JESSICA BRUCKER (NPI# 1346648102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346648102 |
| Entity Type | Individual |
| Full Name | JESSICA BRUCKER |
| Credential | PA-C |
| Practice Address |
5769 Saltsburg Rd Verona PA 15147 |
| Mailing Address |
5769 Saltsburg Rd Verona PA 15147-3211 |
| Practice Telephone | 4127938870 |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2018-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | MA057375 | PA | Allopathic & Osteopathic Physicians |
| N | 363A00000X | Physician Assistant | PA60588182 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA60588182 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA057375 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15500 1st Ave S Ste 106, Burien, WA 981481052 | 2062420855 | 2062420856 |
| Street Address |
5769 SALTSBURG RD |
| City | VERONA |
| State | PA |
| Zip Code | 15147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922055946 | Barbara S Kevish | Family Medicine | 5769 Saltsburg Rd, Verona, PA 15147-3211 | 2006-05-27 |
| 1366894925 | Kirsten E Yaggi | Social Worker | 5769 Saltsburg Rd, Verona, PA 15147-3211 | 2016-07-07 |
| 1871973719 | Katherine Wilhelmy | Family Medicine | 5769 Saltsburg Rd, Verona, PA 15147-3257 | 2015-06-05 |
| 1174921886 | Children's Community Care | Social Worker | 5769 Saltsburg Rd, Verona, PA 15147-3211 | 2014-12-11 |
| 1225321003 | Ashley M Lewis | Family Medicine | 5769 Saltsburg Rd, Verona, PA 15147-3211 | 2011-05-26 |
| 1699929349 | Matthew Wirt | Family Medicine | 5769 Saltsburg Rd, Verona, PA 15147-3211 | 2008-11-07 |
| 1548416415 | Renaissance Family Practice-upmc,inc | Family Medicine | 5769 Saltsburg Rd, Verona, PA 15147-3211 | 2008-08-12 |
| 1467616813 | Renaissance Family Practice-upmc, Inc | Family Medicine | 5769 Saltsburg Rd, Verona, PA 15147-3211 | 2008-07-15 |
| 1184893679 | David Tsan-yon Yuan | Family Medicine | 5769 Saltsburg Rd, Verona, PA 15147-3211 | 2008-02-28 |
| 1194867267 | Renaissance Family Practice, Upmc | Non-Pharmacy Dispensing Site | 5769 Saltsburg Rd, Verona, PA 15147-3211 | 2007-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265936892 | H & A Smith Enterprises LLC | Home Health | 3049 Greenridge Dr, Verona, PA 15147 | 2018-03-20 |
| 1174910178 | Adam Cheney | Physical Therapist | 96 Allegheny River Blvd., Verona, PA 15147 | 2015-04-17 |
| 1609206440 | Nancy A Carpenter | Family Medicine | 222 Arch Street, Suite A, Verona, PA 15147 | 2013-11-14 |
| 1295806370 | Mark Alan Antonucci | Dentist | 5745 Saitsburg Road, Verona, PA 15147 | 2006-11-13 |
| 1114980323 | Sally Coll | Physical Therapist | 96 Allegheny River Blvd, Verona, PA 15147-1046 | 2006-04-10 |
| 1972955136 | Thomas Svec | Physical Therapist | 96 Allegheny River Blvd, Verona, PA 15147-1046 | 2016-07-12 |
| 1730593534 | Jamie Powers | Physical Therapist | 96 Allegheny River Blvd, Verona, PA 15147-1046 | 2014-06-19 |
| 1558706242 | Kelsey Margaret Downes | Physical Therapist | 96 Allegheny River Blvd, Verona, PA 15147-1046 | 2013-05-08 |
| 1023076247 | Norman Gustafson | Occupational Therapist | 96 Allegheny River Blvd, Verona, PA 15147-1046 | 2006-05-04 |
| 1114981636 | Christine Blystone | Physical Therapist | 96 Allegheny River Blvd, Verona, PA 15147-1046 | 2006-04-13 |
| Find all providers in zip 15147 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013948637 | Monica Agnes Davis | Physician Assistant | 5547 W Main St, Verona, NY 13478-3426 | 2006-07-05 |
| 1558325449 | Janice Cooney | Physician Assistant | 305 Birchwood Ln, Verona, WI 53593-8355 | 2006-04-17 |
| 1457310591 | Heidi Stokes | Physician Assistant | 100 N Nine Mound Rd, Verona, WI 53593-1032 | 2006-03-18 |
| 1871007955 | Kristina Conklin | Physician Assistant | 271 Grove Ave Ste A, Verona, NJ 07044-1731 | 2017-11-28 |
| 1164933149 | Anthony J. Piccolo | Physician Assistant | 197 Bloomfield Ave, Verona, NJ 07044-2702 | 2017-10-18 |
| 1558606954 | Colleen Snyder | Physician Assistant | 50 Pompton Ave, Verona, NJ 07044-2917 | 2012-12-11 |
| 1457538951 | Anita Fox | Physician Assistant | 60 Pompton Ave, Verona, NJ 07044-2946 | 2008-01-28 |
| 1932397155 | Alyse N Stern | Physician Assistant | 271 Grove Ave, Verona, NJ 07044-1730 | 2007-10-12 |
| 1417156191 | Shari Ashton | Physician Assistant | 60 Pompton Ave, Verona, NJ 07044-2946 | 2007-07-13 |
| 1962613539 | Janet M Worobel | Physician Assistant | 60 Pompton Ave, Verona, NJ 07044-2946 | 2007-05-25 |
| Find all providers in VERONA | ||||
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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.