JENNIFER L TAYLOR


Address: 1400 Penna Ave, Tyrone, PA 16686-1728
Phone: 8146842100

JENNIFER L TAYLOR (NPI# 1548420797) 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) 1548420797
Entity Type Individual
Full Name JENNIFER L TAYLOR
Other Name JENNIFER L VERBICKAS
Credential PA-C
Practice Address 1400 Penna Ave
Tyrone
PA 16686-1728
Mailing Address 187 Hospital Dr
Station Medical Center
Tyrone
PA 16686-1808
Practice Telephone 8146842100
Practice Fax Number 8146845828
Mailing Telephone 8146841255
Mailing Fax Number 8146846398
Enumeration Date 2008-06-11
Last Update Date 2017-02-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
MA053392 PA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA HIGHMARK BLUE SHIELD 2673275 01

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1962878686 Jennifer E Taylor Counselor 441 Alamo Dr, Vacaville, CA 95688-4204 2015-08-17
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Office Location

Street Address 1400 PENNA AVE
City TYRONE
State PA
Zip Code 16686-1728

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477539625 Ronald W Gregory Family Medicine 1400 Penna Ave, Tyrone, PA 16686-1728 2005-12-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548660129 Rite Aid of Pennsylvania LLC Durable Medical Equipment & Medical Supplies 1365 Logan Avenue, Tyrone, PA 16686 2014-09-02
1750696571 Amanda J. Kunsman Physician Assistant 1400 Pennsylvania Avenue, Tyrone, PA 16686 2010-08-17
1386884310 Gary A Raymond Dpm PC Podiatrist 154 Hospital Drive, Suite 4, Tyrone, PA 16686 2009-03-04
1376664755 Med Center Pharmacy Pharmacy Cloy Ave Extension, Tyrone, PA 16686 2007-04-03
1427194778 Robert James Sloss Dentist 1006 Logan Ave, Tyrone, PA 16686 2007-01-30
1538222872 Larry Michael Koren Chiropractor Rd 4 Box 3a, Tyrone, PA 16686 2006-12-18
1417057134 Francis J Mcclain Dentist 1014 Logan Avenue, Tyrone, PA 16686 2006-09-23
1174598304 William James Mazzocco Jr. Physician Assistant Tyrone Hospital, One Hospital Drive, Tyrone, PA 16686 2006-02-21
1447224332 David R Arbutina Surgery 154 Hospital Drive, Suite 5, Tyrone, PA 16686 2006-02-15
1336421965 Nittany Eye Associates Optometrist 175 Hospital Drive, Tyrone, PA 16686 2011-09-09
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437212834 Dawn M Coffman Physician Assistant 190 Handley Rd., Tyrone, GA 30290 2006-12-18
1659665008 Kristi S Berzansky Physician Assistant 221 Hospital Dr, Tyrone, PA 16686-1826 2011-06-02
1679733950 Tyrone Medical Associates Physician Assistant 3 Hospital Dr, Tyrone, PA 16686-1802 2008-06-11
1154406924 John A Schroth Physician Assistant 1 Hospital Dr, Tyrone, PA 16686-1810 2006-10-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1497355341 Julia Majewicz Wilson Physician Assistant 111 Pa-715, #102, Brodheadsville, PA 18322 2020-10-29
1417557273 Jared Michael Yon Physician Assistant 902 Dale Ave, Bradfordwoods, PA 15015-1236 2020-10-29
1295335230 Jillian Ann Korgeski Physician Assistant 400 Corner St, Dunmore, PA 18512-2348 2020-10-29
1821697376 Sidney Patel Physician Assistant 1834 Oregon Pike Ste 20, Lancaster, PA 17601-6463 2020-10-25
1629677356 Jason Christopher Takacs Jr. Physician Assistant 510 Stockton Rdg, Cranberry Township, PA 16066-2280 2020-10-23
1467051763 Molly Catherine Peters Physician Assistant 4338 Boone St, Philadelphia, PA 19128-4901 2020-10-19
1508465840 Tran Quyen Tran Physician Assistant 2941 Hillside Rd, Broomall, PA 19008-1304 2020-10-19
1275132656 Jessica Haley Stecklein Physician Assistant 696 Fir Ave, Langhorne, PA 19047-5450 2020-10-18
1083212625 Kele Ferreira Physician Assistant 1201 Sandhill Rd, Lebanon, PA 17046-1943 2020-10-15
1386251619 Nicholas James Lazorka Physician Assistant 195 Chapmans Round Top Rd, Montoursville, PA 17754-7508 2020-09-30
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Competitor

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City TYRONE
Zip Code 16686

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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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