AUDRA GOULD (NPI# 1518363811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518363811 |
| Entity Type | Individual |
| Full Name | AUDRA GOULD |
| Credential | PA |
| Practice Address |
110 S Pennsylvania Ave Wilkes Barre PA 18701-3301 |
| Practice Telephone | 5705526000 |
| Practice Fax Number | 5705526021 |
| Mailing Telephone | 5705526000 |
| Mailing Fax Number | 5705526021 |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2014-11-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
110 S PENNSYLVANIA AVE |
| City | WILKES BARRE |
| State | PA |
| Zip Code | 18701-3301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821043779 | Mary E Mazaleski | Physician Assistant | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2006-05-22 |
| 1346713716 | Kami Leigh Nestler | Nurse Practitioner | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2019-01-08 |
| 1073082665 | Samantha Mary Steinbrenner | Nurse Practitioner | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2018-11-13 |
| 1194228593 | Matthew J Harden | Social Worker | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2018-03-12 |
| 1700316510 | Jerry M Wright | Counselor | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2017-06-14 |
| 1578005013 | Brissa D Rodgers | Social Worker | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2016-11-15 |
| 1730531393 | Jean Schappert | Counselor | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2016-07-07 |
| 1649647355 | Lois Elick | Registered Nurse | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2015-08-28 |
| 1730586306 | Kerry Zellner | Marriage & Family Therapist | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2014-11-26 |
| 1639595259 | Michael Kreidler | Marriage & Family Therapist | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2014-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878836 | Moriah M Teed | Pharmacist | 115 East Northampton St, Wilkes-barre, PA 18701 | 2020-10-12 |
| 1275164055 | Paul Thomas Stanziale | Social Worker | Children's Service Center, 335 S. Franklin St., Wilkes-barre, PA 18701 | 2020-01-30 |
| 1790211175 | Erik David Robertson | Physical Therapist | 4011 Green Pond Road, Bethlhem, PA 18701 | 2017-05-04 |
| 1063895431 | Jennifer L Schell | Nurse Practitioner | 60 Public Sq, Wilkes Barre, PA 18701 | 2015-07-03 |
| 1184051617 | Vincent L. Carolan | Counselor | 67-69 Public Square, Suite 917, Wilkes-barre, PA 18701 | 2013-09-30 |
| 1538592696 | Courtenay Jayne Mcdonough | Nurse Practitioner | 50 Pennsylvania Blvd, Wilkes-barre, PA 18701 | 2013-08-13 |
| 1043656721 | Barbara Lynnette Hoffman | Nurse Practitioner | 110 S. Pennsylvania Ave, Wilkes-barre, PA 18701 | 2013-05-21 |
| 1518232768 | Sharon Anita Wander | Pediatrics | 47 S Washington Street, Wilkes-barre, PA 18701 | 2012-03-20 |
| 1245564780 | Judith Ann Schrepfer | Occupational Therapist | 1 East Street, Bloomsburg, PA 18701 | 2009-10-01 |
| 1841497658 | Nancy M Rodgers | Counselor | 33 East Northhampton St., Wilkes Barre, PA 18701 | 2007-06-27 |
| Find all providers in zip 18701 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948212 | Anthony Christensen Guariglia Jr. | Physician Assistant | 1155 Highway 315 Blvd, Wilkes Barre, PA 18702-6928 | 2020-09-24 |
| 1134638943 | George Ritz IIi | Physician Assistant | 575 N River Street Emergency Department, Wilkes Barre, PA 18764-0001 | 2017-09-25 |
| 1023551033 | Erin Corrine Neuner | Physician Assistant | 1000 E. Mountain Blvd, Wilkes Barre, PA 18711-3478 | 2016-11-22 |
| 1205386430 | Anthony Raymond Raineri | Physician Assistant | 1175 E. Mountain Blvd, Orthopaedics Dept., Wilkes Barre, PA 18702-3885 | 2016-10-12 |
| 1619306230 | Carissa Taroli | Physician Assistant | 189 E Market St, Wilkes Barre, PA 18702-5243 | 2013-11-04 |
| 1821043779 | Mary E Mazaleski | Physician Assistant | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2006-05-22 |
| 1518933662 | Mary M Azarewicz | Physician Assistant | 25 Church Street, Wilkes Barre, PA 18765 | 2006-02-28 |
| 1982213062 | Erin Leigh Dougherty | Physician Assistant | 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 | 2020-07-24 |
| 1467060756 | Laura Brady | Physician Assistant | 1175 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2020-07-22 |
| 1437776150 | Alyssa M Callela | Physician Assistant | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2020-06-29 |
| Find all providers in WILKES BARRE | ||||
| City | WILKES BARRE |
| Zip Code | 18701 |
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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.