DR. JONATHAN DAVID CANNELLA (NPI# 1144503020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144503020 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN DAVID CANNELLA |
| Credential | M.D. |
| Practice Address |
100 Hospital Ave Du Bois PA 15801-1440 |
| Practice Telephone | 8143753238 |
| Practice Fax Number | 8143753380 |
| Mailing Telephone | 8143754200 |
| Mailing Fax Number | 8143754232 |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2018-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
MD448035 | PA | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
57.015239 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 102845465 | 05 | |
| PA | MEDICARE | 302580 | 01 |
| Street Address |
100 HOSPITAL AVE |
| City | DU BOIS |
| State | PA |
| Zip Code | 15801-1440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184627580 | Dennis E Kirst | Nurse Anesthetist, Certified Registered | 100 Hospital Ave, Penn Highlands Dubois Crna's, Du Bois, PA 15801-1440 | 2005-05-31 |
| 1922607431 | Holly Marie Bianchino | Physician Assistant | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-10-26 |
| 1932710704 | Kylee Breanne Leckey | Physician Assistant | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-08-13 |
| 1821615790 | Whitney Claire Haley | Registered Nurse | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-06-26 |
| 1255955209 | Jessica Lynn Neill | Physician Assistant | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-06-05 |
| 1871117382 | Gregory Vincent Gigliotti | Registered Nurse | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-06-01 |
| 1235759796 | Madalyn Hoke | Physician Assistant | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-04-24 |
| 1033748249 | Rhonda K Mcconnell | Registered Nurse | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-04-08 |
| 1073142972 | Alexander Westcott | Student in an Organized Health Care Education/Training Program | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-04-03 |
| 1942833538 | Kimberly Erin Miller | Physician Assistant | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-02-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215551452 | Grace Polohonki | Counselor | 490 Jefers Street, Dubois, PA 15801 | 2020-06-03 |
| 1144869231 | Richard Lee Kerstetter II | Hearing Instrument Specialist | 124 San Juan Rd, Du Bois, PA 15801 | 2020-01-06 |
| 1700368487 | Holly Noel Knoll | Counselor | 490 Jeffers Street, Dubois, PA 15801 | 2018-08-30 |
| 1992298160 | Dubois Regional Medical Center | Family Medicine | 145 Hospital Ave Ste 315, Du Bois, PA 15801 | 2018-06-12 |
| 1154814846 | Sara Beth Stone | Dietitian, Registered | 16288 Treasure Lk, Du Bois, PA 15801 | 2018-06-07 |
| 1942790779 | Wendi Dawn Wenzel | Counselor | 490 Jeffers St., Dubois, PA 15801 | 2018-05-17 |
| 1144748443 | Nancy Foradora | Massage Therapist | 200 Narrows Creek Park Road, Dubois, PA 15801 | 2017-09-07 |
| 1679098891 | Deborah Jean Mitchell | Hearing Instrument Specialist | 900 Beaver Drive, Dubois, PA 15801 | 2017-08-09 |
| 1861937757 | Shaun M Kanouff | Counselor | 100 Caldwell Dr., Dubois, PA 15801 | 2016-12-30 |
| 1164897740 | Drayer Physical Therapy Institute LLC | Physical Therapist | 873 Beaver Drive, Dubois, PA 15801 | 2015-12-08 |
| Find all providers in zip 15801 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730458449 | Xingcao Nie | Pathology | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2011-12-26 |
| 1982846630 | Joel Francis Gradowski | Pathology | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2009-03-27 |
| 1336156736 | Jose M.l. Costa | Pathology | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2006-08-01 |
| 1952318354 | George J. Bean | Pathology | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889690 | Alisa Rene Nobee | Pathology | 433 Seneca St, Essington, PA 19029-1608 | 2020-10-21 |
| 1861049637 | Partners In Specialty Pathology PC | Pathology | 2301 Harrisburg Pike Ste 201, Lancaster, PA 17601-2415 | 2019-08-26 |
| 1427619790 | Madeline Reganis | Pathology | 117 S. 11th Street, 204 Pavilion, Philadelphia, PA 19107-4949 | 2019-06-26 |
| 1750944526 | Silverpath, Inc. | Pathology | 512 E. Township Line Road, Suite 135, Tower 4, Blue Bell, PA 19422-2700 | 2019-04-17 |
| 1396224838 | Jacob Smith | Pathology | A711 Scaife Hall 3550 Terrace Street, Pittsburgh, PA 15261-0001 | 2018-08-07 |
| 1588142889 | Daniel Francis Marker | Pathology | 3550 Terrace Street A711 Scaife Hall Pathology Office, Pittsburgh, PA 15262-0001 | 2018-07-30 |
| 1043796048 | Zhimin Yuan | Pathology | 125 S 11th St Rm 204, Philadelphia, PA 19107-4949 | 2018-07-13 |
| 1316423379 | John Michael Skaugen | Pathology | 3550 Terrace St # A615, Pittsburgh, PA 15213-2500 | 2018-07-12 |
| 1497249692 | Jalil Nasibli | Pathology | 5435 Claybourne St Apt 806, Pittsburgh, PA 15232-1639 | 2018-06-20 |
| 1811494248 | Lower Bucks Physician Associates, PC | Pathology | 1 Bath Road, Bristol, PA 19007 | 2018-04-11 |
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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.