MRS. SHANNON LEA DEL GRANDE (NPI# 1447503412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447503412 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON LEA DEL GRANDE |
| Credential | PA-C |
| Practice Address |
775 E Lancaster Ave Suite 200 Villanova PA 19085-1529 |
| Practice Telephone | 6105257800 |
| Practice Fax Number | 6105257801 |
| Mailing Telephone | 6105257800 |
| Mailing Fax Number | 6105257801 |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2016-08-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA057827 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
C5-0000845 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
775 E LANCASTER AVE SUITE 200 |
| City | VILLANOVA |
| State | PA |
| Zip Code | 19085-1529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245668128 | Jacob Kolff | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1125 Bryn Llawn Road, Villanova, PA 19085 | 2013-10-31 |
| 1467721555 | Bruce Freundlich | Internal Medicine | 1252 Lakemont Rd, Villanova, PA 19085 | 2011-12-20 |
| 1710276217 | Eileen Cohler Helzner | Family Medicine | 729 Canterbury Lane, Villanova, PA 19085 | 2011-04-05 |
| 1811213929 | Lauren Ann Kostelnik | Pediatrics | 789 E Lancaster Ave Ste 10, Villanova, PA 19085 | 2010-04-14 |
| 1306004338 | Richard Allen Davis | General Acute Care Hospital | 1238 Meadowbank Rd, Villanova, PA 19085 | 2008-05-27 |
| 1891870788 | Leeann M. Webb | Nurse Practitioner | Nemours Dupont Pediatrics, Villanova, 789 E. Lancaster Ave., Suite 10, Villanova, PA 19085 | 2006-10-26 |
| 1508865304 | Christine S Stanko | Dermatology | 775 E Lancaster Ave Ste 200, Villanova, PA 19085 | 2005-07-14 |
| 1184621930 | Lee A. Bowers | Psychologist | 210 Tower Rd, Villanova, PA 19085 | 2005-07-07 |
| 1457734238 | Amanda Cubbage | Physical Therapist | 734 E Lancaster Ave, Villanova, PA 19085 | 2015-06-30 |
| 1346298601 | Lynn T Williams | Physician Assistant | 775 E Lancaster Ave Ste 200, Villanova, PA 19085 | 2006-05-05 |
| Find all providers in zip 19085 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851630735 | Lilly Moss Parllaku | Physician Assistant | 775 E Lancaster Ave Ste 200, Villanova, PA 19085-1529 | 2013-02-12 |
| 1346298601 | Lynn T Williams | Physician Assistant | 775 E Lancaster Ave Ste 200, Villanova, PA 19085 | 2006-05-05 |
| 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.