EVONNA ACKOUREY (NPI# 1285276139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285276139 |
| Entity Type | Individual |
| Full Name | EVONNA ACKOUREY |
| Credential | PA-C |
| Practice Address |
1175 E Mountain Blvd Wilkes Barre PA 18702-7906 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-4903 |
| Practice Telephone | 5708081093 |
| Mailing Telephone | 5702716144 |
| Mailing Fax Number | 5702716578 |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2019-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | MA061187 | PA | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | MA061187 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1175 E MOUNTAIN BLVD |
| City | WILKES BARRE |
| State | PA |
| Zip Code | 18702-7906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104812239 | Anthony J Balsamo | Orthopaedic Surgery | 1175 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2005-09-23 |
| 1467060756 | Laura Brady | Physician Assistant | 1175 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2020-07-22 |
| 1558993006 | Christine Ann Myers | Specialist/Technologist | 1175 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2020-02-12 |
| 1528603370 | Tan Chen | Orthopaedic Surgery | 1175 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2019-11-14 |
| 1790330876 | Michael Kendra | Physician Assistant | 1175 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2019-08-06 |
| 1770090334 | Kierstin Nicole Hughes | Physician Assistant | 1175 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2018-01-04 |
| 1528573722 | Angela Janine Reese | Physical Therapist | 1175 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2017-12-11 |
| 1780199067 | Pamela Ann Ceol | Physical Therapy Assistant | 1175 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2017-12-07 |
| 1598216822 | Brandon Philip Lombardo | Physician Assistant | 1175 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2016-10-21 |
| 1134679350 | Sabrina Alexa Alles | Physician Assistant | 1175 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2016-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153161 | Joann Bonn | Pharmacist | 441 Wilkes-barre Township Blvd, Wilkes-barre, PA 18702 | 2020-10-30 |
| 1689213167 | Megan Grace Zanghi | Pharmacist | 58-60 Public Square, 4th Floor, Wilkes-barre, PA 18702 | 2019-12-31 |
| 1467013292 | Kelly Rose Sones | Pharmacist | 58/60 Public Square, Wilkes-barre, PA 18702 | 2019-06-24 |
| 1528520186 | Adam Olivetti | Pharmacist | 58-60 Public Square, Wilkes-barre, PA 18702 | 2019-04-03 |
| 1295220648 | Dental Associates of Nepa PC | Dentist | 360 Kidder Street, Suite 5, Wilkes Barre, PA 18702 | 2018-06-28 |
| 1568983245 | Bio-medical Applications of Pennsylavania, Inc. | Clinic/Center | 309 Laird St, Wilkes-barre, PA 18702 | 2017-07-03 |
| 1538615166 | Elsa Gates | Nurse Practitioner | 100 East Mountain Blvd, Geisinger, Wilkes Barre, PA 18702 | 2016-09-01 |
| 1972990455 | Epeople Health Care Inc. | Home Health | 1092 Route 315, Ste 3, Wilkes Barre, PA 18702 | 2015-04-22 |
| 1063819001 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 277 Mundy St, Suite 101, Wilkes Barre, PA 18702 | 2014-11-19 |
| 1356764013 | Jill Stacchiotti | Speech-Language Pathologist | 2 Salem Drive, Laflin, PA 18702 | 2014-01-30 |
| Find all providers in zip 18702 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
| City | WILKES BARRE |
| Zip Code | 18702 |
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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.