JODI ALLISON WEAKNECHT (NPI# 1669022414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669022414 |
Entity Type | Individual |
Full Name | JODI ALLISON WEAKNECHT |
Credential | PA-C |
Practice Address |
3465 Nazareth Rd Ste 102 Easton PA 18045-8359 |
Mailing Address |
633 Christman Rd Kutztown PA 19530-9243 |
Practice Telephone | 6103302630 |
Mailing Telephone | 4842560301 |
Enumeration Date | 2019-09-13 |
Last Update Date | 2019-09-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA060852 | PA | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
65 E Elizabeth Ave Ste 304, Bethlehem, PA 180186506 | 6103172040 | |
870 Green St, Phillipsburg, NJ 088653415 | 9082132111 |
Street Address |
3465 NAZARETH RD STE 102 |
City | EASTON |
State | PA |
Zip Code | 18045-8359 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356809891 | Jesse Frances Gehman | Nurse Practitioner | 3465 Nazareth Rd Ste 102, Easton, PA 18045-8359 | 2019-03-04 |
1881236016 | Melissa Haggerty | Internal Medicine | 3465 Nazareth Rd Ste 102, Easton, PA 18045-8359 | 2019-10-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528685492 | Shilpa Salpekar | Internal Medicine | St. Lukes Internal Medicine (easton), 400 S Greenwood Ave, Easton, PA 18045 | 2020-06-26 |
1194340224 | Alex Grieco | Internal Medicine | 1700 St. Luke's Blvd., Anderson Medical Education Office, Easton, PA 18045 | 2020-06-15 |
1609403112 | Jesse Anderson | Social Worker | 1303c Nicholas St, Easton, PA 18045 | 2020-03-25 |
1619538865 | Unknown Azima Shaji | Psychiatry & Neurology | St. Luke's University and Health Network- Anderson, Medical Education Office- 1700, St. Luke's Blvd, Easton, PA 18045 | 2019-06-27 |
1679131866 | Kamaldeep Sethi | Family Medicine | 1700 St. Luke's Blvd, Medical Education Office, Easton, PA 18045 | 2019-06-03 |
1952849606 | Lehigh Valley Physician Group | Family Medicine | 2401 Northampton St, 1st Floor, Easton, PA 18045 | 2017-02-02 |
1760854392 | Dental Professionals of Pennsylvania, PC | Dentist | 4727 Freemansburg Ave, Suite 104, Easton, PA 18045 | 2015-10-22 |
1114318870 | Shanthi Narla | Student in an Organized Health Care Education/Training Program | St. Luke's Hospital-anderson Campus, Dermatology, Easton, PA 18045 | 2015-02-16 |
1891108718 | Danielle Johnson | Obstetrics & Gynecology | 2200 St. Luke's Blvd, Suite 200, Easton, PA 18045 | 2014-06-09 |
1023451085 | Matthew S Yoder | Anesthesiology | 3500 Corriere Rd Apt 100, Easton, PA 18045 | 2013-04-09 |
Find all providers in zip 18045 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902466998 | Christina Deleon | Physician Assistant | 403 Marvel Court, Easton, MD 21601 | 2019-06-20 |
1447740303 | Nirali Morari | Physician Assistant | 3701 Corriere Rd Ste 22, Easton, PA 18045-7991 | 2018-05-16 |
1508268111 | Lauren A. Kline | Physician Assistant | 21 Corporate Dr Ste 3, Easton, PA 18045-2664 | 2014-09-25 |
1336425206 | Brittany Grier Yerkes | Physician Assistant | 8221 Teal Dr Ste 202, Easton, MD 21601-7229 | 2011-10-24 |
1114082971 | Stephen M Ryan | Physician Assistant | 2401 Northampton St Ste 140, Easton, PA 18045-2764 | 2006-12-22 |
1790788974 | Jocelyn J Engle | Physician Assistant | 30 Community Dr, Easton, PA 18045-2658 | 2005-05-23 |
1962014621 | Serena Ngan | Physician Assistant | 1600 St Lukes Blvd, Easton, PA 18045-5671 | 2020-08-23 |
1891334819 | Sabrina Mary Toles | Physician Assistant | 3701 Corriere Rd, Easton, PA 18045-7991 | 2019-12-23 |
1285101915 | Daniel Christopher Mcdonald | Physician Assistant | 1872 St Lukes Blvd, Easton, PA 18045-5669 | 2018-10-31 |
1871084061 | Mackenzie Kelly | Physician Assistant | 250 S 21st St, Easton, PA 18042-3851 | 2018-05-23 |
Find all providers in EASTON |
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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.