MR. AMERICUS J DESANTIS


Address: 1831 Vollmer Dr, Glenshaw, PA 15116-2160
Phone: 4124872720

MR. AMERICUS J DESANTIS (NPI# 1528096427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528096427
Entity Type Individual
Full Name MR. AMERICUS J DESANTIS
Credential CRNP
Practice Address 1831 Vollmer Dr
Glenshaw
PA 15116-2160
Practice Telephone 4124872720
Practice Fax Number 4126924223
Mailing Telephone 4124872720
Mailing Fax Number 4126924223
Enumeration Date 2006-06-29
Last Update Date 2008-02-12
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
VP002288C PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1831 VOLLMER DR
City GLENSHAW
State PA
Zip Code 15116-2160

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1578851010 Alicia Jean Hunt Developmental Therapist 3390 Saxonburg Blvd, Suite 250, Glenshaw, PA 15116 2011-07-19
1780973636 Ann Marie Hoban Speech-Language Pathologist 3390 Saxonburg Blvd., Suite 250, Glenshaw, PA 15116 2011-03-31
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City GLENSHAW
Zip Code 15116

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Dataset Information

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.

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