LINDA DIANE MARDULA (NPI# 1326008970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326008970 |
| Entity Type | Individual |
| Full Name | LINDA DIANE MARDULA |
| Credential | PA-C |
| Practice Address |
236 Jamesway Rd Ebensburg PA 15931-4207 |
| Mailing Address |
1086 Franklin St Attn: Sandy Odgers Johnstown PA 15905-4305 |
| Practice Telephone | 8144108344 |
| Practice Fax Number | 8144108331 |
| Mailing Telephone | 8144108344 |
| Mailing Fax Number | 8144108331 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2015-10-21 |
| NPI Deactivation Date | 06/17/2015 |
| NPI Reactivation Date | 2015-10-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA002078L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | RAILROAD MEDICARE | P00259042 | 01 |
| Street Address |
236 JAMESWAY RD |
| City | EBENSBURG |
| State | PA |
| Zip Code | 15931-4207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699138065 | Western Pennsylvania Orthopedics and Sports Medicine, Inc. | Prosthetic/Orthotic Supplier | 236 Jamesway Rd, Ebensburg, PA 15931-4207 | 2016-04-01 |
| 1982098927 | Dlp Conemaugh Physician Practices LLC | Family Medicine | 236 Jamesway Rd, Ebensburg, PA 15931-4207 | 2015-03-27 |
| 1801135322 | Basma Khalil | Internal Medicine | 236 Jamesway Rd, Ebensburg, PA 15931-4207 | 2013-02-04 |
| 1629394911 | Michael W Ravotti | Physician Assistant | 236 Jamesway Rd, Ebensburg, PA 15931-4207 | 2010-04-13 |
| 1356582290 | Renal Care Consultants, PC | Physician Assistant | 236 Jamesway Rd, Ebensburg, PA 15931-4207 | 2009-03-23 |
| 1366472318 | Ebensburg Family Medicine Inc | Family Medicine | 236 Jamesway Rd, Ebensburg, PA 15931-4207 | 2006-07-04 |
| 1760412712 | David F Holsinger | Family Medicine | 236 Jamesway Rd, Ebensburg, PA 15931-4207 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245751288 | From The Heart Penn State | Home Health | 2354 Colver Road, Ebensburg, PA 15931 | 2017-06-29 |
| 1154722304 | Brenda Lee Stewart-bezilla | Specialist | 429 Manor Drive, Ebensburg, PA 15931 | 2014-09-08 |
| 1376959213 | Dlp Conemaugh Physician Practices LLC | Internal Medicine | 139 Cook Rd Ste 140, Ebensburg, PA 15931 | 2014-07-10 |
| 1083990220 | Brian J Sidone | Counselor | 3720 New Germany Rd, Ebensburg, PA 15931 | 2011-11-02 |
| 1508158643 | Ibrahim Mustafa Altubasi | Physical Therapist | 3053 New Germany Road, Ebensburg, PA 15931 | 2011-05-09 |
| 1710281381 | Samantha R Snowberger | Counselor | 499 Manor Dr, Ebensburg, PA 15931 | 2010-12-22 |
| 1003090416 | Robert Regis Maruca | Dentist | 300 W Highland Ave, Ebensburg, PA 15931 | 2007-12-20 |
| 1346375466 | Danna Johnson | Pharmacist | 4501 William Penn Highway, Ebensburg, PA 15931 | 2007-02-22 |
| 1811094352 | Bruce Allen Felix | Optometrist | 300 Wal-mart Drive, The Vision Center, Ebensburg, PA 15931 | 2006-09-19 |
| 1255440947 | Errol Dudley Henriques | General Practice | 519 North Caroline Street, Ebensburg, PA 15931 | 2006-08-29 |
| Find all providers in zip 15931 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629394911 | Michael W Ravotti | Physician Assistant | 236 Jamesway Rd, Ebensburg, PA 15931-4207 | 2010-04-13 |
| 1356582290 | Renal Care Consultants, PC | Physician Assistant | 236 Jamesway Rd, Ebensburg, PA 15931-4207 | 2009-03-23 |
| 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 | ||||
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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.