KRISTOPHER ERICK MEDINA (NPI# 1124416185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124416185 |
| Entity Type | Individual |
| Full Name | KRISTOPHER ERICK MEDINA |
| Practice Address |
21 Industrial Blvd Suite 205 Paoli PA 19301-1610 |
| Practice Telephone | 6106478000 |
| Practice Fax Number | 6106476394 |
| Mailing Telephone | 6106478000 |
| Mailing Fax Number | 6106476394 |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2015-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP014662 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
21 INDUSTRIAL BLVD SUITE 205 |
| City | PAOLI |
| State | PA |
| Zip Code | 19301-1610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386637338 | Stephen Cary Fox | Internal Medicine | 21 Industrial Blvd, Suite 204, Paoli, PA 19301-1610 | 2005-08-25 |
| 1154826337 | Annette M Sexton | Nurse Practitioner | 21 Industrial Blvd, Ste 205, Paoli, PA 19301-1610 | 2018-03-28 |
| 1568659787 | The Fox Medical Oncology Center, PC | Internal Medicine | 21 Industrial Blvd, Suite 204, Paoli, PA 19301-1610 | 2007-10-02 |
| 1558578732 | Dennis A Sharkey IIi | Dentist | 21 Industrial Blvd, Suite 202, Paoli, PA 19301-1610 | 2007-05-17 |
| 1073677597 | Paoli Medical Consultants LLC | Internal Medicine | 21 Industrial Blvd, Suite 101, Paoli, PA 19301-1610 | 2006-12-20 |
| 1003976895 | Jamie L Dillinger | Nurse Practitioner | 21 Industrial Blvd, Suite 101, Paoli, PA 19301-1610 | 2006-12-11 |
| 1386733780 | Marilyn Ryan | Internal Medicine | 21 Industrial Blvd, Suite #21, Paoli, PA 19301-1610 | 2006-10-12 |
| 1568551984 | Suburban Endocrinology Associates, PC | Internal Medicine | 21 Industrial Blvd, Suite 101, Paoli, PA 19301-1610 | 2006-10-12 |
| 1780779066 | Michael George Sophocles | Dentist | 21 Industrial Blvd, Suite 202, Paoli, PA 19301-1610 | 2006-10-04 |
| 1578674917 | William Greer, M.d., P.C. | Internal Medicine | 21 Industrial Blvd, Suite 200, Paoli, PA 19301-1610 | 2006-08-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588280333 | Mary Callery | Physical Therapy Assistant | 16 Industrial Blvd., Ste. 101, Paoli, PA 19301 | 2020-06-17 |
| 1871097519 | Daniel Malloy-good | Social Worker | 45 Darby Rd Ste E4, Paoli, PA 19301 | 2018-03-19 |
| 1306354774 | Patricia Obilo-azandegbe | Counselor | 30 S Valley Rd Ste 101, Paoli, PA 19301 | 2018-01-18 |
| 1275992877 | Jessica Bernard | Physical Therapist | 40 Darby Rd Ste 1, Paoli, PA 19301 | 2016-02-11 |
| 1730576364 | Ushma Sheth | Podiatrist | 250 W Lancaster Ave Ste 225, Paoli, PA 19301 | 2015-04-21 |
| 1619371432 | Miriam Leslie Brewer | Physical Therapist | 195 W Lancaster Ave #3, Paoli, PA 19301 | 2014-10-22 |
| 1447665393 | Matthew Rementer | Podiatrist | 254 West Lancaster Ave, Paoli, PA 19301 | 2014-06-29 |
| 1720490915 | Edward Anthony Romero | Surgery | 255 W Lancaster Ave Ste 332, Paoli, PA 19301 | 2014-05-22 |
| 1285053421 | Jose Ethan Pulido | Urology | 2 Industrial Blvd Bldg C Ste 120, Paoli, PA 19301 | 2014-04-15 |
| 1093065849 | Kathleen M Canfield | Physician Assistant | 11 Industrial Blvd., Ste 204, Paoli Pointe Med. Office Bldg, Paoli, PA 19301 | 2012-09-19 |
| Find all providers in zip 19301 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952930323 | Cassie Marie Rhone | Nurse Practitioner | 2 Industrial Blvd Ste 110, Paoli, PA 19301-1616 | 2020-04-07 |
| 1649744681 | Tressa Joan Silberberg | Nurse Practitioner | 1776 E Lancaster Ave Ste 8, Paoli, PA 19301-1563 | 2019-01-13 |
| 1710400304 | Crystal Ann Ziegler | Nurse Practitioner | 4 Industrial Blvd Ste 200, Paoli, PA 19301-1605 | 2017-07-25 |
| 1588928014 | Sarah Jones Whiteman | Nurse Practitioner | 560 W Longest Street, Paoli, IN 47454 | 2012-06-29 |
| 1770585622 | Suzanne B. Durso | Nurse Practitioner | 1776 E Lancaster Ave, Paoli, PA 19301-1550 | 2005-08-11 |
| 1326681024 | Xing Zhang | Nurse Practitioner | 7 Maple Ave, Paoli, PA 19301-1215 | 2019-10-25 |
| 1205304565 | Kristin Anne Viviani | Nurse Practitioner | 255 W Lancaster Ave Ste 424, Paoli, PA 19301-1763 | 2018-11-05 |
| 1689154452 | Kathryn Poole | Nurse Practitioner | 420 W Longest St, Paoli, IN 47454-8821 | 2018-08-20 |
| 1508370867 | Melissa Ann Ray | Nurse Practitioner | 420 W Longest St, Paoli, IN 47454-8821 | 2017-11-24 |
| 1841703907 | Lisa A Stratton | Nurse Practitioner | 255 W Lancaster Ave, Paoli, PA 19301 | 2017-11-13 |
| Find all providers in PAOLI | ||||
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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.