CHERISH DIVINA EBY (NPI# 1295774891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295774891 |
| Entity Type | Individual |
| Full Name | CHERISH DIVINA EBY |
| Credential | PA-C |
| Practice Address |
12 St Paul Dr Ste 207 Chambersburg PA 17201-1035 |
| Mailing Address |
785 5th Avenue Suite 3 Chambersburg PA 17201-4232 |
| Practice Telephone | 7172176882 |
| Practice Fax Number | 7172176883 |
| Mailing Telephone | 7172639555 |
| Mailing Fax Number | 7172174217 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2020-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | C0002427 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
MA003067L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
MA003067L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | DEA | ME0756847 | 01 |
| PA | INTERGROUP | 25-1716306 | 01 |
| PA | 103150701 | 05 | |
| PA | MEDICARE GROUP # | 867633 | 01 |
| PA | HEALTHNET/TRICARE | 25-1716306 | 01 |
| PA | CAPITAL BLUECROSS | 50089803 | 01 |
| PA | LICENSE | MA003067L | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 120 N 7th St Ste 200, Chambersburg, PA 172011795 | 7172176882 | 7172176883 |
| 214 Peach Orchard Rd, Mc Connellsburg, PA 172338559 | 7174856125 | 7174856106 |
| 24 Antrim Commons Dr, Greencastle, PA 172251623 | 1776550867 | 7175975522 |
| 24 Antrim Commons Dr, Greencastle, PA 172251623 | 7175975553 | 7175975522 |
| 601 E Main St, Waynesboro, PA 172682332 | 7177655086 | 7177624551 |
| 97 Progress Blvd, Shippensburg, PA 172579053 | 7172176882 | 7172176883 |
| Street Address |
12 ST PAUL DR STE 207 |
| City | CHAMBERSBURG |
| State | PA |
| Zip Code | 17201-1035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063474864 | Sulang Rosado | Obstetrics & Gynecology | 12 St Paul Dr Ste 207, Chambersburg, PA 17201-1035 | 2006-04-05 |
| 1205434826 | Aubrey Rose Kendig | Advanced Practice Midwife | 12 St Paul Dr Ste 207, Chambersburg, PA 17201-1035 | 2020-10-15 |
| 1528628328 | Jessica Henry | Physician Assistant | 12 St Paul Dr Ste 207, Chambersburg, PA 17201-1035 | 2019-06-14 |
| 1659939783 | Selena Neiderer | Advanced Practice Midwife | 12 St Paul Dr Ste 207, Chambersburg, PA 17201-1035 | 2019-06-04 |
| 1003191198 | Ginger Renee Bricker | Nurse Practitioner | 12 St Paul Dr Ste 207, Chambersburg, PA 17201-1035 | 2011-10-20 |
| 1659668028 | Waymee Lwin Conner | Obstetrics & Gynecology | 12 St Paul Dr Ste 207, Chambersburg, PA 17201-1035 | 2011-07-06 |
| 1689838096 | Angelique Luzon Ridore | Obstetrics & Gynecology | 12 St Paul Dr Ste 207, Chambersburg, PA 17201-1035 | 2008-07-15 |
| 1790793636 | Summit Physician Services | Nurse Practitioner | 12 St Paul Dr Ste 207, Chambersburg, PA 17201-1035 | 2006-08-04 |
| 1356376511 | Christine A Molloy | Obstetrics & Gynecology | 12 St Paul Dr Ste 207, Chambersburg, PA 17201-1035 | 2006-07-12 |
| 1154356319 | Constance I Glass | Obstetrics & Gynecology | 12 St Paul Dr Ste 207, Chambersburg, PA 17201-1035 | 2006-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902496 | Kerin Bielecki | Pharmacist | 1730 Lincoln Way West, Chambersburg, PA 17201 | 2020-11-02 |
| 1750995833 | Emily Suzanne Benfer | Occupational Therapist | 32 Parkwood Drive, Chambersburg, PA 17201 | 2020-09-04 |
| 1225688559 | Oneskin Dermatology LLC | Clinic/Center | 211 Grant Street, Chambersburg, PA 17201 | 2019-09-18 |
| 1679033963 | Hospice of Washington County, Inc. | Hospice Care, Community Based | 209 Grant Street, Chambersburg, PA 17201 | 2019-03-22 |
| 1659837540 | Dialysis Care Center Chambersburg LLC | Clinic/Center | 20 Parkwood Drive, Suite 1, Chambersburg, PA 17201 | 2019-02-15 |
| 1518423623 | Wolter Advanced Dental Care | Durable Medical Equipment & Medical Supplies | 20 Parkwood Dr., Ste 3, Chambersburg, PA 17201 | 2019-02-13 |
| 1972059202 | Lindsey Rae Hyatt | Physician Assistant | 761 Park Fifth Avenue, Chambersburg, PA 17201 | 2016-08-28 |
| 1093176943 | Marcia Rebert | Counselor | 1212 Progress Road, Chambersburg, PA 17201 | 2016-03-18 |
| 1669833471 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 968 Norland Avenue, Chambersburg, PA 17201 | 2016-03-08 |
| 1104283324 | Meagen Louise Stouffer | Acupuncturist | 394 Floral Ave, Chambersburg, PA 17201 | 2016-01-19 |
| Find all providers in zip 17201 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578966008 | Kyrene M Zack | Physician Assistant | 22 St Paul Drive, Suite 202, Chambersburg, PA 17201-4221 | 2014-09-29 |
| 1194730978 | Lara L Rife | Physician Assistant | 120 N 7th St Ste 101, Chambersburg, PA 17201-1795 | 2006-07-30 |
| 1316961303 | Sarah Reed | Physician Assistant | 12 St Paul Dr Ste 208, Chambersburg, PA 17201-1035 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450087 | Mary Baich | Physician Assistant | 1050 Bower Hill Rd Ste 208, Pittsburgh, PA 15243-1868 | 2020-06-08 |
| 1972145134 | Emilie A Simone | Physician Assistant | 1050 Bower Hill Rd Ste 309, Pittsburgh, PA 15243-1870 | 2019-10-09 |
| 1518524339 | Nicholas Vernoy Smith | Physician Assistant | 510 South Aiken Avenue, Suite Eg-01 East Wing Shadyside Hospital, Pittsburgh, PA 15232-1505 | 2019-05-28 |
| 1689131757 | Amanda Furst | Physician Assistant | 9100 Babcock Blvd Ste 4828, Pittsburgh, PA 15237-5815 | 2019-02-26 |
| 1659845295 | Alexis Kimes | Physician Assistant | 200 Lothrop St Fl 4, Pittsburgh, PA 15213-2536 | 2019-01-16 |
| 1427530831 | Jordan L Ball | Physician Assistant | 30 Hope Dr # 1200, Hershey, PA 17033-2036 | 2018-08-31 |
| 1740707298 | Robyn Mcnamee | Physician Assistant | 142 Clearview Cir Ste 110, Butler, PA 16001-1565 | 2017-08-25 |
| 1831648336 | Hollie Anne Ramaley | Physician Assistant | 624 E End Ave, Pittsburgh, PA 15221-3424 | 2016-09-25 |
| 1083169890 | Ellen Cannon | Physician Assistant | 1023 Marlin Dr, West Chester, PA 19382-2360 | 2016-08-22 |
| 1295182491 | Emily Tercek | Physician Assistant | 620 Howard Ave Fl 7, Altoona, PA 16601-4804 | 2016-05-17 |
| Find all providers with the same taxonomy | ||||
| City | CHAMBERSBURG |
| Zip Code | 17201 |
Please comment or provide details below to improve the information on CHERISH DIVINA EBY.
| 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.