KIRSTEN LYNN ELDRED (NPI# 1588650857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588650857 |
| Entity Type | Individual |
| Full Name | KIRSTEN LYNN ELDRED |
| Other Name | KIRSTEN LYNN ELDRED |
| Credential | PA-C |
| Practice Address |
130 Alexis Dr Williamsport PA 17701-9720 |
| Mailing Address |
130 Alexis Dr Susquehanna Cardiology Associates, P. C. Williamsport PA 17701-9720 |
| Practice Telephone | 5703212800 |
| Practice Fax Number | 5703216490 |
| Mailing Telephone | 5703212800 |
| Mailing Fax Number | 5703216490 |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2013-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA051227 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
130 ALEXIS DR |
| City | WILLIAMSPORT |
| State | PA |
| Zip Code | 17701-9720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
| 1396395299 | Susan E Fetzer | Occupational Therapy Assistant | Upmc Susquehanna,625 West Edwin Street, Williamsport, PA 17701 | 2019-09-13 |
| 1184280984 | Craig Andrew Tuller | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 | 2019-05-16 |
| 1760048045 | Michael Harvey | Student in an Organized Health Care Education/Training Program | 740 High St. Suite 4001, Williamsport, PA 17701 | 2019-05-13 |
| 1275196008 | Olivia Fladmark | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 | 2019-04-17 |
| 1528551231 | Mark Hampton Chiropractic Inc. | Durable Medical Equipment & Medical Supplies | 1111 East 3rd Street, Williamsport, PA 17701 | 2018-06-08 |
| 1548710882 | Central Pennsylvania Rehabilitation Medicine, Inc | Physical Medicine & Rehabilitation | 460 River Ave Ste 1, Williamsport, PA 17701 | 2016-10-11 |
| 1376096784 | Christine Kessler | Physician Assistant | One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 | 2016-08-02 |
| 1629440276 | Matthew Ray Rebuck | Specialist/Technologist | 220 N Reach Rd, Williamsport, PA 17701 | 2015-10-22 |
| 1508237223 | Neihl Williamson | Physician Assistant | 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 | 2015-10-08 |
| Find all providers in zip 17701 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376096784 | Christine Kessler | Physician Assistant | One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 | 2016-08-02 |
| 1669428132 | Theresa Anne Tarquinio | Physician Assistant | 701 Northway Rd, Williamsport, PA 17701-3813 | 2006-05-26 |
| 1336103688 | West Branch Neurology Associates, PC | Physician Assistant | 425 Market Street, First Floor, Williamsport, PA 17701-6345 | 2006-04-13 |
| 1376052498 | Kristi Lee Freezer | Physician Assistant | 700 High St, Williamsport, PA 17701-3198 | 2017-09-20 |
| 1205379310 | Sean Vincent O'brien | Physician Assistant | 740 High St, Ste 1003, Williamsport, PA 17701-3100 | 2016-11-21 |
| 1629528385 | Brian Kramer Jr. | Physician Assistant | 1201 Grampian Blvd, Suite 1a, Williamsport, PA 17701-1900 | 2016-10-06 |
| 1770953861 | Molly Jean Horner | Physician Assistant | 700 High St, Williamsport, PA 17701-3100 | 2015-10-01 |
| 1396134532 | Ashley Imrisek | Physician Assistant | 700 High St, Williamsport, PA 17701-3198 | 2015-01-12 |
| 1326457623 | Megan Elizabeth Colvin | Physician Assistant | 700 High St, Williamsport, PA 17701-3198 | 2014-08-12 |
| 1609112689 | Joshua Alan Bower | Physician Assistant | 435 River Ave, Williamsport, PA 17701-3722 | 2012-12-20 |
| Find all providers in WILLIAMSPORT | ||||
| City | WILLIAMSPORT |
| Zip Code | 17701 |
Please comment or provide details below to improve the information on KIRSTEN LYNN ELDRED.
| 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.