CODY A EZOLT


Address: 601 E Main St, Waynesboro, PA 17268-2332
Phone: 7177655088

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA 103650235 05
PA PA LICENSE MA060824 01

Provider Secondary Practice Location

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

Office Location

Street Address 601 E MAIN ST
City WAYNESBORO
State PA
Zip Code 17268-2332

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City WAYNESBORO
Zip Code 17268

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Dataset Information

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.

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