MR. CHARLES JOBST III (NPI# 1457481020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457481020 |
| Entity Type | Individual |
| Full Name | MR. CHARLES JOBST III |
| Credential | CSA |
| Practice Address |
200 S River St Plains PA 18705-1143 |
| Mailing Address |
200 South River St. Plains PA 18705-1143 |
| Practice Telephone | 5704178831 |
| Practice Fax Number | 5708211108 |
| Mailing Telephone | 5704178831 |
| Mailing Fax Number | 5708211108 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2012-06-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
200 S RIVER ST |
| City | PLAINS |
| State | PA |
| Zip Code | 18705-1143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265409551 | David B Lucchino | Surgery | 200 S River St, Plains, PA 18705-1143 | 2006-03-05 |
| 1144773151 | Kyle Landis | Physician Assistant | 200 S River St, Plains, PA 18705-1143 | 2016-07-26 |
| 1982031993 | Kelsey Ann Leedock | Physician Assistant | 200 S River St, Plains, PA 18705-1143 | 2013-10-04 |
| 1912344607 | Keystone Surgical Assistants Inc. | Physician Assistant | 200 S River St, Plains, PA 18705-1143 | 2013-06-04 |
| 1700926078 | Dean R Adams | Surgery | 200 S River St, Plains, PA 18705-1143 | 2007-02-07 |
| 1104974328 | Gary Paul Neale | Specialist | 200 S River St, Plains, PA 18705-1143 | 2007-01-05 |
| 1497717482 | Surgical Specialists of Wyoming Valley, PC | Surgery | 200 S River St, Plains, PA 18705-1143 | 2006-04-05 |
| 1265400204 | Clark D Gerhart | Surgery | 200 S River St, Plains, PA 18705-1143 | 2006-03-08 |
| 1073581013 | Juan J Derojas | Surgery | 200 S River St, Plains, PA 18705-1143 | 2006-03-08 |
| 1609844646 | Barry J Pernikoff | Surgery | 200 S River St, Plains, PA 18705-1143 | 2006-03-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316446206 | Mark L Rowan | Physical Therapist | 667 North River Street, Plains, PA 18705 | 2018-02-06 |
| 1588105589 | Maxim Healthcare Services Inc | Home Health | 672 North River St., Suite 102, Plains, PA 18705 | 2017-03-10 |
| 1538572383 | Kevin Loftus | Pharmacist | 20 South River St, Plains, PA 18705 | 2014-06-10 |
| 1831345487 | Terry Lynn Elias | Speech-Language Pathologist | 1014 Morgan Drive, Wilkes-barre, PA 18705 | 2008-08-14 |
| 1578699963 | Renee Elizabeth Edwards | Dentist | 163 S River Street, Plains, PA 18705 | 2007-02-27 |
| 1669568770 | Wyoming Valley Alcohol and Drug Services Inc | Counselor | 437 North Main St., Wilkes Barre, PA 18705 | 2006-10-05 |
| 1912090689 | Emmanuel Egipto Jacob | Acupuncturist | 39 South River Street, Plains, PA 18705 | 2006-10-02 |
| 1336159508 | Albert David Janerich | Physical Medicine & Rehabilitation | 667 S River St, Plains, PA 18705 | 2006-08-09 |
| 1174543094 | Northeast Pedorthic Services Inc | Durable Medical Equipment & Medical Supplies | 234 S River Rd, Plains, PA 18705 | 2006-07-21 |
| 1235118225 | Riverview Orthotics Prosthetics Inc | Prosthetic/Orthotic Supplier | 220 South River St, Suite 204, Plains, PA 18705 | 2006-01-10 |
| Find all providers in zip 18705 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144773151 | Kyle Landis | Physician Assistant | 200 S River St, Plains, PA 18705-1143 | 2016-07-26 |
| 1982031993 | Kelsey Ann Leedock | Physician Assistant | 200 S River St, Plains, PA 18705-1143 | 2013-10-04 |
| 1912344607 | Keystone Surgical Assistants Inc. | Physician Assistant | 200 S River St, Plains, PA 18705-1143 | 2013-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450087 | Mary Baich | Physician Assistant | 1050 Bower Hill Rd Ste 208, Pittsburgh, PA 15243-1868 | 2020-06-08 |
| 1972145134 | Emilie A Simone | Physician Assistant | 1050 Bower Hill Rd Ste 309, Pittsburgh, PA 15243-1870 | 2019-10-09 |
| 1518524339 | Nicholas Vernoy Smith | Physician Assistant | 510 South Aiken Avenue, Suite Eg-01 East Wing Shadyside Hospital, Pittsburgh, PA 15232-1505 | 2019-05-28 |
| 1689131757 | Amanda Furst | Physician Assistant | 9100 Babcock Blvd Ste 4828, Pittsburgh, PA 15237-5815 | 2019-02-26 |
| 1659845295 | Alexis Kimes | Physician Assistant | 200 Lothrop St Fl 4, Pittsburgh, PA 15213-2536 | 2019-01-16 |
| 1427530831 | Jordan L Ball | Physician Assistant | 30 Hope Dr # 1200, Hershey, PA 17033-2036 | 2018-08-31 |
| 1740707298 | Robyn Mcnamee | Physician Assistant | 142 Clearview Cir Ste 110, Butler, PA 16001-1565 | 2017-08-25 |
| 1831648336 | Hollie Anne Ramaley | Physician Assistant | 624 E End Ave, Pittsburgh, PA 15221-3424 | 2016-09-25 |
| 1083169890 | Ellen Cannon | Physician Assistant | 1023 Marlin Dr, West Chester, PA 19382-2360 | 2016-08-22 |
| 1295182491 | Emily Tercek | Physician Assistant | 620 Howard Ave Fl 7, Altoona, PA 16601-4804 | 2016-05-17 |
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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.