KELLY REMBOLT (NPI# 1528580792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528580792 |
| Entity Type | Individual |
| Full Name | KELLY REMBOLT |
| Credential | PA-C |
| Practice Address |
401 W Allegheny Ave Philadelphia PA 19133-3644 |
| Mailing Address |
1412 Faimount Avenue Philadelphia PA 19130-2908 |
| Practice Telephone | 2152912500 |
| Mailing Telephone | 2152359600 |
| Mailing Fax Number | 2152324093 |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2017-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA059130 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
401 W ALLEGHENY AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19133-3644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952384646 | Clinton A. Turner | Obstetrics & Gynecology | 401 W Allegheny Ave, Philadelphia, PA 19133-3644 | 2005-11-28 |
| 1104454578 | Erika Ramos | Registered Nurse | 401 W Allegheny Ave, Philadelphia, PA 19133-3644 | 2020-03-31 |
| 1700364148 | Amanda Montalvo | Dentist | 401 W Allegheny Ave, Philadelphia, PA 19133-3644 | 2018-07-28 |
| 1851816516 | Samantha Alexander Eisenhart | Dental Hygienist | 401 W Allegheny Ave, Philadelphia, PA 19133-3644 | 2017-08-03 |
| 1336674670 | Allison Vogl | Family Medicine | 401 W Allegheny Ave, Philadelphia, PA 19133-3644 | 2017-04-24 |
| 1265966063 | Daniel Ring | Family Medicine | 401 W Allegheny Ave, Philadelphia, PA 19133-3644 | 2017-04-18 |
| 1134587249 | Melissa Cruz | Social Worker | 401 W Allegheny Ave, Philadelphia, PA 19133-3644 | 2016-02-03 |
| 1891167607 | Laura Austen Harris | Nurse Practitioner | 401 W Allegheny Ave, Philadelphia, PA 19133-3644 | 2015-10-20 |
| 1801265103 | Laura Anne Holt | Nurse Practitioner | 401 W Allegheny Ave, Philadelphia, PA 19133-3644 | 2015-09-17 |
| 1609286293 | Emi Okamoto | Internal Medicine | 401 W Allegheny Ave, Philadelphia, PA 19133-3644 | 2014-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427525708 | Delia Maria Home Care Agency LLC | Home Health Aide | 2945-47 N. 5th Street, Philadelphia, PA 19133 | 2018-10-25 |
| 1215417738 | Ajaj Medical Equipment & Supplies | Durable Medical Equipment & Medical Supplies | 3116 North Front St, Philadelphia, PA 19133 | 2018-08-14 |
| 1730636101 | Martha Pinto | Registered Nurse | 412 W. Lehigh Avenue, Philadelphia, PA 19133 | 2016-09-02 |
| 1295105989 | Mariana Arguelles-alcazar | Technician, Other | 216 W. Somerset St, Esfuerzo Program, Philadelphia, PA 19133 | 2015-10-07 |
| 1750785457 | Cinthya M Gonzalez Reveron | Speech-Language Pathologist | 2215 N American Street, Philadelphia, PA 19133 | 2014-10-09 |
| 1306166434 | Roberto Hilario | Counselor | 29297 North 5th Street, Philadelphia, PA 19133 | 2010-06-11 |
| 1598919300 | Pan American Academy Charter School | Local Education Agency (LEA) | 126 West Dauphin Street, Philadelphia, PA 19133 | 2008-11-06 |
| 1518157114 | Jennifer Leah Hoffman | Registered Nurse | 452 W. Allegheny Ave, Philadelphia, PA 19133 | 2007-07-30 |
| 1245441534 | Mark D. Lyons | Physician Assistant | 452 W. Allegheny Ave., Phila., PA 19133 | 2007-05-25 |
| 1104037613 | Christian Santana | Dentist | 29 10 North 5th Street, Phila, PA 19133 | 2007-05-25 |
| Find all providers in zip 19133 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051763 | Molly Catherine Peters | Physician Assistant | 4338 Boone St, Philadelphia, PA 19128-4901 | 2020-10-19 |
| 1356951024 | Murielle M Boursiquot | Physician Assistant | 7901 Henry Ave Apt G302, Philadelphia, PA 19128-3072 | 2020-08-06 |
| 1134757156 | Julie Hutchison | Physician Assistant | 2922 N 5th St, Philadelphia, PA 19133-2801 | 2020-03-27 |
| 1174155857 | Rebecca Volpe | Physician Assistant | 738 Longshore Ave, Philadelphia, PA 19111-4325 | 2020-02-10 |
| 1306308879 | Ria Raju | Physician Assistant | 7909 Lawndale Ave, Philadelphia, PA 19111-2652 | 2019-04-03 |
| 1386101400 | Ashley Thomas | Physician Assistant | 9331 Old Bustleton Ave Ste 100a, Philadelphia, PA 19115 | 2019-02-25 |
| 1487119186 | Shelby Elizabeth Ginsburg | Physician Assistant | 1200 W Tabor Rd Fl Bl4, Philadelphia, PA 19141-3019 | 2019-02-06 |
| 1346720059 | Noelle Elizabeth Mullanaphy | Physician Assistant | 4031 Sheffield St, Philadelphia, PA 19136-3101 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| 1912409533 | Lauren Joy Barton | Physician Assistant | 5401 N Broad St Ste 363, Philadelphia, PA 19141 | 2018-02-28 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19133 |
Please comment or provide details below to improve the information on KELLY REMBOLT.
| 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.