MR. EDWARD LEE PATRICK (NPI# 1285822288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285822288 |
| Entity Type | Individual |
| Full Name | MR. EDWARD LEE PATRICK |
| Credential | PA-C |
| Practice Address |
206 E Brown St E Stroudsburg PA 18301-3006 |
| Mailing Address |
244 Barry's Road White Haven PA 18661 |
| Practice Telephone | 5704214000 |
| Mailing Telephone | 5704437959 |
| Mailing Fax Number | 5704437958 |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2007-10-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA053183 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
206 E BROWN ST |
| City | E STROUDSBURG |
| State | PA |
| Zip Code | 18301-3006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386887677 | Sunil Panuvelil Joseph | Anesthesiology | 206 E Brown St, E Stroudsburg, PA 18301-3006 | 2009-04-16 |
| 1679624829 | Bhavna Chhabria | Internal Medicine | 206 E Brown St, Pocono Hospitalists, E Stroudsburg, PA 18301-3006 | 2007-01-15 |
| 1699822270 | Pocono Cardiothoracic Surgery | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 206 E Brown St, E Stroudsburg, PA 18301-3006 | 2007-01-04 |
| 1669563037 | Family Care Centers Inc. | Internal Medicine | 206 E Brown St, E Stroudsburg, PA 18301-3006 | 2006-09-28 |
| 1023114766 | Mary R Tunnessen | Nurse Anesthetist, Certified Registered | 206 E Brown St, E Stroudsburg, PA 18301-3006 | 2006-09-16 |
| 1851355200 | Barbara E. Schupp | Nurse Anesthetist, Certified Registered | 206 E Brown St, North American Partners In Anesthesia, Pa, LLC, E Stroudsburg, PA 18301-3006 | 2006-04-13 |
| 1619931193 | Michael C. Chua | Anesthesiology | 206 E Brown St, North Amercian Partners In Anesthesia, Pa, LLC, E Stroudsburg, PA 18301-3006 | 2006-04-13 |
| 1811951239 | Susan Z. Shebelsky | Nurse Anesthetist, Certified Registered | 206 E Brown St, North American Partners In Anesthesia, Pa, LLC, E Stroudsburg, PA 18301-3006 | 2006-04-13 |
| 1932160017 | Kathi Jo Mcgoldrick | Nurse Anesthetist, Certified Registered | 206 E Brown St, North American Parrtners In Anesthesia, Pa, LLC, E Stroudsburg, PA 18301-3006 | 2006-03-29 |
| 1710947254 | Muhammad Azam | Internal Medicine | 206 E Brown St, Hospitalists, E Stroudsburg, PA 18301-3006 | 2006-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801405030 | Gabrielle Nicole Hahn | Specialist/Technologist | 213 Smith Street, East Stroudsburg, PA 18301 | 2020-07-23 |
| 1730601246 | Eliezer Candelario | Case Manager/Care Coordinator | 255 Abeel Rd, East Stroudsburg, PA 18301 | 2017-07-17 |
| 1154843084 | Oludamilola Olatunde Oke | Homemaker | 170 North Courtland Street, East Stroudsburg, PA 18301 | 2017-07-12 |
| 1205369451 | My Lab Choice, Inc | Clinical Medical Laboratory | 391 East Brown Street, Lower Level, East Stroudsburg, PA 18301 | 2017-04-05 |
| 1538610498 | Northland Hearing Centers, Inc. | Hearing Aid Equipment | 400 Plaza Ct Ste B, East Stroudsburg, PA 18301 | 2016-10-17 |
| 1962863423 | Ryan Mackiewicz | Student in an Organized Health Care Education/Training Program | 68 Brown St, East Stroudsburg, PA 18301 | 2016-03-11 |
| 1437524139 | Derek Oliver | Massage Therapist | 146 Azalea Drive, East Stroudsburg, PA 18301 | 2015-12-07 |
| 1093182529 | Bathsheba Etheridge | Contractor | 128 Pasquin Drive, East Stroudsburg, PA 18301 | 2015-09-01 |
| 1538581533 | Care Plus Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | 114 Columbia Dr Ste 10, East Stroudsburg, PA 18301 | 2014-01-09 |
| 1457789117 | Premier Pain Spine and Sports Medicine PC | Specialist | 391 East Brown Street, East Stroudsburg, PA 18301 | 2013-10-16 |
| Find all providers in zip 18301 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355341 | Julia Majewicz Wilson | Physician Assistant | 111 Pa-715, #102, Brodheadsville, PA 18322 | 2020-10-29 |
| 1417557273 | Jared Michael Yon | Physician Assistant | 902 Dale Ave, Bradfordwoods, PA 15015-1236 | 2020-10-29 |
| 1295335230 | Jillian Ann Korgeski | Physician Assistant | 400 Corner St, Dunmore, PA 18512-2348 | 2020-10-29 |
| 1821697376 | Sidney Patel | Physician Assistant | 1834 Oregon Pike Ste 20, Lancaster, PA 17601-6463 | 2020-10-25 |
| 1629677356 | Jason Christopher Takacs Jr. | Physician Assistant | 510 Stockton Rdg, Cranberry Township, PA 16066-2280 | 2020-10-23 |
| 1467051763 | Molly Catherine Peters | Physician Assistant | 4338 Boone St, Philadelphia, PA 19128-4901 | 2020-10-19 |
| 1508465840 | Tran Quyen Tran | Physician Assistant | 2941 Hillside Rd, Broomall, PA 19008-1304 | 2020-10-19 |
| 1275132656 | Jessica Haley Stecklein | Physician Assistant | 696 Fir Ave, Langhorne, PA 19047-5450 | 2020-10-18 |
| 1083212625 | Kele Ferreira | Physician Assistant | 1201 Sandhill Rd, Lebanon, PA 17046-1943 | 2020-10-15 |
| 1386251619 | Nicholas James Lazorka | Physician Assistant | 195 Chapmans Round Top Rd, Montoursville, PA 17754-7508 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
| City | E STROUDSBURG |
| Zip Code | 18301 |
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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.