel Leanne Thompson Physician Assistant 701 N Duke St, Lancaster, PA 17602-2019 2008-07-18
1659584746 Sharon Kay Ashton Physician Assistant 1652 W Avenue J, Lancaster, CA 93534-2814 2007-05-07
1477662203 Joaquin J Garcia Physician Assistant 2150 Noll Drive, Suite 100, Lancaster, PA 17603 2006-08-29
1467488072 Kelly O'sullivan Physician Assistant 3 Silent Meadow Ln, Dept of Medicine, Lancaster, NY 14086-3430 2006-06-24
1891738001 Paul Richard Leaman Physician Assistant 625 S. Duke St., Lancaster, PA 17602-0598 2006-06-14
1942249420 Brian Andrew Martin Physician Assistant 2150 Noll Dr Ste 100, Lancaster, PA 17603-7605 2006-06-06
1891742755 Christine N Kurpiel Physician Assistant 1861 Charter Ln, Suite 118, Lancaster, PA 17601-6736 2006-05-27
1770583304 Darrell T Lind Physician Assistant 43322 Gingham Ave # 104&105, Lancaster, CA 93535-4569 2005-07-26
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Competitor

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City LANCASTER
Zip Code 17602

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Dataset Information

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.

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