JOHN KEVIN TABER (NPI# 1548294614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548294614 |
| Entity Type | Individual |
| Full Name | JOHN KEVIN TABER |
| Credential | PA-C |
| Practice Address |
250 Cetronia Rd Allentown PA 18104-9147 |
| Mailing Address |
250 Cetronia Rd Suite 303 Allentown PA 18104-9147 |
| Practice Telephone | 6109736200 |
| Practice Fax Number | 8666440894 |
| Mailing Telephone | 6109736200 |
| Mailing Fax Number | 8666440894 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2015-12-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA053809 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA9100661 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
250 CETRONIA RD |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18104-9147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669476081 | Amir H Fayyazi | Orthopaedic Surgery | 250 Cetronia Rd, Allentown, PA 18104-9147 | 2005-06-13 |
| 1043741812 | Amy Devenuto | Physical Therapist | 250 Cetronia Rd, Suite 210, Allentown, PA 18104-9147 | 2017-03-23 |
| 1245788280 | Betsy Green | Occupational Therapist | 250 Cetronia Rd, Suite 220, Allentown, PA 18104-9147 | 2016-09-20 |
| 1154879468 | Lauren Cook | Occupational Therapist | 250 Cetronia Rd, Suite 220, Allentown, PA 18104-9147 | 2016-09-15 |
| 1578922803 | Michael Sidari | Physician Assistant | 250 Cetronia Rd, Allentown, PA 18104 | 2016-02-15 |
| 1184026874 | Steven J Rogalski | Physician Assistant | 250 Cetronia Rd, Allentown, PA 18104-9147 | 2014-09-24 |
| 1568863116 | Maryjane Spotts Cerrone | Clinical Nurse Specialist | 250 Cetronia Rd, Allentown, PA 18104-9147 | 2014-09-12 |
| 1184025447 | Christine Marie Ciaverelli | Physician Assistant | 250 Cetronia Rd, Allentown, PA 18104-9147 | 2014-09-05 |
| 1376942003 | Jonna P Trexler | Physician Assistant | 250 Cetronia Rd, Allentown, PA 18104-9147 | 2014-08-19 |
| 1740606359 | Onyedikachukwu K Momah | Physician Assistant | 250 Cetronia Rd, Allentown, PA 18104-9147 | 2014-03-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174134191 | The Calm Space LLC | Social Worker | 2047 Pa-309, Allentown, PA 18104 | 2020-08-13 |
| 1790333458 | Loanna T Nguyen | Nurse Practitioner | 2895 Halmilton Blvd, Suite 202, Allentown, PA 18104 | 2019-08-27 |
| 1093360513 | Meghan Paul | Pharmacist | 1727 W Liberty Street, Unit 2, Allentown, PA 18104 | 2019-08-02 |
| 1750948154 | Patricia Terreros | Counselor | 3057 College Heights Blvd Suite Ll, Allentown, PA 18104 | 2019-05-22 |
| 1023593084 | Hearvana | Clinic/Center | 2200 Wets Hamilton Street Suite 311, Allentown, PA 18104 | 2018-09-26 |
| 1700397098 | Amanda L Sellers | Psychologist | 121 N Cedar Crest Blvd Ste A, Allentown, PA 18104 | 2017-10-13 |
| 1689104457 | Craig Ryan Miller | Physical Therapist | 1651 N Cedar Crest Blvd Ste 100, Allentown, PA 18104 | 2017-06-14 |
| 1780128207 | Brandi Nicole Burns | Pediatrics | 1517 Pond Road, Allentown, PA 18104 | 2016-12-19 |
| 1750824264 | William Edward Thawley | Pharmacist | 322 N 7th St., Allentown, PA 18104 | 2016-12-01 |
| 1609222371 | Extremity Mri Inc | Radiologic Technologist | 3131 College Heights Blvd Ste 400, Allentown, PA 18104 | 2016-05-11 |
| Find all providers in zip 18104 | ||||
| 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 |
|---|---|---|---|---|
| 1972110658 | Michael Giacoumopoulos | Physician Assistant | 3131 College Heights Blvd Ste 2200, Allentown, PA 18104-4877 | 2020-09-28 |
| 1285143677 | Ellyssa Susan Degroot | Physician Assistant | 1240 S Cedar Crest Blvd Ste 403, Allentown, PA 18103-6218 | 2017-09-28 |
| 1679826036 | Adam Robert Ternosky | Physician Assistant | 1101 South Cedar Crest Blvd., Allentown, PA 18103-7902 | 2012-10-23 |
| 1376892505 | Melissa Nicole Shaner | Physician Assistant | 1611 Pond Rd Ste 301, Allentown, PA 18104-2258 | 2012-09-04 |
| 1356690697 | Meghan Lynn Williams | Physician Assistant | 1255 S. Cedar Crest Blvd, Suite 2200, Allentown, PA 18103-6226 | 2012-08-31 |
| 1144539578 | Samantha Michael Evans | Physician Assistant | 1627 Chew Street, 101, Allentown, PA 18105-7017 | 2010-10-04 |
| 1497087597 | Susan R Adkins | Physician Assistant | 227 Pennsylvania 100, Allentown, PA 18106 | 2010-02-01 |
| 1447586276 | Tiffany Ann Burke | Physician Assistant | 3050 Hamilton Blvd. Ste 105, Allentown, PA 18103 | 2009-10-29 |
| 1063554988 | Carolyn Gaffney | Physician Assistant | 17th St. and Chew St., Allentown, PA 18105 | 2007-02-14 |
| 1376572545 | Amanda Lieberman | Physician Assistant | 1255 S Cedar Crest Blvd Ste 3600, Medical Imaging of Lehigh Valley, P.C., Allentown, PA 18103-6364 | 2006-07-01 |
| Find all providers in ALLENTOWN | ||||
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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.