PAMELA MACON (NPI# 1679198535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679198535 |
| Entity Type | Individual |
| Full Name | PAMELA MACON |
| Practice Address |
221 Ridge Ave New Kensington PA 15068-5432 |
| Mailing Address |
1225 Taylor Ave Apt 1 New Kensington PA 15068-5553 |
| Practice Telephone | 7245755059 |
| Practice Fax Number | 4125935116 |
| Mailing Telephone | 7245755059 |
| Mailing Fax Number | 4125935116 |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2020-06-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | PA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467597153 | Pamela Michelle Macon | Physical Therapist | 11365 Dorsett Rd, Maryland Heights, MO 63043-3411 | 2007-02-20 |
| Street Address |
221 RIDGE AVE |
| City | NEW KENSINGTON |
| State | PA |
| Zip Code | 15068-5432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457862948 | Rebecca Ashley Rogers | Occupational Therapy Assistant | 1207 Strawn Ave, New Kensington, PA 15068 | 2017-10-24 |
| 1619353372 | Monarch Behavioral Health Asssociates | Social Worker | 2644 Leechburg Road, 2nd Floor, Lower Burrell, PA 15068 | 2015-08-05 |
| 1376974568 | Ashley Renee Bennett | Occupational Therapist | 100 Little Road, Lower Burrell, PA 15068 | 2013-12-12 |
| 1710235551 | Community Health Clinic, Inc. | Dentist | 947 Fourth Avenue, New Kensington, PA 15068 | 2012-08-28 |
| 1588921027 | Patricia Lynn Foster | Physical Therapist | 3160 Kipp Ave, Lower Burrell, PA 15068 | 2012-04-23 |
| 1215202460 | Sandra Ilene O'mara-duffey | Occupational Therapy Assistant | 2709 Van Buren Dr, Lower Burrell, PA 15068 | 2012-03-20 |
| 1922307040 | Lisa Ann Matt | Dietitian, Registered | 200 Tarentum Bridge Road, New Kensington, PA 15068 | 2011-03-16 |
| 1205159779 | Fawn M. Clark | Counselor | 3 Kensington Square, Suite B, New Kensington, PA 15068 | 2010-03-11 |
| 1124358965 | Olga Dubrovsky | Physical Medicine & Rehabilitation | 212 Lynn Ann Dr, New Kensington, PA 15068 | 2009-12-29 |
| 1841421385 | Robert Michael Yanchus | Orthopaedic Surgery | 1100 Woodberry Rd, 290, New Kensington, PA 15068 | 2009-07-31 |
| Find all providers in zip 15068 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911313 | Become Empowered | Peer Specialist | 529 Wyoming Ave, Scranton, PA 18509-3009 | 2020-10-27 |
| 1316545379 | Antoine Johnson | Peer Specialist | 846 N 63rd St, Philadelphia, PA 19151-3443 | 2020-10-13 |
| 1336766765 | Marvin Mccloe | Peer Specialist | 1020 W Lackawanna Ave Ste 380, Scranton, PA 18504-2052 | 2020-07-01 |
| 1750902490 | Jamie Paige Eisner | Peer Specialist | 3934 Foster St, Apartment 332, Pittsburgh, PA 15201 | 2020-05-05 |
| 1134755861 | Teri Julia Joscak | Peer Specialist | 515 Arlington Ave, North Versailles, PA 15137-1914 | 2020-03-13 |
| 1003449307 | Melissa Miles | Peer Specialist | 101 Abbey Dr, Linfield, PA 19468-3310 | 2020-02-15 |
| 1326685256 | The Warm House of Greater Pittsburgh | Peer Specialist | 249 N Craig St, Pittsburgh, PA 15213-1577 | 2019-12-10 |
| 1477190981 | Barry Gilliam | Peer Specialist | 220 Sycamore Ridge Dr, Springdale, PA 15144-1054 | 2019-12-03 |
| 1336783943 | Jessica Elease Elam | Peer Specialist | 5450 Wissahickon Ave Apt B1139, Philadelphia, PA 19144-5285 | 2019-11-06 |
| 1346881059 | Linda Jean Ogden | Peer Specialist | 718 Wood St, Pittsburgh, PA 15221-2842 | 2019-10-03 |
| Find all providers with the same taxonomy | ||||
| City | NEW KENSINGTON |
| Zip Code | 15068 |
Please comment or provide details below to improve the information on PAMELA MACON.
| 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.