KENDRA ANNE PETRUNY (NPI# 1154962413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154962413 |
| Entity Type | Individual |
| Full Name | KENDRA ANNE PETRUNY |
| Credential | PA-C |
| Practice Address |
7600 Central Ave Philadelphia PA 19111-2442 |
| Mailing Address |
1907 Rodman St Philadelphia PA 19146-1416 |
| Practice Telephone | 2157282276 |
| Mailing Telephone | 6103493556 |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2019-10-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA061177 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7600 CENTRAL AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19111-2442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912902206 | Jeanes Hospital | General Acute Care Hospital | 7600 Central Ave, Philadelphia, PA 19111-2442 | 2005-06-15 |
| 1356981443 | Temple University Hospital, Inc | General Acute Care Hospital | 7600 Central Ave, Philadelphia, PA 19111-2442 | 2020-01-07 |
| 1205472461 | Dana Pieretti | Nurse Practitioner | 7600 Central Ave, Philadelphia, PA 19111-2442 | 2019-11-22 |
| 1497234983 | Melinda Susan Brown | Physician Assistant | 7600 Central Ave, Philadelphia, PA 19111-2442 | 2018-08-07 |
| 1578088696 | Haena Kim | Nurse Anesthetist, Certified Registered | 7600 Central Ave, Philadelphia, PA 19111-2442 | 2017-08-09 |
| 1780111377 | Sheila Bird | Nurse Practitioner | 7600 Central Ave, Philadelphia, PA 19111-2442 | 2017-05-15 |
| 1063866101 | Melissa Lacombe | Family Medicine | 7600 Central Ave, Philadelphia, PA 19111-2442 | 2016-04-14 |
| 1215392378 | Temple Physicians Inc | Urology | 7600 Central Ave, Philadelphia, PA 19111-2442 | 2015-12-16 |
| 1962870931 | Michael Squillace | Nurse Anesthetist, Certified Registered | 7600 Central Ave, Philadelphia, PA 19111-2442 | 2015-09-09 |
| 1740666833 | Rafael Arturo Nones Pena | Internal Medicine | 7600 Central Ave, Philadelphia, PA 19111-2442 | 2015-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164036026 | Grace Agency Incorporated | Home Health | 433 Longshore Ave, Philadelphia, PA 19111 | 2020-09-08 |
| 1124517750 | Dana Christine Campetti | Physician Assistant | 700 Cottman Ave Ste 201, Philadelphia, PA 19111 | 2018-05-09 |
| 1235654286 | Dorotea Mutabdzic | Surgery | Fox Chase Cancer Center, 333 Cottman Ave, Dept of Surgical Oncology, Philadelphia, PA 19111 | 2017-08-11 |
| 1952841041 | Personal Care Home C&g | Point of Service | 6176 Newtown Ave, Philadelphia, PA 19111 | 2017-03-08 |
| 1477006849 | Fox Chase Cancer Center | Clinic/Center | 333 Cottman Ave., Philadelphia, PA 19111 | 2016-08-02 |
| 1578927521 | Peter Whooley | Student in an Organized Health Care Education/Training Program | Temple University/fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111 | 2016-04-06 |
| 1043673783 | Matthew Holzerman | Physical Therapy Assistant | 1148 Tabor Plz, Philadelphia, PA 19111 | 2016-03-31 |
| 1831563329 | Aging With Care Inc | Home Health | 1614 Loney St, Philadelphia, PA 19111 | 2015-11-20 |
| 1043687551 | Kenneth Marsaglia II | Preventive Medicine | 8414 Bridle Road, Philadelphia, PA 19111 | 2015-09-01 |
| 1700220514 | Lorraine A Tauriello | Counselor | 716 Ripley St, Philadelphia, PA 19111 | 2013-04-23 |
| Find all providers in zip 19111 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051763 | Molly Catherine Peters | Physician Assistant | 4338 Boone St, Philadelphia, PA 19128-4901 | 2020-10-19 |
| 1356951024 | Murielle M Boursiquot | Physician Assistant | 7901 Henry Ave Apt G302, Philadelphia, PA 19128-3072 | 2020-08-06 |
| 1134757156 | Julie Hutchison | Physician Assistant | 2922 N 5th St, Philadelphia, PA 19133-2801 | 2020-03-27 |
| 1174155857 | Rebecca Volpe | Physician Assistant | 738 Longshore Ave, Philadelphia, PA 19111-4325 | 2020-02-10 |
| 1306308879 | Ria Raju | Physician Assistant | 7909 Lawndale Ave, Philadelphia, PA 19111-2652 | 2019-04-03 |
| 1386101400 | Ashley Thomas | Physician Assistant | 9331 Old Bustleton Ave Ste 100a, Philadelphia, PA 19115 | 2019-02-25 |
| 1487119186 | Shelby Elizabeth Ginsburg | Physician Assistant | 1200 W Tabor Rd Fl Bl4, Philadelphia, PA 19141-3019 | 2019-02-06 |
| 1346720059 | Noelle Elizabeth Mullanaphy | Physician Assistant | 4031 Sheffield St, Philadelphia, PA 19136-3101 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| 1912409533 | Lauren Joy Barton | Physician Assistant | 5401 N Broad St Ste 363, Philadelphia, PA 19141 | 2018-02-28 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19111 |
Please comment or provide details below to improve the information on KENDRA ANNE PETRUNY.
| 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.