HOLLY MARIE DRUTAROVSKY


Address: 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027
Phone: 5708087300

HOLLY MARIE DRUTAROVSKY (NPI# 1184103764) 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) 1184103764
Entity Type Individual
Full Name HOLLY MARIE DRUTAROVSKY
Credential PA-C
Practice Address 1000 E Mountain Blvd
Wilkes Barre
PA 18711-0027
Mailing Address 100 North Academy Ave
Danville
PA 17822-4903
Practice Telephone 5708087300
Mailing Telephone 5702716144
Mailing Fax Number 5702716578
Enumeration Date 2018-08-14
Last Update Date 2020-08-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084N0400X Psychiatry & Neurology
Specialization: Neurology
OA004573 PA Allopathic & Osteopathic Physicians
N 2084N0400X Psychiatry & Neurology
Specialization: Neurology
MA060011 PA Allopathic & Osteopathic Physicians
Y 363A00000X Physician Assistant MA060011 PA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA PENNSYLVANIA STATE BOARD OF OSTEOPATHIC MEDICINE LICENSE OA004573 01
PA PENNSYLVANIA STATE BOARD OF MEDICINE LICENSE MA060011 01

Office Location

Street Address 1000 E MOUNTAIN BLVD
City WILKES BARRE
State PA
Zip Code 18711-0027

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841292943 Robert A Rostock Specialist 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2005-06-02
1396342994 Haley Stackhouse Physician Assistant 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2020-10-06
1346852670 Nicholas John Preston Pharmacist 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0001 2020-08-18
1497363816 Ashley Hine Surgery 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2020-07-22
1851919971 Chelsea Pieshefski Physician Assistant 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2020-07-07
1437776150 Alyssa M Callela Physician Assistant 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2020-06-29
1679199848 Gabrielle Cristina Roberts Physician Assistant 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2020-06-23
1194341602 Kylie Morgan Verespy Physician Assistant 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0001 2020-06-20
1346865680 Jillian Theresa Butkiewicz Physician Assistant 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2020-06-12
1902426711 Belinda Sibanda Student in an Organized Health Care Education/Training Program 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0001 2020-04-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467924274 Leeann Kayal Nurse Practitioner 111 East End Boulevard, Wilkes Barre, PA 18711 2018-12-19
1336661701 Patricia Dworak Occupational Therapist 1175 East Mountain Boulevard, Wilkes-barre, PA 18711 2017-07-07
1992160352 Hope Danishanko Social Worker 111 East End Blvd, Wilkes Barre, PA 18711 2015-12-29
1477962785 Jennifer L. Heck Physical Therapist 1140 Route 315, Suite 207, Wilkes-barre, PA 18711 2014-08-12
1821338807 Melinda Flaim Physical Therapist 1555 East End Blvd, Wilkes Barre, PA 18711 2013-02-27
1598900953 Elizabeth Patricia Keating Pharmacist 1000 East Mountain Drive, Wilkes Barre, PA 18711 2008-12-12
1457433294 Christopher William O'brien Specialist/Technologist King's College, 133 North River Street, Wilkes-barre, PA 18711 2006-10-20
1821197450 Louis Jay Freedman Obstetrics & Gynecology Valley Medical Building, 3rd Floor, 1010 East Mountain Boulevard, Wilkes-barre, PA 18711 2006-09-21
1730282625 Natalia N Belikova Internal Medicine 1111 East End Boulvard, Wilkesbarre, PA 18711 2006-09-06
1609883628 Va Medical Center General Acute Care Hospital 1111 East End Blvd., Wilkes-barre, PA 18711 2006-08-02
Find all providers in zip 18711

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
1255948212 Anthony Christensen Guariglia Jr. Physician Assistant 1155 Highway 315 Blvd, Wilkes Barre, PA 18702-6928 2020-09-24
1134638943 George Ritz IIi Physician Assistant 575 N River Street Emergency Department, Wilkes Barre, PA 18764-0001 2017-09-25
1023551033 Erin Corrine Neuner Physician Assistant 1000 E. Mountain Blvd, Wilkes Barre, PA 18711-3478 2016-11-22
1205386430 Anthony Raymond Raineri Physician Assistant 1175 E. Mountain Blvd, Orthopaedics Dept., Wilkes Barre, PA 18702-3885 2016-10-12
1619306230 Carissa Taroli Physician Assistant 189 E Market St, Wilkes Barre, PA 18702-5243 2013-11-04
1821043779 Mary E Mazaleski Physician Assistant 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 2006-05-22
1518933662 Mary M Azarewicz Physician Assistant 25 Church Street, Wilkes Barre, PA 18765 2006-02-28
1982213062 Erin Leigh Dougherty Physician Assistant 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 2020-07-24
1467060756 Laura Brady Physician Assistant 1175 E Mountain Blvd, Wilkes Barre, PA 18702-7906 2020-07-22
1437776150 Alyssa M Callela Physician Assistant 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2020-06-29
Find all providers in WILKES BARRE

Competitor

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City WILKES BARRE
Zip Code 18711

Improve Information

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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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