CARRIE DAWN DESHONG (NPI# 1619922358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619922358 |
| Entity Type | Individual |
| Full Name | CARRIE DAWN DESHONG |
| Credential | PA |
| Practice Address |
525 Fulton Drive Mcconnellsburg PA 17233 |
| Mailing Address |
109 Rayloc Dr Hancock MD 21750-1518 |
| Practice Telephone | 7174853850 |
| Practice Fax Number | 7174853725 |
| Mailing Telephone | 3016785187 |
| Mailing Fax Number | 3016785797 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2017-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA051061 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA REGISTRATION NUMBER | MD0881222 | 01 | |
| PA | MEDICAL PHY ASST LICENSE | MA051061 | 01 |
| Street Address |
525 FULTON DRIVE |
| City | MCCONNELLSBURG |
| State | PA |
| Zip Code | 17233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932159464 | Tri-state Community Health Center, Inc | Clinic/Center | 525 Fulton Drive, Mcconnellsburg, PA 17233-1143 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124394655 | Amy J Whitsel | Nurse Practitioner | 114 Peach Orchard Road, Mcconnellsburg, PA 17233 | 2012-03-29 |
| 1083780407 | Steven S Cohen | Family Medicine | 292 Buchanan Trail, Mcconnellsburg, PA 17233 | 2006-11-28 |
| 1063591238 | Svm3 Pharma Inc | Pharmacy | 182 Buchanan Trail, Suite: 150, Mcconnellsburg, PA 17233 | 2006-11-06 |
| 1821179615 | Joseph G Wolfe | Dentist | 214 Lincoln Way East, Mcconnellsburg, PA 17233 | 2006-10-18 |
| 1619951183 | Elizabeth T. Gotwals | Social Worker | 214 Peach Orchard Road, Mc Connellsburg, PA 17233 | 2005-11-30 |
| 1790300374 | Abagael Marie Peck | Physician Assistant | 214 Peach Orchard Road, Mcconnellsburg, PA 17233 | 2020-06-10 |
| 1831691625 | Jordan Alexis Kaminsky | Occupational Therapist | 214 Peach Orchard Road, Mcconnellsburg, PA 17233 | 2018-03-07 |
| 1295102291 | Courtney Cox | Physical Therapist | 214 Peach Orchard Rd, Mc Connellsburg, PA 17233 | 2015-08-25 |
| 1962736934 | Fulton Behavioral Health Services PC | Psychologist | 214 Peach Orchard Road, Mc Connellsburg, PA 17233 | 2009-09-23 |
| 1801029087 | Jennifer A. Rhodes | Counselor | 214 Peach Orchard Road, Mc Connellsburg, PA 17233 | 2009-09-03 |
| Find all providers in zip 17233 | ||||
| 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 |
|---|---|---|---|---|
| 1093316762 | Alyssa Ann Mikes | Physician Assistant | 6 New Countryside Dr, West Chester, PA 19382-6456 | 2020-11-08 |
| 1720689011 | Marissa Dawn Lamary | Physician Assistant | 1500 Fifth Ave Bldg Leveld, Mckeesport, PA 15132-2422 | 2020-11-04 |
| 1013517796 | Kifany M Gower | Physician Assistant | 1158 Wyoming Ave, Exeter, PA 18643-1815 | 2020-10-30 |
| 1922608645 | Meghan Michelle Allen | Physician Assistant | 4800 Friendship Ave Ste 439, Pittsburgh, PA 15224-1722 | 2020-10-30 |
| 1912507807 | Rachel Nye | Physician Assistant | 124 Home Depot Dr Ste D, Franklin, PA 16323-8030 | 2020-10-29 |
| 1487254306 | Zane T Mcguire | Physician Assistant | 378 W Chestnut St Ste 103, Washington, PA 15301-4661 | 2020-10-29 |
| 1740889443 | Tricia Harenza | Physician Assistant | 27 Sandy Ln Ste 250, Lewistown, PA 17044-1372 | 2020-10-22 |
| 1336748425 | Alexis Marie Ivosevic | Physician Assistant | 98 Deer Park Ln, Hawley, PA 18428-8223 | 2020-10-20 |
| 1780283986 | Margaret Ann Malloy | Physician Assistant | 3223 N Broad St Fl 1, Philadelphia, PA 19140-5007 | 2020-10-20 |
| 1851990170 | Jessica Marie Giordano | Physician Assistant | 201 Penn Valley Ter, Yardley, PA 19067-1028 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
| City | MCCONNELLSBURG |
| Zip Code | 17233 |
Please comment or provide details below to improve the information on CARRIE DAWN DESHONG.
| 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.