JACQUELINE KALIS BOHANKO (NPI# 1760631279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760631279 |
| Entity Type | Individual |
| Full Name | JACQUELINE KALIS BOHANKO |
| Credential | PA-C |
| Practice Address |
700 Lawn Ave Sellersville PA 18960-1548 |
| Mailing Address |
Po Box 1111 Harleysville PA 19438-0907 |
| Practice Telephone | 2154534139 |
| Practice Fax Number | 2154534991 |
| Mailing Telephone | 2154534995 |
| Mailing Fax Number | 2154534646 |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2017-02-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA053571 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
700 LAWN AVE |
| City | SELLERSVILLE |
| State | PA |
| Zip Code | 18960-1548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720084932 | Nancy M Collins-portner | Nurse Anesthetist, Certified Registered | 700 Lawn Ave, Sellersville, PA 18960-1548 | 2005-06-22 |
| 1669084992 | Victoria May Fellenz | Nurse Practitioner | 700 Lawn Ave, Sellersville, PA 18960-1548 | 2020-08-18 |
| 1093336927 | Shibin Benjamin | Respiratory Therapist, Registered | 700 Lawn Ave, Sellersville, PA 18960-1548 | 2020-05-01 |
| 1104458827 | Ashanta Erney | Nurse Practitioner | 700 Lawn Ave, Sellersville, PA 18960-1548 | 2020-02-11 |
| 1093356958 | Rebecca Lauren Heitlinger | Physician Assistant | 700 Lawn Ave, Sellersville, PA 18960-1548 | 2019-10-02 |
| 1144870650 | Rachel Nicole Jesiolowski | Physician Assistant | 700 Lawn Ave, Sellersville, PA 18960-1548 | 2019-09-17 |
| 1699321570 | Grand View Hospital | Psychiatry & Neurology | 700 Lawn Ave, Sellersville, PA 18960-1548 | 2019-08-15 |
| 1649838095 | Gina Ellery | Dietitian, Registered | 700 Lawn Ave, Sellersville, PA 18960-1548 | 2019-05-31 |
| 1891359287 | Grand View Emergency Specialists, LLC | Emergency Medicine | 700 Lawn Ave, Sellersville, PA 18960-1548 | 2019-05-01 |
| 1619442746 | Adam Paul Andriulli | Physician Assistant | 700 Lawn Ave, Sellersville, PA 18960-1548 | 2018-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518362359 | Grand View Hospital | Internal Medicine | 817 Lawn Ave Ste 4, Sellersville, PA 18960 | 2014-10-22 |
| 1386082162 | Grand View Hospital | Nutritionist | 700 Lawn Ave Ofc 4194, Sellersville, PA 18960 | 2013-06-13 |
| 1043654619 | Fresenius Medical Care Sellersville, LLC | Clinic/Center | 1105 Bethlehem Pike, Sellersville, PA 18960 | 2013-04-25 |
| 1417206020 | Mary Ziegler | Registered Nurse | 521 Broadway Ave, Sellersville, PA 18960 | 2012-08-29 |
| 1821220542 | Leslie Osimo | Registered Nurse | 29 Boulder Drive, Sellersville, PA 18960 | 2009-08-13 |
| 1770738700 | Tina Gambale | Occupational Therapist | 5 Narothyn Rd, Sellersville, PA 18960 | 2008-11-18 |
| 1316106362 | William Vernon Spear II | Dentist | 27 Temple Ave, Sellersville, PA 18960 | 2008-06-05 |
| 1376715318 | Nancy A Fickert | Registered Nurse | 5 Lifemark Dr, Sellersville, PA 18960 | 2008-03-31 |
| 1225255730 | Barc | Intermediate Care Facility, Mentally Retarded | 2003 Old Bethlehem Pike, Sellersville, PA 18960 | 2007-04-19 |
| 1073739124 | Barc | Intermediate Care Facility, Mentally Retarded | 1410 Old Bethlehem Pike, Sellersville, PA 18960 | 2007-04-17 |
| Find all providers in zip 18960 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093356958 | Rebecca Lauren Heitlinger | Physician Assistant | 700 Lawn Ave, Sellersville, PA 18960-1548 | 2019-10-02 |
| 1477935211 | Courtney Roberts | Physician Assistant | 3 Life Mark Dr, Sellersville, PA 18960-1598 | 2015-06-28 |
| 1255769048 | Brittney Spears | Physician Assistant | 915 Lawn Ave, Suite 203, Sellersville, PA 18960-1551 | 2013-10-15 |
| 1558600742 | Jessica Beth Tucciarone | Physician Assistant | 915 Lawn Ave Ste 203, Sellersville, PA 18960-1551 | 2013-02-07 |
| 1275878068 | Brendan John Hartman | Physician Assistant | 700 Lawn Ave, Sellersville, PA 18960-1548 | 2012-12-05 |
| 1063765204 | Kara Amber Lindenmoyer | Physician Assistant | 915 Lawn Ave, Suite 203, Sellersville, PA 18960-1551 | 2012-10-25 |
| 1154605418 | Jennifer Barbara Hodges | Physician Assistant | 915 Lawn Ave, Suite 202, Sellersville, PA 18960-1551 | 2011-10-05 |
| 1053621052 | Kelly A. Williamson | Physician Assistant | 915 Lawn Ave, Suite 203, Sellersville, PA 18960-1551 | 2010-10-12 |
| 1992015978 | Kristin Duffy | Physician Assistant | 700 Lawn Ave, Sellersville, PA 18960-1548 | 2010-10-08 |
| 1174762926 | Amela Shankar | Physician Assistant | 915 Lawn Ave, Suite 203, Sellersville, PA 18960-1551 | 2009-02-17 |
| Find all providers in SELLERSVILLE | ||||
| City | SELLERSVILLE |
| Zip Code | 18960 |
Please comment or provide details below to improve the information on JACQUELINE KALIS BOHANKO.
| 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.