BRIGHTSIDE MEDICAL ASSOCIATES (NPI# 1275184376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275184376 |
| Entity Type | Organization |
| Organization Name | BRIGHTSIDE MEDICAL ASSOCIATES |
| Practice Address |
701 Cross Rd Lederach PA 19450-1945 |
| Mailing Address |
Po Box 255 Lederach PA 19450-0255 |
| Practice Telephone | 2679029319 |
| Mailing Telephone | 2679029319 |
| Mailing Fax Number | 2152561112 |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2019-09-20 |
| Authorized Official Name | ALPHONSO JOSIAH NATHAN (CO-OWNER) |
| Authorized Official Telephone | 2679029319 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
701 CROSS RD |
| City | LEDERACH |
| State | PA |
| Zip Code | 19450-1945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649556770 | Brightside Counseling LLC | Counselor | 701 Cross Road, Lederach, PA 19450 | 2011-11-03 |
| 1801399043 | Kimberly Abney | Counselor | 701 Cross Road, Lederach, PA 19450 | 2018-03-14 |
| 1972539542 | Karen Verbeke | Counselor | 690 Harleysville Pike, Lederach, PA 19450-0218 | 2006-06-24 |
| 1902305006 | Marcus Smith | Counselor | 701 Cross Road, Lederach, PA 19450-0255 | 2018-02-05 |
| 1851804579 | Jennifer Gribbin | Counselor | 701 Cross Road, Lederach, PA 19450-0255 | 2017-11-16 |
| 1851818470 | Kresence Mishal Greenwood-campbell | Counselor | 701 Cross Road, Lederach, PA 19450-0255 | 2017-08-24 |
| 1932577327 | Alphonso Nathan | Counselor | 701 Cross Road, Lederach, PA 19450-0255 | 2015-09-02 |
| 1659612232 | Leah E Andreoni | Counselor | 701 Cross Road, Lederach, PA 19450-0255 | 2013-03-07 |
| 1780765883 | Mir Physical Therapy | Physical Therapist | 703 Harleysville Pk, Lederach, PA 19450-0396 | 2006-10-17 |
| 1790998862 | Bruce A Tollin | Dentist | 690 Harleysville Pike, Lederach, PA 19450-9903 | 2007-05-07 |
| Find all providers in zip 19450 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912170 | Kaley Elizabeth Barrett | Nurse Practitioner | 418 Edgewood Dr, Lebanon, PA 17042-9109 | 2020-11-04 |
| 1891395406 | Eimy Aguilar | Nurse Practitioner | 18 Descartes Dr, Lancaster, PA 17603-8861 | 2020-11-01 |
| 1134729775 | Jacqueline A Ouma | Nurse Practitioner | 4530 Clairton Blvd, Pittsburgh, PA 15236-2112 | 2020-10-30 |
| 1932709912 | Sheri Lynn Tittelmayer | Nurse Practitioner | 1012 Rozel Ave, Southampton, PA 18966-4130 | 2020-10-28 |
| 1346849197 | Alexander F Talarico | Nurse Practitioner | 576 Broad St, Emmaus, PA 18049-3856 | 2020-10-22 |
| 1255930129 | Patrick A Foster | Nurse Practitioner | 3332 Eisenbrown Rd, Reading, PA 19605-1412 | 2020-10-22 |
| 1033718051 | Charlene Martin Wolfgang | Nurse Practitioner | 806 Megan Dr, Cranberry Twp, PA 16066-7422 | 2020-10-21 |
| 1750980728 | Jamie Simpson | Nurse Practitioner | 618 Rachelle Ct, Latrobe, PA 15650-4731 | 2020-10-21 |
| 1124627138 | Ashley G Dillard | Nurse Practitioner | 5447 Stanton Ave, Pittsburgh, PA 15206-2518 | 2020-10-21 |
| 1831798867 | Elena Khlobystova | Nurse Practitioner | 16 Carriage House Dr, Southampton, PA 18966-2225 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
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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.