MS. PAMELA LEA MACNEELY (NPI# 1770608481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770608481 |
| Entity Type | Individual |
| Full Name | MS. PAMELA LEA MACNEELY |
| Credential | PA-C |
| Practice Address |
675 Wyoming Ave Kingston PA 18704-3831 |
| Practice Telephone | 5702884205 |
| Mailing Telephone | 5702884205 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA002498L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
675 WYOMING AVE |
| City | KINGSTON |
| State | PA |
| Zip Code | 18704-3831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033257407 | Stanley Michael Stanish | General Practice | 675 Wyoming Ave, Kingston, PA 18704-3831 | 2007-02-01 |
| 1073099313 | Samuel R Walker | Dietitian, Registered | 675 Wyoming Ave, Kingston, PA 18704-3831 | 2018-07-18 |
| 1912312810 | Derek Ciaruffoli | Counselor | 675 Wyoming Ave, Suite B, Kingston, PA 18704-3831 | 2014-06-30 |
| 1548674963 | Stefanie Marie Smith | Dietitian, Registered | 675 Wyoming Ave, Kingston, PA 18704-3831 | 2014-06-13 |
| 1124364229 | Cory Ian Shafer | Counselor | 675 Wyoming Ave, Kingston, PA 18704-3831 | 2012-12-17 |
| 1427272509 | Scott Alan Weisenfluh | Physician Assistant | 675 Wyoming Ave, Kingston, PA 18704-3831 | 2007-04-12 |
| 1093853293 | Joseph Anthony Campanella | General Practice | 675 Wyoming Ave, Kingston, PA 18704-3831 | 2007-02-01 |
| 1821136227 | Medical Profesional Service, PC | General Practice | 675 Wyoming Ave, Kingston, PA 18704-3831 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013557552 | Millmark Health Inc. | Psychiatry & Neurology | 511 Pierce Street, Kingston, PA 18704 | 2020-01-13 |
| 1427550334 | Michael Anthony Waltich | Military Health Care Provider | 82 Cooper Street, Pringle, PA 18704 | 2018-03-06 |
| 1376088435 | Jae LLC | Massage Therapist | 512 Northhampton Street, Edwardsville, PA 18704 | 2016-12-28 |
| 1306278288 | Mohammad Khaled Tashkandi | Internal Medicine | 490 Northampton St Ste 1, Edwardsville, PA 18704 | 2013-08-02 |
| 1396180014 | Sammie Craven IIi | Pharmacist | 96 1st Avenue, Kingston, PA 18704 | 2013-05-08 |
| 1447693114 | Catherine Mary Harding | Nurse Practitioner | 141 South Maple Ave, Kingston, PA 18704 | 2013-04-12 |
| 1861781403 | Jennifer Ann Richards | Pharmacist | 22 West Side Mall, Edwardsville, PA 18704 | 2011-04-05 |
| 1558512772 | Jolon Theresa Sherin | Speech-Language Pathologist | 1825 Sans Souci Highway, Hanover, PA 18704 | 2008-10-07 |
| 1932361102 | Kari Ann Pietralczyk | Audiologist | 190 Welles Street, Forty-fort, PA 18704 | 2008-06-30 |
| 1467584151 | John Christopher Storti | Chiropractor | 180 United Penn Plaza, Kingston, PA 18704 | 2007-03-09 |
| Find all providers in zip 18704 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912558321 | Rafael Rondeau | Physician Assistant | 12 Indian Pond Rd, Kingston, MA 02364-2051 | 2019-09-26 |
| 1740723675 | Ashley K Marsh | Physician Assistant | 610 Wyoming Ave, Suite 1, Kingston, PA 18704-3702 | 2016-11-26 |
| 1386186302 | Laura Sasso | Physician Assistant | 396 Broadway, Kingston, NY 12401 | 2016-11-08 |
| 1366833642 | Elizabeth Adolfie | Physician Assistant | 396 Broadway, Kingston, NY 12401-4626 | 2015-02-09 |
| 1811391741 | Amanda Apolonia Waligun | Physician Assistant | 560 Pierce St, Kingston, PA 18704-5716 | 2014-10-21 |
| 1508297524 | Amy Louise Flaherty | Physician Assistant | 451 3rd Ave Ste 1, Kingston, PA 18704-5802 | 2013-12-01 |
| 1982966966 | Megan H Chapman | Physician Assistant | 933 W Race St, Kingston, TN 37763 | 2012-06-14 |
| 1689983272 | Alycia Marie Coar | Physician Assistant | 451 3rd Ave Ste 1, Kingston, PA 18704 | 2010-09-29 |
| 1447589544 | Jessica Anne Frawley Woolfolk | Physician Assistant | 440 Pierce St, Kingston, PA 18704 | 2009-12-18 |
| 1467601732 | Aunisha Desai | Physician Assistant | 445 Wyoming Avenue, Kingston, PA 18704 | 2008-09-11 |
| Find all providers in KINGSTON | ||||
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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.