KATELYN ANN IACOCCA (NPI# 1124454616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124454616 |
| Entity Type | Individual |
| Full Name | KATELYN ANN IACOCCA |
| Credential | PA-C |
| Practice Address |
1501 N Cedar Crest Blvd 110 Allentown PA 18104-2309 |
| Practice Telephone | 6108212828 |
| Practice Fax Number | 6108217915 |
| Mailing Telephone | 6108212828 |
| Mailing Fax Number | 6108217915 |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2015-12-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
TMA052841 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1501 N CEDAR CREST BLVD 110 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18104-2309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962405175 | Frederic A Stelzer | Internal Medicine | 1501 N Cedar Crest Blvd, Suite 110, Allentown, PA 18104-2309 | 2005-05-23 |
| 1396193900 | University of Penn-medical Group | Transplant Surgery | 1501 N Cedar Crest Blvd, Suite 110 Liver Transplant, Allentown, PA 18104-2309 | 2016-05-25 |
| 1699133777 | Christine Blasko | Clinical Nurse Specialist | 1501 N Cedar Crest Blvd, Suite 110, Allentown, PA 18104-2309 | 2016-02-04 |
| 1871994871 | Briana Kish | Physician Assistant | 1501 N Cedar Crest Blvd, Suite 110, Allentown, PA 18104-2309 | 2014-09-09 |
| 1891052569 | Patrick Tarran Hickey | Internal Medicine | 1501 N Cedar Crest Blvd, Suite 110, Allentown, PA 18104-2309 | 2012-04-18 |
| 1679806863 | She-yan Wong | Internal Medicine | 1501 N Cedar Crest Blvd, Suite 110, Allentown, PA 18104-2309 | 2009-09-07 |
| 1275722241 | Melissa Gilroy | Physician Assistant | 1501 N Cedar Crest Blvd, Suite110, Allentown, PA 18104-2309 | 2007-10-16 |
| 1396944096 | Shashin Shah | Internal Medicine | 1501 N Cedar Crest Blvd, Suite 110, Allentown, PA 18104-2309 | 2007-07-12 |
| 1558565598 | Adam Louis Peyton | Internal Medicine | 1501 N Cedar Crest Blvd, Suite110, Allentown, PA 18104-2309 | 2007-06-13 |
| 1821291170 | Patricia R Furey | Social Worker | 1501 N Cedar Crest Blvd, Suite 101, Allentown, PA 18104 | 2007-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174134191 | The Calm Space LLC | Social Worker | 2047 Pa-309, Allentown, PA 18104 | 2020-08-13 |
| 1790333458 | Loanna T Nguyen | Nurse Practitioner | 2895 Halmilton Blvd, Suite 202, Allentown, PA 18104 | 2019-08-27 |
| 1093360513 | Meghan Paul | Pharmacist | 1727 W Liberty Street, Unit 2, Allentown, PA 18104 | 2019-08-02 |
| 1750948154 | Patricia Terreros | Counselor | 3057 College Heights Blvd Suite Ll, Allentown, PA 18104 | 2019-05-22 |
| 1023593084 | Hearvana | Clinic/Center | 2200 Wets Hamilton Street Suite 311, Allentown, PA 18104 | 2018-09-26 |
| 1700397098 | Amanda L Sellers | Psychologist | 121 N Cedar Crest Blvd Ste A, Allentown, PA 18104 | 2017-10-13 |
| 1689104457 | Craig Ryan Miller | Physical Therapist | 1651 N Cedar Crest Blvd Ste 100, Allentown, PA 18104 | 2017-06-14 |
| 1780128207 | Brandi Nicole Burns | Pediatrics | 1517 Pond Road, Allentown, PA 18104 | 2016-12-19 |
| 1750824264 | William Edward Thawley | Pharmacist | 322 N 7th St., Allentown, PA 18104 | 2016-12-01 |
| 1609222371 | Extremity Mri Inc | Radiologic Technologist | 3131 College Heights Blvd Ste 400, Allentown, PA 18104 | 2016-05-11 |
| Find all providers in zip 18104 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982252185 | Amanda Jane Gower | Physician Assistant | 1605 N Cedar Crest Blvd Ste 110, Allentown, PA 18104-2351 | 2019-08-30 |
| 1104306117 | Sean Duffy | Physician Assistant | 1667 Victoria Cir, Allentown, PA 18103-6474 | 2018-08-19 |
| 1811477300 | Harley Elizabeth Williams | Physician Assistant | 1240 S Cedar Crest Blvd Ste 215, Allentown, PA 18103-6369 | 2018-08-15 |
| 1932621356 | Lauren Dian Demberger | Physician Assistant | 1240 S Cedar Crest Blvd Ste 305, Allentown, PA 18103-6370 | 2017-07-07 |
| 1255773107 | Jacqueline Mary Turner | Physician Assistant | 401 N 17th St Ste 304, Allentown, PA 18104-5051 | 2013-07-20 |
| 1720364110 | Sarah Elizabeth Petruno | Physician Assistant | 401 N 17th St Ste 307, Allentown, PA 18104-5051 | 2011-10-29 |
| 1467755546 | Seth Vaughn | Physician Assistant | 4825 Tilghman Street, Allentown, PA 18104 | 2010-12-13 |
| 1891028122 | Jessica D Zehr | Physician Assistant | 1501 North Cedar Crest Blvd, Allentown, PA 18104-2309 | 2009-09-18 |
| 1275773723 | Samuel James Hertig | Physician Assistant | 1250 S Cedar Crest Blvd Ste 400, Allentown, PA 18103-6224 | 2009-02-24 |
| 1497805022 | Wendi A Hontz | Physician Assistant | 1575 Pond Rd Ste 203, Allentown, PA 18104 | 2007-01-12 |
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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.