TANNER RAE ENGLEHART (NPI# 1124674270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124674270 |
| Entity Type | Individual |
| Full Name | TANNER RAE ENGLEHART |
| Credential | PA-C |
| Practice Address |
3 W Olive St Ste 118 Scranton PA 18508 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-4903 |
| Practice Telephone | 5709613823 |
| Practice Fax Number | 5702075988 |
| Mailing Telephone | 5702716144 |
| Mailing Fax Number | 5702716578 |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2020-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA060718 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
MA060718 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 648 N Main St, Taylor, PA 185171112 | 5703481101 | |
| 3 W Olive St, Scranton, PA 185082572 | 5709613822 |
| Street Address |
3 W OLIVE ST STE 118 |
| City | SCRANTON |
| State | PA |
| Zip Code | 18508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346379872 | Jesse A. Krempasky | Physical Therapist | 3 W Olive St Ste 118, Scranton, PA 18508-2576 | 2007-03-02 |
| 1053979070 | Ann Marie Elizabeth Trauger | Physical Therapist | 3 W Olive St Ste 118, Scranton, PA 18508-2576 | 2019-06-04 |
| 1972019347 | Susan K Shumaker | Physical Therapy Assistant | 3 W Olive St Ste 118, Scranton, PA 18508-2576 | 2017-12-21 |
| 1487160859 | Joseph Dobo | Physical Therapy Assistant | 3 W Olive St Ste 118, Scranton, PA 18508-2576 | 2017-12-21 |
| 1497261861 | David W Shaw | Physical Therapy Assistant | 3 W Olive St Ste 118, Scranton, PA 18508-2576 | 2017-12-21 |
| 1699280107 | Geisinger Clinic | Physical Therapist | 3 W Olive St Ste 118, Scranton, PA 18508-2576 | 2017-12-06 |
| 1730693235 | Geisinger Clinic | Durable Medical Equipment & Medical Supplies | 3 W Olive St Ste 118, Scranton, PA 18508 | 2017-11-21 |
| 1093159857 | Edward Marc Delsole | Orthopaedic Surgery | 3 W Olive St Ste 118, Scranton, PA 18508-2576 | 2013-04-24 |
| 1063772325 | John James Mercuri | Orthopaedic Surgery | 3 W Olive St Ste 118, Scranton, PA 18508-2576 | 2012-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659843266 | Kelly Artmont | Massage Therapist | Northeastern Rehabilitation Associates, PC, 5 Morgan Highway Suite 4, Scranton, PA 18508 | 2018-12-20 |
| 1881163517 | Mindy Dobroski | Pharmacist | 589 Hamlin Hwy, Hamlin, PA 18508 | 2018-11-26 |
| 1417402249 | Express Urgent Care, LLC | Clinic/Center | 449 Scranton Carbondale Hwy, Dickson City, PA 18508 | 2016-08-22 |
| 1548644164 | Marie Domiano | Pharmacist | 201 Smallacombe Drive, Scranton, PA 18508 | 2015-07-14 |
| 1033511621 | Geisinger Clinic | Radiology | 5 Morgan Highway, Suite 7, Scranton, PA 18508 | 2014-09-25 |
| 1265833321 | Geisinger Clinic | Clinic/Center | 423 Scranton-carbondale Hwy, Scranton, PA 18508 | 2014-09-09 |
| 1659656924 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 100 Viewmont Mall, Space 844, Scranton, PA 18508 | 2011-10-18 |
| 1689851545 | Carol Ann C Perfilio Pamelia | Chiropractor | 1328 Providence Rd, Scranton, PA 18508 | 2008-01-23 |
| 1821282989 | Osti Klenz Inc | Durable Medical Equipment & Medical Supplies | 7 Viewmont Estates, Scranton, PA 18508 | 2007-08-31 |
| 1508072125 | Mary Jane Cosgrove | Optometrist | Lenscrafters Rt 6, Viewmont Mall, Scranton, PA 18508 | 2007-05-14 |
| Find all providers in zip 18508 | ||||
| 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 |
|---|---|---|---|---|
| 1316571193 | Kayla Bradley | Physician Assistant | 1800 Mulberry St # Mc68-71, Scranton, PA 18510-2369 | 2020-03-02 |
| 1275960114 | Karla Grace Dalious | Physician Assistant | 3 West Olive St., Scranton, PA 18508-3805 | 2013-10-10 |
| 1023069408 | Geisinger Clinic | Physician Assistant | 531 Mount Pleasant Drive, Scranton, PA 18503 | 2006-05-12 |
| 1730149063 | Maria Regina Murnock | Physician Assistant | 326 Adams Avenue, Scranton, PA 18503 | 2006-03-23 |
| 1740887348 | Ashley Mcdonough | Physician Assistant | 3 W Olive St, Scranton, PA 18508-2572 | 2020-10-06 |
| 1518579028 | Sarah Ann Marsh | Physician Assistant | 501 S Washington Ave Ste 1000, Scranton, PA 18505-3814 | 2020-08-18 |
| 1821616780 | Kaitlyn Elizabeth Mcdonough | Physician Assistant | 3 W Olive St, Scranton, PA 18508-2572 | 2020-07-08 |
| 1184247124 | Kara Elizabeth Golya | Physician Assistant | 1800 Mulberry St, Scranton, PA 18510-2369 | 2020-05-26 |
| 1871133793 | Conor J. Knight | Physician Assistant | 327 N Washington Ave Ste 200, Scranton, PA 18503-1535 | 2020-01-08 |
| 1881247088 | Hilary Holecz | Physician Assistant | 700 Quincy Ave, Scranton, PA 18510-1724 | 2019-07-17 |
| Find all providers in SCRANTON | ||||
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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.