CAROL WALKER ENNULAT (NPI# 1295904191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295904191 |
Entity Type | Individual |
Full Name | CAROL WALKER ENNULAT |
Credential | PA-C |
Practice Address |
5900 Corporate Drive Suite 200 Pittsburgh PA 15237-7004 |
Practice Telephone | 4123694000 |
Practice Fax Number | 4123697667 |
Mailing Telephone | 4123694000 |
Mailing Fax Number | 4123697667 |
Enumeration Date | 2008-02-25 |
Last Update Date | 2008-02-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA052915 | PA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
5900 CORPORATE DRIVE SUITE 200 |
City | PITTSBURGH |
State | PA |
Zip Code | 15237-7004 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508826298 | Jody L Middleton | Physician Assistant | 5900 Corporate Drive, Suite 200, Pittsburgh, PA 15237 | 2006-03-25 |
1386165660 | Julie Wong Mileham | Optometrist | 5900 Corporate Drive, Ste 150, Pittsburgh, PA 15237-7005 | 2017-06-27 |
1821231820 | Melissa D Poeppel | Physician Assistant | 5900 Corporate Drive, Suite 200, Pittsburgh, PA 15237 | 2009-04-07 |
1518042852 | David Lecce | Occupational Therapist | 5900 Corporate Drive, Suite 100, Pittsburgh, PA 15237-7004 | 2006-10-26 |
1215012653 | Adam J. Cramer | Occupational Therapist | 5900 Corporate Drive, Suite 100, Pittsburgh, PA 15237-7004 | 2006-10-26 |
1104901545 | Lisa A. Cramer | Occupational Therapist | 5900 Corporate Drive, Suite 100, Pittsburgh, PA 15237-7004 | 2006-10-26 |
1275618613 | Alicia Glasso Kaiser | Physical Therapist | 5900 Corporate Drive, Suite 100, Pittsburgh, PA 15237-7004 | 2006-10-26 |
1619052065 | Benjamin R. Kivlan | Physical Therapist | 5900 Corporate Drive, Suite 100, Pittsburgh, PA 15237-7004 | 2006-10-26 |
1811072234 | Robert Scott Buchanan | Physical Therapist | 5900 Corporate Drive, Suite 100, Pittsburgh, PA 15237-7004 | 2006-10-25 |
1730270893 | Victoria Lue Benko | Dentist | 5900 Corporate Drive, Ste 220, Pittsburgh, PA 15237 | 2006-09-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538701347 | Ann Elizabeth Patterson | Internal Medicine | 5700 Corporate Drive Suite 410, Pittsburgh, PA 15237 | 2019-10-14 |
1548801335 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 100 Ross Park Mall Dr, Suite A07a, Pittsburg, PA 15237 | 2019-10-02 |
1619529286 | Tracey Willis | Nurse Practitioner | 9101 Babcock Blvd, Pittsburgh, PA 15237 | 2019-07-12 |
1285295899 | Ahn Emerus Westmoreland LLC | General Acute Care Hospital | 8950 Duncan Ave, Pittsburg, PA 15237 | 2019-06-25 |
1295235745 | Lauren Wehr | Speech-Language Pathologist | 6000 Babcock Blvd Ste 103, Pittsburgh, PA 15237 | 2018-02-20 |
1497255822 | Christine Spera | Registered Nurse | 9100 Babcock Blvd Fl 2, Pittsburgh, PA 15237 | 2018-02-12 |
1790204295 | Cathy Reed | Nurse Practitioner | 8305 Mcknight Rd, Pittsburgh, PA 15237 | 2017-09-15 |
1184150005 | Jodie Elizabeth Luther | Dentist | 8035 Mcknight Rd Ste 201, Pittsburgh, PA 15237 | 2017-05-11 |
1811434905 | Hacer Diler | Physical Therapist | 7045 Bennington Woods Dr, Pittsburgh, PA 15237 | 2017-01-26 |
1174079305 | Preethi Kuknooru | Dentist | 1709 Teal Trce, Pittsburgh, PA 15237 | 2016-08-28 |
Find all providers in zip 15237 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013526441 | Kala Ann Cinker | Physician Assistant | 120 Parkhurst St, Pittsburgh, PA 15212-4749 | 2020-07-31 |
1215570825 | Douglas Pascal Placais | Physician Assistant | 3400 Forbes Ave Ste 10040, Pittsburgh, PA 15213-3214 | 2019-10-26 |
1336781145 | Brooke Scheider | Physician Assistant | 815 Agnew Road, Pittsburgh, PA 15227 | 2019-10-14 |
1952942930 | Emily M Rice | Physician Assistant | 310 Rodi Rd Ste 240, Pittsburgh, PA 15235-3318 | 2019-10-01 |
1619523024 | Gabrielle M Sibilia | Physician Assistant | 310 Rodi Rd Ste 140, Pittsburgh, PA 15235-3318 | 2019-08-12 |
1407409618 | Jacob Birkline | Physician Assistant | 5519 Baum Blvd Apt 2, Pittsburgh, PA 15232-5203 | 2019-07-17 |
1568954386 | Kristen Ashley Mcgarity | Physician Assistant | 1130 Perry Hwy Ste 9, Pittsburgh, PA 15237-2132 | 2018-06-06 |
1164930855 | Scott Maniglia | Physician Assistant | 1315 Locust St., Suite 105, Pittsburgh, PA 15219 | 2018-01-16 |
1548772171 | Kristen Ann Beatrice Jarvis | Physician Assistant | 4401 Penn Ave Fl 8, Pittsburgh, PA 15224-1334 | 2017-11-05 |
1831600774 | Audrey A Hayward | Physician Assistant | Department of Otolaryngology, Eye and Ear Institute, 203 Lothrop Street, Suite 300, Pittsburgh, PA 15213-2548 | 2017-10-18 |
Find all providers in PITTSBURGH |
City | PITTSBURGH |
Zip Code | 15237 |
Please comment or provide details below to improve the information on CAROL WALKER ENNULAT.
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.