DONALD GARY KOLVA (NPI# 1396847968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396847968 |
| Entity Type | Individual |
| Full Name | DONALD GARY KOLVA |
| Credential | M.D. |
| Practice Address |
958 Isabel Dr Lebanon PA 17042-7482 |
| Mailing Address |
3421 Concord Rd York PA 17402-9001 |
| Practice Telephone | 7176392978 |
| Practice Fax Number | 7174121005 |
| Mailing Telephone | 7176392978 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2020-08-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD041574E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | CAPITAL BLUE CROSS/KEYSTO | 02326700 | 01 |
| PA | BLUE SHIELD | 592094 | 01 |
| PA | 1196001 | 05 | |
| PA | DEA | BK1378442 | 01 |
| PA | LICENSE | MD041574E | 01 |
| Street Address |
958 ISABEL DR |
| City | LEBANON |
| State | PA |
| Zip Code | 17042-7482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598394611 | Bryan Patrick Carter | Physician Assistant | 958 Isabel Dr, Lebanon, PA 17042-7482 | 2020-04-02 |
| 1962864967 | Robert Lewis Fuino | Psychiatry & Neurology | 958 Isabel Dr, Lebanon, PA 17042-7482 | 2016-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
| 1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
| 1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
| 1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
| 1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
| Find all providers in zip 17042 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558989160 | Ioana Medrea | Psychiatry & Neurology | One Medical Centre Dr, Lebanon, NH 03756-0001 | 2020-07-09 |
| 1588661409 | Mark J Janicki | Psychiatry & Neurology | 2705 N Lebanon St Ste 265, Lebanon, IN 46052-8621 | 2005-07-07 |
| 1114376498 | Naveen George | Psychiatry & Neurology | One Medical Center Dr, Lebanon, NH 03756-1000 | 2016-06-08 |
| 1962864967 | Robert Lewis Fuino | Psychiatry & Neurology | 958 Isabel Dr, Lebanon, PA 17042-7482 | 2016-03-28 |
| 1780070060 | Ryan Wilson | Psychiatry & Neurology | 1 Medical Center Dr, Dhmc, Lebanon, NH 03756-1000 | 2015-04-13 |
| 1033514419 | Sahyli Perez Parra | Psychiatry & Neurology | 1 Medical Center Dr, Dhmc Department of Neurology, Lebanon, NH 03756 | 2014-10-28 |
| 1295155117 | George Wesley Culler Iv | Psychiatry & Neurology | One Medical Center Dr, Neurology, Lebanon, NH 03756-0001 | 2014-04-17 |
| 1184060816 | Anthony Laine Green | Psychiatry & Neurology | 1 Medical Center Dr, Lebanon, NH 03756 | 2013-05-21 |
| 1568727535 | Rebecca J Thompson | Psychiatry & Neurology | 1 Medical Dr, Lebanon, NH 03756-1000 | 2012-07-05 |
| 1184910689 | Nathaniel M Robbins | Psychiatry & Neurology | 1 Medical Center Drive, Neurology, Lebanon, NH 03756-0001 | 2011-06-22 |
| Find all providers in LEBANON | ||||
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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.