RACHEL HANNAH DESTEFANO (NPI# 1124531934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124531934 |
Entity Type | Individual |
Full Name | RACHEL HANNAH DESTEFANO |
Credential | PA-C |
Practice Address |
800 S Logan Blvd Ste 3100 Hollidaysburg PA 16648-3050 |
Mailing Address |
404 Lodge Ln Altoona PA 16601-7241 |
Practice Telephone | 8148894300 |
Enumeration Date | 2017-11-15 |
Last Update Date | 2017-11-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
OA004357 | PA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568869535 | Rachel Destefano | Counselor | 4300 Duhme Rd, Madeira Beach, FL 33708-2892 | 2014-11-19 |
1942420633 | Rachel Ann Destefano | Specialist/Technologist, Other | 595 Chapel Hills Dr, Suite 300, Colorado Springs, CO 80920-1022 | 2007-04-26 |
Street Address |
800 S LOGAN BLVD STE 3100 |
City | HOLLIDAYSBURG |
State | PA |
Zip Code | 16648-3050 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578021846 | Jennifer Walter | Social Worker | 411 N. Montgomery Street, Hollidaysburg, PA 16648 | 2019-03-06 |
1699242594 | Pasquale Vincent Longhi | Pharmacist | 510 Blair Street, Hollidaysburg, PA 16648 | 2018-10-29 |
1750872941 | Healing Space LLC | Counselor | Healing Space LLC, 206 B Allegheny Street, Hollidaysburg, PA 16648 | 2018-05-23 |
1790133098 | Corey Patrick Gildea | Physical Therapist | 225 Allegheny St Ste 3, Hollidaysburg, PA 16648 | 2016-05-26 |
1891160818 | Carly Raymond | Speech-Language Pathologist | 3328 Sylvan Heights Drive, Hollidaysburg, PA 16648 | 2015-12-02 |
1821499187 | Rite Aid of Pennsylvania LLC | Durable Medical Equipment & Medical Supplies | 1201 Blair Street, Hollidaysburg, PA 16648 | 2014-09-05 |
1669872198 | Central Pennsylvania Digital Learning Foundation | Local Education Agency (LEA) | 721 North Juniata Street, Suite 3, Hollidaysburg, PA 16648 | 2014-09-03 |
1912279514 | Kathleen J Lower | Licensed Practical Nurse | 118 Mountain View Dr., Hollidaysburg, PA 16648 | 2012-01-30 |
1588932743 | Annette Patterson | Nurse Anesthetist, Certified Registered | 901 Logan Blvd, Hollidaysburg, PA 16648 | 2011-12-02 |
1053692400 | Eugene Polmueller | Psychiatry & Neurology | 110 Middle Ridge Road, Hollidaysburg, PA 16648 | 2011-08-30 |
Find all providers in zip 16648 |
Taxonomy Code | 207YX0905X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Otolaryngology/Facial Plastic Surgery |
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558550830 | Valley Forge Facial Plastic Surgery Ent | Otolaryngology | 206 Gay St, Phoenixville, PA 19460-3721 | 2007-10-23 |
1366580458 | Albert Joseph Woodring | Otolaryngology | 1849 S 15th St, Philadelphia, PA 19145-2301 | 2007-02-02 |
1538230313 | Pinnacle Ent Alliance LLC | Otolaryngology | 994 Old Eagle School Rd, Suite 1017, Wayne, PA 19087-1802 | 2006-11-13 |
1376654004 | Daniel Joseph Callaghan Jr. | Otolaryngology | 3126 Wilmington Rd, New Castle, PA 16105-1132 | 2006-08-31 |
1982662540 | Elliott Jody Bilofsky | Otolaryngology | 202 Memorial Drive, Suite 1, Everett, PA 15537 | 2006-05-03 |
1568438703 | Tasos Aslanidis | Otolaryngology | 1841 S Broad St, Philadelphia, PA 19148-2115 | 2006-02-27 |
1578533212 | Larry A Feiner | Otolaryngology | 2023 E High St, Pottstown, PA 19464-3211 | 2006-01-25 |
1700863743 | Raphael Gabay | Otolaryngology | 9500 Roosevelt Blvd, Philadelphia, PA 19115 | 2005-12-30 |
1144218793 | Alfred J. Mauriello II | Otolaryngology | 15 Industrial Blvd, Ste 102, Paoli, PA 19301-1608 | 2005-10-07 |
1730186404 | Radu Clifford Mihail | Otolaryngology | 1705 Warren Ave Ste 204-205, Williamsport, PA 17701-2647 | 2005-07-07 |
Find all providers with the same taxonomy |
City | HOLLIDAYSBURG |
Zip Code | 16648 |
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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.