JASMINE M HALLORAN (NPI# 1124090162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124090162 |
| Entity Type | Individual |
| Full Name | JASMINE M HALLORAN |
| Credential | PAC |
| Practice Address |
100 E Lancaster Ave Wynnewood PA 19096-3450 |
| Mailing Address |
622 S 16th St Apt. 1 Philadelphia PA 19146-1551 |
| Practice Telephone | 6106452420 |
| Mailing Telephone | 2153707276 |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2008-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA19584 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | MA051866 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
100 E LANCASTER AVE |
| City | WYNNEWOOD |
| State | PA |
| Zip Code | 19096-3450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003819079 | Robert D. Smink Jr. | Surgery | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2005-05-24 |
| 1164021713 | Clay Johnson | Physician Assistant | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-10-23 |
| 1447858725 | Anthony Montello | Nurse Anesthetist, Certified Registered | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-10-09 |
| 1982216107 | Delaware Valley I.d. Associates, P.C. | Clinic/Center | 100 E Lancaster Ave, Mob East 556, Wynnewood, PA 19096 | 2020-08-19 |
| 1831708551 | Farouk Al Chami | Student in an Organized Health Care Education/Training Program | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-28 |
| 1225647944 | Farah Olleik | Internal Medicine | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-28 |
| 1134738859 | Talar Telvizian | Student in an Organized Health Care Education/Training Program | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-28 |
| 1962011833 | Fares Sukhon | Student in an Organized Health Care Education/Training Program | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-27 |
| 1700494028 | Aviad Lavian | Internal Medicine | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-22 |
| 1700404472 | Dalia Amrom | Internal Medicine | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831727866 | Jeffrey Glenn Johnston | Hospitalist | Lankenau Medical Center. 100 E Lancaster Ave, Wynnewood, PA 19096 | 2020-03-27 |
| 1326500331 | Maitri Pancholy | Student in an Organized Health Care Education/Training Program | Annenberg Center, G-10, 100 Lancaster Avenue, Wynnewood, PA 19096 | 2019-04-01 |
| 1306355987 | Karie Elizabeth Melton | Social Worker | 250 E Wynnewood Rd E12, Wynnewood, PA 19096 | 2017-09-26 |
| 1518320662 | Kaitlyn Kennard | Surgery | 100 Lancaster Ave Mob South Suite 422, Wynnewood, PA 19096 | 2016-04-05 |
| 1366814675 | Linda Elkins | Counselor | 543 Haverford Rd, Wynnewood, PA 19096 | 2015-10-26 |
| 1619347655 | Tessa Kovick | Registered Nurse | 100 E Lancaster Ave Ste 114, Wynnewood, PA 19096 | 2015-10-02 |
| 1922476415 | Amy Lenrow | Skilled Nursing Facility | 1510 Powder Mill Lane, Wynnewood, PA 19096 | 2015-09-14 |
| 1144602855 | Casey Dajao | Internal Medicine | 100 E Lancaster Ave Ste 140, Wynnewood, PA 19096 | 2015-06-18 |
| 1649666223 | Benjamin Larson | Internal Medicine | 100 E Lancaster Ave Ste B11, Wynnewood, PA 19096 | 2015-04-10 |
| 1760873285 | Kathleen Gilmartin | Nurse Practitioner | 100 East Lancaster Ave, Wynnewood, PA 19096 | 2015-02-06 |
| Find all providers in zip 19096 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578631701 | Kristine Michelle Trotter | Physician Assistant | 100 W Lancaster Avenue, Wynnewood, PA 19096 | 2006-12-04 |
| 1245202290 | Brooke L Milot | Physician Assistant | 100 W Lancaster Ave, Wynnewood, PA 19096 | 2006-02-03 |
| 1164021713 | Clay Johnson | Physician Assistant | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-10-23 |
| 1922642115 | Jessica Cataldo-ramirez | Physician Assistant | 100 E. Lancaster Avenue, Medical Science Building, Suite 275, Wynnewood, PA 19096 | 2019-10-31 |
| 1053960690 | Justin Domenico | Physician Assistant | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2019-09-06 |
| 1992354831 | Brittany Farra | Physician Assistant | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2019-09-04 |
| 1558846519 | Gregory Mcgaurn | Physician Assistant | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2018-09-26 |
| 1073097317 | Katherine Anne Mcgovern | Physician Assistant | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2018-09-22 |
| 1356796767 | Brittany Ann Griffin | Physician Assistant | 100 E Lancaster Ave, Mezzanine Level, Heart Pavilion, Wynnewood, PA 19096-3450 | 2016-05-04 |
| 1629437660 | Maureen O'donnell | Physician Assistant | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2016-02-18 |
| Find all providers in WYNNEWOOD | ||||
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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.