ANDREA MARIE REQUA (NPI# 1144284654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144284654 |
| Entity Type | Individual |
| Full Name | ANDREA MARIE REQUA |
| Credential | D.O. |
| Practice Address |
5125 Jonestown Rd Ste 105 Harrisburg PA 17112-2987 |
| Mailing Address |
Po Box 758952 Baltimore MD 21275-8952 |
| Practice Telephone | 7179431566 |
| Practice Fax Number | 7179431567 |
| Mailing Telephone | 8049685700 |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2016-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS007422E | PA | Allopathic & Osteopathic Physicians |
| Street Address |
5125 JONESTOWN RD STE 105 |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17112-2987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750641825 | Jamie L Cantafio | Physician Assistant | 5125 Jonestown Rd Ste 105, Harrisburg, PA 17112-2987 | 2012-05-23 |
| 1720215700 | Rebekah Renee Wickenheiser | Physician Assistant | 5125 Jonestown Rd Ste 105, Harrisburg, PA 17112-2987 | 2009-06-17 |
| 1568583722 | David Philip Frank | Family Medicine | 5125 Jonestown Rd Ste 105, Harrisburg, PA 17112-2987 | 2007-04-03 |
| 1174621809 | Olatokunbo Madupe Adeniyi | Internal Medicine | 5125 Jonestown Rd Ste 105, Harrisburg, PA 17112-2987 | 2006-09-20 |
| 1558378299 | Jose Arcadio Biboso | Family Medicine | 5125 Jonestown Rd Ste 105, Harrisburg, PA 17112-2987 | 2006-08-02 |
| 1932145190 | Patricia Logan Farley | Family Medicine | 5125 Jonestown Rd Ste 105, Harrisburg, PA 17112-2987 | 2006-06-22 |
| 1023074937 | Melissa Denham | Family Medicine | 5125 Jonestown Rd Ste 105, Harrisburg, PA 17112-2987 | 2006-04-21 |
| 1780649772 | Esmeralda Maldia Del Rosario | Family Medicine | 5125 Jonestown Rd Ste 105, Harrisburg, PA 17112-2987 | 2006-04-20 |
| 1477518215 | Ellen Marie Crimmel | Family Medicine | 5125 Jonestown Rd Ste 105, Harrisburg, PA 17112-2987 | 2006-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629549928 | Purposefully Soaring Counseling Services LLC | Counselor | 1537 Devonshire Rd, Suite G, Harrisburg, PA 17112 | 2018-12-12 |
| 1558839175 | Blue Diamond Homecare LLC | In Home Supportive Care | 2799 Monticello Ln, Harrisburg, PA 17112 | 2018-11-13 |
| 1326539057 | Erin Elizabeth Jones | Student in an Organized Health Care Education/Training Program | 121 Nyes Road Suite A, Hp09, Harrisburg, PA 17112 | 2018-05-29 |
| 1003307067 | Michael Timothy Partin | Family Medicine | 121 Nyes Road, Suite A, Hp09, Harrisburg, PA 17112 | 2018-05-25 |
| 1427576024 | Lauren Rittle | Specialist/Technologist | 4426 Greenridge Lane, Harrisburg, PA 17112 | 2017-09-03 |
| 1255856233 | Jan Eiko Ikeda | Physical Therapist | 5425 Jonestown Road, Suite 100, Harrisburg, PA 17112 | 2017-08-10 |
| 1417471574 | Luke Borden Berguson | Physical Therapist | 5425 Jonestown Rd Ste 100, Harrisburg, PA 17112 | 2017-07-31 |
| 1578931374 | Kelsey Janelle Wallen | Physical Therapist | 5425 Jonestown Road Ste. 100, Harrisburg, PA 17112 | 2015-09-10 |
| 1609276195 | Matthew Edward Conroy | Physical Therapist | 5425 Jonestown Road, Ste. 100, Outpatient Physical Therapy Network, LLC D/b/a Madden P, Harrisburg, PA 17112 | 2014-09-03 |
| 1144665399 | William Schuler Pierce | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1201 Saradana Road, Harrisburg, PA 17112 | 2013-05-01 |
| Find all providers in zip 17112 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824954 | Novant Medical Group, Inc. | Family Medicine | 6555 Kee Lane, Harrisburg, NC 28075-7463 | 2019-07-25 |
| 1003307067 | Michael Timothy Partin | Family Medicine | 121 Nyes Road, Suite A, Hp09, Harrisburg, PA 17112 | 2018-05-25 |
| 1780029454 | Khem Kumar Adhikari | Family Medicine | 3601 North Progress Ave., Harrisburg, PA 17110 | 2013-05-07 |
| 1457795171 | Sarah Elizabeth Nickolich | Family Medicine | 121 N Nyes Rd Ste F, Harrisburg, PA 17112-3248 | 2013-04-24 |
| 1083989883 | Urgent Cares of America North Carolina Inc | Family Medicine | 4415 Schoolhouse Commons, Harrisburg, NC 28075-7460 | 2012-03-13 |
| 1982975108 | Thomas Raymond Czarnecki | Family Medicine | 4101 Ridgeview Road, Harrisburg, PA 17112 | 2012-01-19 |
| 1659508760 | Samuel Looker | Family Medicine | 4984 Westchester Dr, Harrisburg, PA 17112-2184 | 2009-06-16 |
| 1881854461 | Bernadatte Georga Gilbert | Family Medicine | 121 Nyes Road, Suite A, Penn State Medical Group Nyes Road - Family Medicine I, Harrisburg, PA 17112 | 2008-06-16 |
| 1649445800 | Raselette Agatha Hunt | Family Medicine | 2292 Forest Ln, Harrisburg, PA 17112-6004 | 2008-04-28 |
| 1114094851 | James O Alexander | Family Medicine | 901 S Commercial St, Harrisburg, IL 62946-2640 | 2006-11-29 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 17112 |
Please comment or provide details below to improve the information on ANDREA MARIE REQUA.
| 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.