DYLAN THOMAS SANTROCK (NPI# 1548818602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548818602 |
| Entity Type | Individual |
| Full Name | DYLAN THOMAS SANTROCK |
| Credential | PA-C |
| Practice Address |
700 E Norwegian St Pottsville PA 17901-2710 |
| Mailing Address |
417 E Center St Nesquehoning PA 18240-1709 |
| Practice Telephone | 5706214000 |
| Mailing Telephone | 9087632928 |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2019-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
700 E NORWEGIAN ST |
| City | POTTSVILLE |
| State | PA |
| Zip Code | 17901-2710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427050376 | Schuylkill Medical Center - East Norweigan Street | General Acute Care Hospital | 700 E Norwegian St, Pottsville, PA 17901-2710 | 2005-08-11 |
| 1497377501 | Lehigh Valley Hospital | Pharmacy | 700 E Norwegian St, Pottsville, PA 17901-2710 | 2020-05-12 |
| 1801436456 | Jessica Lynn Stives | Psychiatry & Neurology | 700 E Norwegian St, Pottsville, PA 17901-2710 | 2020-01-12 |
| 1790323087 | Sarah A Monger | Dietitian, Registered | 700 E Norwegian St, Pottsville, PA 17901-2710 | 2019-12-17 |
| 1447729165 | Kimberly Maasz | Physician Assistant | 700 E Norwegian St, Pottsville, PA 17901-2710 | 2018-11-26 |
| 1245714328 | Emily Elizabeth Soubik | Speech-Language Pathologist | 700 E Norwegian St, Pottsville, PA 17901-2710 | 2018-09-24 |
| 1255823845 | Schuylkill Medical Center - South Jackson Street | Rehabilitation Unit | 700 E Norwegian St, Pottsville, PA 17901-2710 | 2018-05-31 |
| 1184116774 | Schuylkill Medical Center - South Jackson Street | Psychiatric Unit | 700 E Norwegian St, Pottsville, PA 17901-2710 | 2018-05-31 |
| 1871099150 | Keandra Alea Koons | Dietitian, Registered | 700 E Norwegian St, Pottsville, PA 17901-2710 | 2018-04-04 |
| 1487155750 | Justine Constance Weiss | Dietitian, Registered | 700 E Norwegian St, Pottsville, PA 17901-2710 | 2018-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013409762 | Culture2culture, Inc. | Community/Behavioral Health | 110 E Arch St Fl 1, Pottsville, PA 17901 | 2018-05-30 |
| 1376059444 | Stacie Marie Herring | Registered Nurse | 1400 Laurel Boulevard, Pottsville, PA 17901 | 2017-12-27 |
| 1477092567 | Dr. Scott Rosenthal, P.C. | Pain Medicine | 48 Tunnel Rd Ste 202, Pottsville, PA 17901 | 2017-02-22 |
| 1932573268 | Allied Health Care Services | Community/Behavioral Health | 320 N Second St, Pottsville, PA 17901 | 2015-11-24 |
| 1417344862 | Megan Heffron-foose | Behavioral Analyst | 221 Mahantongo Street, Pottsville, PA 17901 | 2015-04-23 |
| 1326443417 | Richard Adam Haycock | Psychiatry & Neurology | 16 South Centre St, Pottsville, PA 17901 | 2014-10-31 |
| 1245647296 | Maria Gustis | Counselor | 100 Greenbriar Road, Pottsville, PA 17901 | 2014-07-22 |
| 1790198398 | Michelle Chilinskas | Pharmacist | 500 N Claude Lord Blvd, Pottsville, PA 17901 | 2014-06-11 |
| 1952720153 | Darcie Nan Roeder | Physical Therapy Assistant | 700 E Norwegian St., Pottsville, PA 17901 | 2014-04-15 |
| 1205180858 | Rocky Mountain Holdings LLC | Ambulance | 1394 Cedar St, Pottsville, PA 17901 | 2012-11-05 |
| Find all providers in zip 17901 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164836144 | Abby Marie Zimmerman | Physician Assistant | 700 E Norwegian St Fl 3, Pottsville, PA 17901-2710 | 2014-06-17 |
| 1417508425 | Brianna Malia Gaylets | Physician Assistant | 200 Schuylkill Medical Plz, Pottsville, PA 17901-3660 | 2019-09-23 |
| 1760949705 | Daria Verdonik | Physician Assistant | 26 S Centre St, Pottsville, PA 17901-3001 | 2019-02-26 |
| 1942772405 | Kimberly Michelle Kalovcak | Physician Assistant | 26 S. Centre St., Pottsville, PA 17901 | 2018-12-21 |
| 1760804512 | Colleen Margaret Lizewski | Physician Assistant | 420 S Jackson St, Pottsville, PA 17901-3625 | 2014-01-14 |
| 1548527245 | Bradley Jay Boyer | Physician Assistant | 420 S Jackson St, Pottsville, PA 17901-3625 | 2012-04-19 |
| 1306942099 | Kelly A Gergely | Physician Assistant | 700 E Norwegian St, Pottsville, PA 17901-2710 | 2006-09-16 |
| 1811093503 | Bernadette M Trostle | Physician Assistant | 48 Tunnel Rd, Suite 203, Pottsville, PA 17901-3875 | 2006-09-16 |
| 1215033006 | Karen B Bohenek | Physician Assistant | 700 E Norwegian St, Pottsville, PA 17901-2710 | 2006-09-16 |
| 1114988714 | Colby Allan Powell | Physician Assistant | 48 Tunnel Rd, Suite 101, Pottsville, PA 17901-3875 | 2006-03-31 |
| Find all providers in POTTSVILLE | ||||
| City | POTTSVILLE |
| Zip Code | 17901 |
Please comment or provide details below to improve the information on DYLAN THOMAS SANTROCK.
| 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.