KAREN JILL C ICCARELLI (NPI# 1508894023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508894023 |
| Entity Type | Individual |
| Full Name | KAREN JILL C ICCARELLI |
| Credential | M.D. |
| Practice Address |
16605 Kendle Rd Williamsport MD 21795-1614 |
| Practice Telephone | 3012231241 |
| Practice Fax Number | 3012231240 |
| Mailing Telephone | 3012231241 |
| Mailing Fax Number | 3012231240 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2012-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | D0052136 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 401020500 | 05 |
| Street Address |
16605 KENDLE RD |
| City | WILLIAMSPORT |
| State | MD |
| Zip Code | 21795-1614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114468550 | Aurielle Eileen Rowe Martin | Physician Assistant | 16605 Kendle Rd, Williamsport, MD 21795-1614 | 2017-03-18 |
| 1417375692 | Jamie Clare Worsley | Family Medicine | 16605 Kendle Rd, Williamsport, MD 21795 | 2014-04-03 |
| 1619010170 | Karen Jill Ciccarelli, M.d. PC | Family Medicine | 16605 Kendle Rd, Williamsport, MD 21795-1614 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396736088 | Cynthia L Campbell | Nurse Anesthetist, Certified Registered | 10212 Governor Lane Blvd Unit 1004, Williamsport, MD 21795 | 2005-11-02 |
| 1548456460 | Judith Ann Christner | Speech-Language Pathologist | 154 N Artizan St, Williamsport, MD 21795 | 2007-09-25 |
| 1366530057 | Penbec Inc | Pharmacy | 34 N Conococheague St, Williamsport, MD 21795-1004 | 2006-10-10 |
| 1386717544 | Shannon Leigh Mellott | Occupational Therapy Assistant | 154 N Artizan St, Williamsport, MD 21795-1104 | 2006-11-16 |
| 1023586856 | Brianna Rachelle Dorsey | Speech-Language Pathologist | 154 N Artizan St, Williamsport, MD 21795-1104 | 2018-11-09 |
| 1134697311 | Megan Dmuchowski | Occupational Therapist | 154 N Artizan St, Williamsport, MD 21795-1104 | 2018-11-06 |
| 1427557800 | Flagship Rehabilitation, Inc | Occupational Therapist | 154 N Artizan St, Williamsport, MD 21795-1104 | 2018-02-12 |
| 1154838811 | Jamie Auxt Mcelwee | Speech-Language Pathologist | 154 N Artizan St, Williamsport, MD 21795-1104 | 2018-01-03 |
| 1346757275 | Christopher George Nyack | Occupational Therapist | 154 N Artizan St, Williamsport, MD 21795-1104 | 2017-12-31 |
| 1932530664 | Makeisha Washington | Occupational Therapist | 154 N Artizan St, Williamsport, MD 21795-1104 | 2013-12-05 |
| Find all providers in zip 21795 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427540319 | Julianne Barrett | Family Medicine | 740 High St Ste 4001, Williamsport, PA 17701-3111 | 2018-06-05 |
| 1487021127 | Alfred Konopka Bachiller | Family Medicine | 1705 Warren Ave, 303, Williamsport, PA 17701-2665 | 2015-08-28 |
| 1548675770 | Amy Bedient | Family Medicine | 699 Rural Ave Fl Sl-1, Williamsport, PA 17701-3251 | 2014-06-26 |
| 1548607500 | Kate E Skipton | Family Medicine | 699 Rural Avenue, Williamsport, PA 17701 | 2013-05-31 |
| 1821433020 | Larue Everett Pepperman | Family Medicine | 807 Grampian Blvd, Williamsport, PA 17701-1825 | 2013-05-02 |
| 1952409898 | Fairfield Family Practice PC | Family Medicine | 1300 Sheridan Street, Suite 1, Williamsport, PA 17701 | 2006-09-21 |
| 1013024157 | Kathleen Claire Lewis | Family Medicine | 1701 Four Mile Dr, Williamsport, PA 17701-1940 | 2006-08-24 |
| 1578528865 | Ronald L. Pope | Family Medicine | 435 W 4th St, Williamsport, PA 17701-6001 | 2006-04-19 |
| 1174587570 | Samuel E Schrack, D.o., P.C. | Family Medicine | 520 W 4th St, Suite 1a, Williamsport, PA 17701-6038 | 2006-04-13 |
| 1891756615 | William James Peck | Family Medicine | 14 Hemlock Rd, Williamsport, PA 17701-9203 | 2006-03-31 |
| Find all providers in WILLIAMSPORT | ||||
| City | WILLIAMSPORT |
| Zip Code | 21795 |
Please comment or provide details below to improve the information on KAREN JILL C ICCARELLI.
| 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.