TERA S FRYDRYCH (NPI# 1629232681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629232681 |
| Entity Type | Individual |
| Full Name | TERA S FRYDRYCH |
| Other Name | TERA S KILGORE |
| Credential | PA-C |
| Practice Address |
621 Kelly Blvd Slippery Rock PA 16057-8523 |
| Mailing Address |
621 Kelly Blvd Po Box 143 Slippery Rock PA 16057-8523 |
| Practice Telephone | 7247944009 |
| Practice Fax Number | 7247944099 |
| Mailing Telephone | 7247944009 |
| Mailing Fax Number | 7247944099 |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2015-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA053134 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
621 KELLY BLVD |
| City | SLIPPERY ROCK |
| State | PA |
| Zip Code | 16057-8523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871570747 | Daniel Ferguson | Internal Medicine | 621 Kelly Blvd, Slippery Rock, PA 16057 | 2005-12-30 |
| 1417506767 | Cindy Montes | Nurse Practitioner | 621 Kelly Blvd, Slippery Rock, PA 16057-8523 | 2019-09-10 |
| 1164937959 | Lauren Marie O'keefe | Nurse Practitioner | 621 Kelly Blvd, Slippery Rock, PA 16057-8523 | 2017-12-03 |
| 1043757941 | Sherry Patton | Nurse Practitioner | 621 Kelly Blvd, Slippery Rock, PA 16057-8523 | 2017-01-30 |
| 1245775774 | Allegheny Health Network | Nurse Practitioner | 621 Kelly Blvd, Slippery Rock, PA 16057-8523 | 2016-12-19 |
| 1245621440 | Allegheny Clinic | Internal Medicine | 621 Kelly Blvd, Slippery Rock, PA 16057-8523 | 2015-02-10 |
| 1558606814 | Apoorva Srivastava | Internal Medicine | 621 Kelly Blvd, Slippery Rock, PA 16057-8523 | 2012-11-27 |
| 1538463021 | Linda L Campbell | Nurse Practitioner | 621 Kelly Blvd, Slippery Rock, PA 16057-8523 | 2010-12-27 |
| 1720003700 | Daniel Ferguson, M.d. | Internal Medicine | 621 Kelly Blvd, Slippery Rock, PA 16057-8523 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427596162 | Michelle Barron | Registered Nurse | 204 Campus Drive, Mclachlan Student Health Center, Slippery Rock, PA 16057 | 2017-02-02 |
| 1386191427 | Adam Mcdowell | Specialist/Technologist | 154 Barron Rd, Slippery Rock, PA 16057 | 2016-09-07 |
| 1457699746 | Tri Rivers Physicl Therapy, LLC | Physical Therapist | 1000 Innovation Drive, Suite 104, Slippery Rock, PA 16057 | 2013-01-22 |
| 1134399835 | David L Gordley Dds LLC | Dentist | 211 Grove City Rd, Slippery Rock, PA 16057 | 2008-03-10 |
| 1124171632 | Allied Dental Group | Dentist | 234 South Main Street, Slippery Rock, PA 16057 | 2007-01-19 |
| 1831273226 | Bonnie J Siple | Specialist/Technologist | 112 West Gym, Slippery Rock University of Pa, Slippery Rock, PA 16057 | 2006-10-24 |
| 1245292051 | Michael Scott Zema | Specialist/Technologist | Dept. of Exercise and Rehabilitative Sciences, Room 117 West Gym, Slippery Rock, PA 16057 | 2006-04-05 |
| 1386639706 | Paul Andrew Cacolice | Specialist/Technologist | 304 Patterson Hall, Exercise and Rehab Sciences, Slippery Rock University, Slippery Rock, PA 16057 | 2005-09-12 |
| 1417203480 | Brent Kanar | Dentist | 234 South Main Street, Slippery Rock, PA 16057 | 2012-07-27 |
| 1508165994 | Tri Rivers Surgical Associates, Inc. | Family Medicine | 100 Innovation Drive, Suite 104d, Slippery Rock, PA 16057 | 2011-03-24 |
| Find all providers in zip 16057 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033508023 | Melody Kniess | Physician Assistant | 100 Innovation Dr, Suite 103, Slippery Rock, PA 16057-2468 | 2015-01-14 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | SLIPPERY ROCK |
| Zip Code | 16057 |
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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.