MANUEL MALDONADO (NPI# 1720090095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720090095 |
| Entity Type | Individual |
| Full Name | MANUEL MALDONADO |
| Credential | PA-C |
| Practice Address |
1235 Old York Rd Levy Medical Plaza Ste G28 Abington PA 19001-3800 |
| Practice Telephone | 2154813500 |
| Practice Fax Number | 2154813533 |
| Mailing Telephone | 2154813500 |
| Mailing Fax Number | 2154813533 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2007-08-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
C50000377 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942489471 | Manuel Heriberto Maldonado | Counselor | 45 Wadsworth St, Hartford, CT 06106-7108 | 2007-11-01 |
| 1144274960 | Manuel F. Maldonado | Physician Assistant | 13129 S Tryon St Ste 120, Charlotte, NC 28278-7915 | 2006-05-19 |
| Street Address |
1235 OLD YORK RD LEVY MEDICAL PLAZA STE G28 |
| City | ABINGTON |
| State | PA |
| Zip Code | 19001-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831193887 | Steven Adam Fassler | Colon & Rectal Surgery | 1235 Old York Rd, Ste G20, Abington, PA 19001-3839 | 2005-06-08 |
| 1558659250 | Sara Javed Collins | Internal Medicine | 1235 Old York Rd, Suite 214, Abington, PA 19001-3800 | 2011-07-14 |
| 1861710162 | Nancy Yates | Nurse Practitioner | 1235 Old York Rd, Suite210, Abington, PA 19001-3800 | 2010-05-11 |
| 1487891289 | Karin A Isett | Nurse Practitioner | 1235 Old York Rd, Suite 113, Abington, PA 19001-3800 | 2009-01-15 |
| 1518104975 | Aysha A Jilani | Internal Medicine | 1235 Old York Rd, Suite 113, Abington, PA 19001-3800 | 2009-01-07 |
| 1851540660 | Ann Rudewicz Heller | Nurse Practitioner | 1235 Old York Rd, Suite 121, Abington, PA 19001-3800 | 2008-09-17 |
| 1669666178 | Carol Gerhard-lynn | Clinical Nurse Specialist | 1235 Old York Rd, Suite 210, Abington, PA 19001-3800 | 2007-08-29 |
| 1922202621 | Aaryn Rebecca Drinkwater | Nurse Practitioner | 1235 Old York Rd, Suite 121, Abington, PA 19001-3800 | 2007-06-14 |
| 1548464068 | Ankur G Shah | Internal Medicine | 1235 Old York Rd, Suite 113, Abington, PA 19001-3800 | 2007-06-11 |
| 1912119710 | Michelle Gorbos-spina | Internal Medicine | 1235 Old York Rd, Suite 113, Abington, PA 19001-3800 | 2007-05-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831671254 | Mohammed D Assali | Surgery | 1200 Old York Road Department of Surgery/suite 604, Abington, PA 19001 | 2018-09-01 |
| 1851886303 | Child and Family Focus, Inc. | Community/Behavioral Health | 2001 Old Welsh Road, Abington, PA 19001 | 2018-06-27 |
| 1376064394 | Rachel Cockerham | Registered Nurse | 1355 Old York Road, Suite 101, Abington, PA 19001 | 2017-06-29 |
| 1598141715 | Thomas Roarty | Nurse Practitioner | 1369 Old York Road, Abington, PA 19001 | 2015-08-11 |
| 1205249448 | Wendy Lorisme | Social Worker | 2223 Florey Ln Apt E3, Abington, PA 19001 | 2014-06-05 |
| 1417376682 | Nabil Zeineddine | Internal Medicine | 1235 Old York Rd Ste 220, Abington, PA 19001 | 2014-04-15 |
| 1578868782 | Phyllis O. Paul | Family Medicine | 1710 Woodland Rd., Abington, PA 19001 | 2011-01-19 |
| 1659674497 | Gerson S Paul | Obstetrics & Gynecology | 1710 Woodland Road, Abington, PA 19001 | 2010-12-17 |
| 1205145596 | Syreeta Tisha Mctavous | Dentist | 1200 Old York Rd., Arches Building, Abington, PA 19001 | 2010-10-04 |
| 1538481635 | Equipsource | Durable Medical Equipment & Medical Supplies | 1302 Easton Road, Suite 1005, Abington, PA 19001 | 2010-02-17 |
| Find all providers in zip 19001 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467963488 | Sneha Kuruvila | Physician Assistant | 1200 Old York Rd, Abington, PA 19001-3720 | 2017-10-17 |
| 1144771536 | Abington Memorial Hospital | Physician Assistant | 1200 Old York Rd, Abington, PA 19001-3720 | 2016-10-20 |
| 1275929093 | Megan Lynn Angstadt | Physician Assistant | 1200 Old York Rd, Abington, PA 19001-3720 | 2015-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450087 | Mary Baich | Physician Assistant | 1050 Bower Hill Rd Ste 208, Pittsburgh, PA 15243-1868 | 2020-06-08 |
| 1972145134 | Emilie A Simone | Physician Assistant | 1050 Bower Hill Rd Ste 309, Pittsburgh, PA 15243-1870 | 2019-10-09 |
| 1518524339 | Nicholas Vernoy Smith | Physician Assistant | 510 South Aiken Avenue, Suite Eg-01 East Wing Shadyside Hospital, Pittsburgh, PA 15232-1505 | 2019-05-28 |
| 1689131757 | Amanda Furst | Physician Assistant | 9100 Babcock Blvd Ste 4828, Pittsburgh, PA 15237-5815 | 2019-02-26 |
| 1659845295 | Alexis Kimes | Physician Assistant | 200 Lothrop St Fl 4, Pittsburgh, PA 15213-2536 | 2019-01-16 |
| 1427530831 | Jordan L Ball | Physician Assistant | 30 Hope Dr # 1200, Hershey, PA 17033-2036 | 2018-08-31 |
| 1740707298 | Robyn Mcnamee | Physician Assistant | 142 Clearview Cir Ste 110, Butler, PA 16001-1565 | 2017-08-25 |
| 1831648336 | Hollie Anne Ramaley | Physician Assistant | 624 E End Ave, Pittsburgh, PA 15221-3424 | 2016-09-25 |
| 1083169890 | Ellen Cannon | Physician Assistant | 1023 Marlin Dr, West Chester, PA 19382-2360 | 2016-08-22 |
| 1295182491 | Emily Tercek | Physician Assistant | 620 Howard Ave Fl 7, Altoona, PA 16601-4804 | 2016-05-17 |
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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.