KATHLEEN D ETZEL (NPI# 1770531295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770531295 |
| Entity Type | Individual |
| Full Name | KATHLEEN D ETZEL |
| Credential | MD |
| Practice Address |
406 W Oak Street Titusville PA 16354 |
| Mailing Address |
7 Acee Drive Natrona Heights PA 15065 |
| Practice Telephone | 8148271851 |
| Practice Fax Number | 7242264575 |
| Mailing Telephone | 8002235544 |
| Mailing Fax Number | 7242943206 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2007-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
MD049657L | PA | Allopathic & Osteopathic Physicians |
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
MD049657L | PA | Allopathic & Osteopathic Physicians |
| N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
MD049657L | PA | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD049657L | PA | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
MD049657L | PA | Allopathic & Osteopathic Physicians |
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
MD049657L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0018069510004 | 01 | |
| BLUE SHIELD | 141309 | 01 | |
| RR MEDICARE | P00143495 | 01 | |
| PA | 0018069510004 | 05 |
| Street Address |
406 W OAK STREET |
| City | TITUSVILLE |
| State | PA |
| Zip Code | 16354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437269685 | Chungja C Shim | Pathology | 406 W Oak Street, Titusville Area Hospital, Titusville, PA 16354 | 2006-08-30 |
| 1609816974 | C & E Radiologists PC | Radiology | 406 W Oak Street, Titusville, PA 16354 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073914883 | Brittany Ann Masterson | Physician Assistant | 150 West Central Avenue, Titusville, PA 16354 | 2014-09-11 |
| 1306050299 | Scott Coleman Smith | Nurse Anesthetist, Certified Registered | Titusville Area Health Services, Inc. - Anesthesia, 406 West Oak Street, Titusville, PA 16354 | 2007-05-09 |
| 1871716621 | Wayne A Martin | Dentist | 202 Union Street, Ste 3, Titusville, PA 16354 | 2007-04-10 |
| 1952469660 | Shelly L Proper | Counselor | 115 West Spring Street, Titusville, PA 16354 | 2006-12-05 |
| 1124190830 | Ashleigh K English | Counselor | 115 West Spring St, Titusville, PA 16354 | 2006-11-15 |
| 1104921428 | Titusville Area Hospital | Medicare Defined Swing Bed Unit | 406 West Oak Street, Titusville, PA 16354 | 2006-09-13 |
| 1891899332 | Titusville Area Hospital | General Acute Care Hospital | 406 West Oak St., Titusville, PA 16354 | 2006-09-12 |
| 1891800470 | James Leo Kristobak | Dentist | 129 N Franklin St, Titusville, PA 16354 | 2006-08-21 |
| 1235104977 | American Homepatient, Inc. | Durable Medical Equipment & Medical Supplies | Drake Mall, Titusville, PA 16354 | 2006-02-17 |
| 1932173366 | William Robert Sonnenberg | Family Medicine | 119 East Mechanic Street, Titusville, PA 16354 | 2006-02-14 |
| Find all providers in zip 16354 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679566756 | Morgan Medical Corp | Radiology | 1905 Jess Parrish Ct, Titusville, FL 32796-2146 | 2005-08-24 |
| 1366992315 | Titusville Area Hospital | Radiology | 406 W Oak St, Titusville, PA 16354-1404 | 2016-10-13 |
| 1831436591 | Bryan Lucas Peterson | Radiology | 951 N Washington Ave, Titusville, FL 32796-2163 | 2013-01-14 |
| 1205006343 | Pinnacle Radiology LLC | Radiology | 490 N Washington Ave, Titusville, FL 32796-2871 | 2008-03-05 |
| 1962552604 | Scott A Drummond Jr. | Radiology | 951 N Washington Ave, Radiology Dept, Titusville, FL 32796-2163 | 2007-01-12 |
| 1083657951 | Kirit A Patel | Radiology | 951 N Washington Ave, Titusville, FL 32796-2163 | 2006-06-14 |
| 1609816974 | C & E Radiologists PC | Radiology | 406 W Oak Street, Titusville, PA 16354 | 2006-06-07 |
| 1205886637 | Robert L. Anderson | Radiology | 951 N Washington Ave, Titusville, FL 32796-2163 | 2006-05-10 |
| 1942259684 | Joseph D. Flynn | Radiology | 951 N Washington Ave, Titusville, FL 32796-2163 | 2006-05-09 |
| 1629027370 | Richard G. Mayer | Radiology | 951 N Washington Ave, Titusville, FL 32796-2163 | 2006-05-09 |
| Find all providers in TITUSVILLE | ||||
| City | TITUSVILLE |
| Zip Code | 16354 |
Please comment or provide details below to improve the information on KATHLEEN D ETZEL.
| 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.