CODY A EZOLT (NPI# 1154983757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154983757 |
Entity Type | Individual |
Full Name | CODY A EZOLT |
Credential | PA-C |
Practice Address |
601 E Main St Waynesboro PA 17268-2332 |
Mailing Address |
785 5th Ave Ste 3 Chambersburg PA 17201-4232 |
Practice Telephone | 7177655088 |
Practice Fax Number | 7177655066 |
Mailing Telephone | 7172639555 |
Enumeration Date | 2019-07-03 |
Last Update Date | 2020-06-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 103650235 | 05 | |
PA | PA LICENSE | MA060824 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
1000 Norland Ave, Chambersburg, PA 172014229 | 7172676363 | 7172176937 |
24 Antrim Commons Dr, Greencastle, PA 172251623 | 7175975553 | 7175975522 |
46 Walnut Bottom Rd Ste 100, Shippensburg, PA 172578219 | 7174772764 | 7172174207 |
354 Alexander Spring Rd, Carlisle, PA 170157451 | 7174626873 | 7174626859 |
550 E 2nd St, Waynesboro, PA 172682352 | 7172643278 | 7172624494 |
1015 Philadelphia Ave, Chambersburg, PA 172011279 | 7172643278 | 7172624494 |
112 North 7th Street, Chambersburg, PA 172011720 | 7172677146 | 7172677728 |
501 East Main Street, Waynesboro, PA 172682353 | 7177653400 | 7177653408 |
501 E Main St, Waynesboro, PA 172682353 | 7177654000 | 7177653669 |
112 N 7th St, Chambersburg, PA 172011720 | 7172174300 | 7172174217 |
1624 Orchard Dr, Chambersburg, PA 172019206 | 7172176915 |
Street Address |
601 E MAIN ST |
City | WAYNESBORO |
State | PA |
Zip Code | 17268-2332 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104823434 | Joe Rice Ferguson IIi | Family Medicine | 601 E Main St, Waynesboro, PA 17268-2332 | 2005-07-01 |
1225680051 | Ashleigh Bailey | Nurse Practitioner | 601 E Main St, Waynesboro, PA 17268-2332 | 2019-07-11 |
1366903593 | Summit Physician Services | Clinic/Center | 601 E Main St, Waynesboro, PA 17268-2332 | 2019-03-29 |
1740747823 | Kaitlyn Bingaman | Physician Assistant | 601 E Main St, Waynesboro, PA 17268-2332 | 2019-02-26 |
1336629435 | Jan Marie Hershberger | Registered Nurse | 601 E Main St, Waynesboro, PA 17268-2332 | 2018-08-17 |
1598241887 | Emily Sankey | Nurse Practitioner | 601 E Main St, Waynesboro, PA 17268 | 2018-07-19 |
1326497215 | Summit Physician Services | Podiatrist | 601 E Main St, Third Floor, Waynesboro, PA 17268-2332 | 2016-06-10 |
1912381062 | Summit Physician Services | Physician Assistant | 601 E Main St, Level 3, Waynesboro, PA 17268-2332 | 2015-07-17 |
1184027641 | Eileen Lucille Hissong | Nurse Practitioner | 601 E Main St, Waynesboro, PA 17268-2332 | 2014-09-29 |
1699188656 | Jane Gm Leotaud-moreno | Family Medicine | 601 E Main St, Waynesboro, PA 17268-2332 | 2014-06-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720277247 | Dawn Marie Snider | Occupational Therapy Assistant | Waynesboro Hospital, 501 East Main Street, Waynesboro, PA 17268 | 2007-10-22 |
1538373709 | Pediatric Specialists of Franklin County | Clinical Medical Laboratory | 27 Vista Dr. Unit 3, Waynesboro, PA 17268 | 2007-05-09 |
1225104821 | Robert Scott Reffner | Dentist | 1823 E Main St, Suite B, Waynsboro, PA 17268 | 2006-11-27 |
1821177510 | Savage Family Pharmacy Inc | Pharmacy | 604 East Main Street, Waynesboro, PA 17268 | 2006-11-03 |
1932206406 | Denise Tandjeu Tandjeu | Internal Medicine | 501 E. Main Street, Waynesboro, PA 17268 | 2006-09-19 |
1538272646 | Waynesboro Medical Associates,llc | Clinic/Center | 12104 Buchanan Trail East, Waynesboro, PA 17268 | 2006-08-16 |
1508873662 | Richard D Myers | Chiropractor | 1975 Market Square Blvd, Waynesboro, PA 17268 | 2006-08-02 |
1457392813 | Care Plus Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | 1637 E Main St, Waynesboro, PA 17268 | 2006-06-09 |
1366434284 | Quincy Retirement Community | Assisted Living Facility | 6596 Orphanage Rd, Waynesboro, PA 17268 | 2005-08-17 |
1700884475 | Michael Joseph Patti | Family Medicine | 6155 Anthony Highway, Waynesboro, PA 17268 | 2005-07-07 |
Find all providers in zip 17268 |
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 |
---|---|---|---|---|
1356309173 | Emily B. Girard | Physician Assistant | 1850 Rosser Ave, Waynesboro, VA 22980-3237 | 2006-05-02 |
1013978410 | April D Riggs | Physician Assistant | 311 W 4th St, Waynesboro, GA 30830-1511 | 2006-03-28 |
1740747823 | Kaitlyn Bingaman | Physician Assistant | 601 E Main St, Waynesboro, PA 17268-2332 | 2019-02-26 |
1720355340 | Erin Arrington Jones | Physician Assistant | 301 Jones Ave, Waynesboro, GA 30830-1510 | 2011-11-28 |
1013965516 | Waynesboro Emergency Services II, LLC | Physician Assistant | 103 Jv Mangubat Dr, Waynesboro, TN 38485-2440 | 2006-05-05 |
1700882842 | Jeffery D Hill | Physician Assistant | 1051 E Main St, Ste 1, Waynesboro, PA 17268-2318 | 2005-06-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093316762 | Alyssa Ann Mikes | Physician Assistant | 6 New Countryside Dr, West Chester, PA 19382-6456 | 2020-11-08 |
1720689011 | Marissa Dawn Lamary | Physician Assistant | 1500 Fifth Ave Bldg Leveld, Mckeesport, PA 15132-2422 | 2020-11-04 |
1013517796 | Kifany M Gower | Physician Assistant | 1158 Wyoming Ave, Exeter, PA 18643-1815 | 2020-10-30 |
1922608645 | Meghan Michelle Allen | Physician Assistant | 4800 Friendship Ave Ste 439, Pittsburgh, PA 15224-1722 | 2020-10-30 |
1912507807 | Rachel Nye | Physician Assistant | 124 Home Depot Dr Ste D, Franklin, PA 16323-8030 | 2020-10-29 |
1487254306 | Zane T Mcguire | Physician Assistant | 378 W Chestnut St Ste 103, Washington, PA 15301-4661 | 2020-10-29 |
1740889443 | Tricia Harenza | Physician Assistant | 27 Sandy Ln Ste 250, Lewistown, PA 17044-1372 | 2020-10-22 |
1336748425 | Alexis Marie Ivosevic | Physician Assistant | 98 Deer Park Ln, Hawley, PA 18428-8223 | 2020-10-20 |
1780283986 | Margaret Ann Malloy | Physician Assistant | 3223 N Broad St Fl 1, Philadelphia, PA 19140-5007 | 2020-10-20 |
1851990170 | Jessica Marie Giordano | Physician Assistant | 201 Penn Valley Ter, Yardley, PA 19067-1028 | 2020-10-19 |
Find all providers with the same taxonomy |
City | WAYNESBORO |
Zip Code | 17268 |
Please comment or provide details below to improve the information on CODY A EZOLT.
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.