JESSICA ELAINE MIKOLAICHIK (NPI# 1568875870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568875870 |
| Entity Type | Individual |
| Full Name | JESSICA ELAINE MIKOLAICHIK |
| Credential | PA-HIS |
| Practice Address |
195 Stock St Suite 112 Hanover PA 17331-2266 |
| Practice Telephone | 7176981541 |
| Practice Fax Number | 7176981430 |
| Mailing Telephone | 7176981541 |
| Mailing Fax Number | 7176981430 |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2016-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | F03277 | PA | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | STATE LICENSE | F03277 | 01 |
| Street Address |
195 STOCK ST SUITE 112 |
| City | HANOVER |
| State | PA |
| Zip Code | 17331-2266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356340640 | Adams-hanover Urology Assoc., P.C. | Urology | 195 Stock St, Suite 206, Hanover, PA 17331-2266 | 2005-07-19 |
| 1902172059 | Hanover Hearing Center | Durable Medical Equipment & Medical Supplies | 195 Stock St, Suite 112a, Hanover, PA 17331-2266 | 2012-03-22 |
| 1770753279 | Joan Werleman Dds PC | Clinic/Center | 195 Stock St, Suite 310, Hanover, PA 17331-2266 | 2008-03-11 |
| 1528255130 | Hanover Health Corporation, Inc. | Clinic/Center | 195 Stock St, Suite 305, Hanover, PA 17331-2266 | 2007-09-27 |
| 1457389165 | Kathleen A Chapin | Social Worker | 195 Stock St, Suite 306, Hanover, PA 17331-2266 | 2006-06-29 |
| 1891794111 | Richard E Jones | Urology | 195 Stock St, Suite 206, Hanover, PA 17331-2266 | 2005-07-19 |
| 1962401299 | Robert M Tuliszewski | Urology | 195 Stock St, Suite 206, Hanover, PA 17331-2266 | 2005-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356977649 | Pinnacle Health Medical Services | Clinic/Center | 2201 Brunswick Drive, Suite 1100, Hanover, PA 17331 | 2020-03-18 |
| 1508421058 | National Vision Inc | Optometrist | 477 Eisenhower Drive, Hanover, PA 17331 | 2019-05-09 |
| 1225599830 | Tawney Nicole Angeloff | Registered Nurse | 1227 Baltimore Street, Hanover, PA 17331 | 2019-03-27 |
| 1851865000 | Hanh Pham-nguyen | Pharmacist | 260 Wilson Ave, Hanover, PA 17331 | 2019-01-21 |
| 1194251876 | Sam's East, Inc. | Technician/Technologist | 261 Wilson Ave, Hanover, PA 17331 | 2017-05-02 |
| 1346697794 | Pinnacle Treatment Centers Pa-vii, LLC | Clinic/Center | 120 Penn Street, Hanover, PA 17331 | 2016-05-16 |
| 1073914073 | Luana Robinson | Counselor | 36 Wappler Drive, Hanover, PA 17331 | 2014-09-09 |
| 1225467350 | Jennifer Marie Sherde | Specialist/Technologist | 250 Fame Avenue, Suite 100, Medical Fitness Center-hanover Hospital, Hanover, PA 17331 | 2013-11-08 |
| 1194078089 | Robyn Michelle Hess | Physician Assistant | 100 Eisenhower Dr, Hanover, PA 17331 | 2012-10-17 |
| 1134408453 | Heather L Hillson | Pharmacist | 31 Wilson Ave., T2567, Hanover, PA 17331 | 2011-08-04 |
| Find all providers in zip 17331 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033588496 | Linda Odum | Specialist/Technologist, Other | 7779 Kidwell Dr, Hanover, MD 21076-1635 | 2015-09-16 |
| 1558442517 | Lisa Janowski | Specialist/Technologist, Other | 5 Rope Ferry Rd, Hanover, NH 03755-1404 | 2006-10-18 |
| 1205805629 | Janelle Marie Hummer | Specialist/Technologist, Other | 300 Highland Ave, Hanover, PA 17331-2297 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497379879 | Oncora Medical, Inc. | Specialist/Technologist, Other | 2104 Market St Ste 300, Philadelphia, PA 19103-3103 | 2020-06-02 |
| 1730700527 | Andrea Beth Morrison | Specialist/Technologist, Other | 500 Charles Ellis Dr Apt 405, Newtown Square, PA 19073-1325 | 2020-05-03 |
| 1518449719 | Tonya Milburn | Specialist/Technologist, Other | 4611 Tackawanna St, Philadelphia, PA 19124-3307 | 2018-09-04 |
| 1699294611 | Fce Consulting, LLC | Specialist/Technologist, Other | 2208 Quarry Dr Ste 203, West Lawn, PA 19609-1158 | 2017-09-11 |
| 1063937381 | Premier Fce | Specialist/Technologist, Other | 2201 Ridgewood Rd Ste 160, Wyomissing, PA 19610-1190 | 2017-08-08 |
| 1215463278 | Kaitlyn Lawrence | Specialist/Technologist, Other | 5776 Limeport Rd, Emmaus, PA 18049-4651 | 2017-05-11 |
| 1780030528 | Melinda Marie Huey | Specialist/Technologist, Other | 420 Buena Vis, Emlenton, PA 16373-9702 | 2016-05-11 |
| 1700240470 | Thor Mataya | Specialist/Technologist, Other | 2612 Linconia Ave, Trevose, PA 19053-6736 | 2016-04-08 |
| 1548663685 | Maria B Rossi | Specialist/Technologist, Other | 1070 Old National Pike # D, Fredericktown, PA 15333-2114 | 2014-10-03 |
| 1659612273 | Andrew George Bukovitz | Specialist/Technologist, Other | University Drive C Vaphs Room Bw207, Pittsburgh, PA 15240 | 2013-03-06 |
| Find all providers with the same taxonomy | ||||
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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.