DR. HARRIS BADERAK (NPI# 1114946217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114946217 |
| Entity Type | Individual |
| Full Name | DR. HARRIS BADERAK |
| Credential | D.O. |
| Practice Address |
169 Martin Ave Ephrata PA 17522-1002 |
| Mailing Address |
980 Fairview Ave Ephrata PA 17522-1319 |
| Practice Telephone | 7177386420 |
| Mailing Telephone | 7177333515 |
| Mailing Fax Number | 7177382866 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207P00000X | Emergency Medicine | OS-003842-L | PA | Allopathic & Osteopathic Physicians |
| X | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
OS-003842-L | PA | Allopathic & Osteopathic Physicians |
| Street Address |
169 MARTIN AVE |
| City | EPHRATA |
| State | PA |
| Zip Code | 17522-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073516233 | John Charles Nawa | Radiology | 169 Martin Ave, Ephrata Community Hospital, Imaging Dept, Ephrata, PA 17522-1724 | 2005-05-23 |
| 1265048565 | Sharon M Szychowski | Nurse Practitioner | 169 Martin Ave, Ephrata, PA 17522-1724 | 2020-09-22 |
| 1770198889 | Amber N Banner | Nurse Practitioner | 169 Martin Ave, Ephrata, PA 17522-1724 | 2020-09-15 |
| 1487277802 | Allen Arslanian | Nurse Anesthetist, Certified Registered | 169 Martin Ave, Ephrata, PA 17522-1724 | 2020-05-20 |
| 1053932749 | Larry Dean Mellott | Nurse Anesthetist, Certified Registered | 169 Martin Ave, Ephrata, PA 17522-1724 | 2020-05-04 |
| 1457981078 | Heather D Mccord | Hospitalist | 169 Martin Ave, Ephrata, PA 17522-1724 | 2020-01-23 |
| 1902455538 | Jonathan Daniel Palmer | Physician Assistant | 169 Martin Ave, Ephrata, PA 17522-1724 | 2019-09-06 |
| 1144876343 | Jocelyn Sarah Stoudt | Hospitalist | 169 Martin Ave, Ephrata, PA 17522-1724 | 2019-08-13 |
| 1942770185 | Rosemarie Vickery | Nurse Practitioner | 169 Martin Ave, Ephrata, PA 17522-1724 | 2018-11-30 |
| 1790251007 | Geordann Weik | Speech-Language Pathologist | 169 Martin Ave, Ephrata, PA 17522-1724 | 2018-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427667336 | Indiju 4 Dental LLC | Clinic/Center | 4240 Oregeon Pk., Ephrata, PA 17522 | 2020-07-27 |
| 1134778251 | Anna Thornton | Pharmacist | Ephrata Outpatient Pharmacy-wellspan, 183 N. Reading Road, Suite 9, Ephrata, PA 17522 | 2019-09-11 |
| 1316320898 | Shivani Bista | Obstetrics & Gynecology | 175 Martin Ave Ste 125, Ephrata, PA 17522 | 2015-07-02 |
| 1336583475 | Ccjp, Inc. | In Home Supportive Care | 1060 S. State Street, Suite E, Ephrata, PA 17522 | 2013-04-19 |
| 1548503600 | Timothy Lawrence Basom | Physical Therapist | 136 E Lake St, Ephrata, PA 17522 | 2013-03-27 |
| 1316228406 | Cheryl L. Stephen | Nurse Practitioner | 466 N. Reading Rd, Suite 301, Ephrata, PA 17522 | 2011-09-01 |
| 1174833743 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 803 Oak Boulevard, Ephrata, PA 17522 | 2010-10-18 |
| 1487964953 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 957 Hammon Avenue, Ephrata, PA 17522 | 2010-10-18 |
| 1396957148 | Carl Richard Hankel | Nurse Practitioner | 4237 Oregon Pike, Worknet Occupational Medicine, Ephrata, PA 17522 | 2007-05-04 |
| 1396877726 | Regional Gastroenterology Associates of Lancaster, Ltd | Clinic/Center | 4140 Oregon Pike, Ephrata, PA 17522 | 2007-03-12 |
| Find all providers in zip 17522 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871906347 | Adam Batog | Emergency Medicine | 169 Martin Ave, Ephrata, PA 17522 | 2014-06-03 |
| 1023437654 | Michael Stengel | Emergency Medicine | 169 Martin Ave, Ephrata, PA 17522-1724 | 2014-04-10 |
| 1548688161 | Kenneth Glassford | Emergency Medicine | 169 Martin Ave, Ephrata, PA 17522-1724 | 2014-04-01 |
| 1710279427 | Obinna Nwosu | Emergency Medicine | 169 Martin Ave, Ephrata, PA 17522-1724 | 2011-05-12 |
| 1992097364 | Callie Tucker Dagen | Emergency Medicine | 169 Martin Ave, Ephrata, PA 17522-1724 | 2011-05-04 |
| 1609165687 | David Charles Zimmerman | Emergency Medicine | 169 Martin Ave, Ephrata, PA 17522-1724 | 2011-03-30 |
| 1699802454 | Ephrata Community Hospital | Emergency Medicine | 169 Martin Ave, Ephrata, PA 17522-1724 | 2007-02-28 |
| 1750417754 | Edward R Kennedy | Emergency Medicine | 169 Martin Ave, Ephrata, PA 17522-1724 | 2007-02-26 |
| 1447385976 | Steven Zebert | Emergency Medicine | 169 Martin Ave, Ephrata, PA 17522-1724 | 2007-02-23 |
| 1851426308 | David M Weber | Emergency Medicine | 169 Martin Ave, Ephrata, PA 17522-1724 | 2007-02-23 |
| Find all providers in EPHRATA | ||||
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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.