FENELLA TRAKTOVENKO (NPI# 1780203745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780203745 |
| Entity Type | Individual |
| Full Name | FENELLA TRAKTOVENKO |
| Credential | PA-C |
| Practice Address |
559 W Germantown Pike East Norriton PA 19403-4250 |
| Mailing Address |
101 E Olney Ave Ste 400 Philadelphia PA 19120-2470 |
| Practice Telephone | 4846227700 |
| Mailing Telephone | 2672405922 |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2020-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA061297 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
559 W GERMANTOWN PIKE |
| City | EAST NORRITON |
| State | PA |
| Zip Code | 19403-4250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801876958 | Fornance Physician Services, Inc | Anesthesiology | 559 W Germantown Pike, East Norriton, PA 19403-4250 | 2006-01-17 |
| 1811506546 | Deepthi Yarramsetty | Internal Medicine | 559 W Germantown Pike, East Norriton, PA 19403-4250 | 2020-07-29 |
| 1861016172 | Lauren Kelly Gallagher | Registered Nurse | 559 W Germantown Pike, East Norriton, PA 19403-4250 | 2020-06-02 |
| 1942821541 | Anna Vasiliga | Physician Assistant | 559 W Germantown Pike, East Norriton, PA 19403-4250 | 2020-05-05 |
| 1073134433 | Chris David Evanish | Spec/Tech, Pathology | 559 W Germantown Pike, East Norriton, PA 19403-4250 | 2020-04-27 |
| 1184244238 | Andrew Geliebter | Nurse's Aide | 559 W Germantown Pike, East Norriton, PA 19403-4250 | 2020-04-19 |
| 1871120782 | Kelli Joerger | Physician Assistant | 559 W Germantown Pike, East Norriton, PA 19403-4250 | 2020-03-23 |
| 1891338232 | Alison Mcgoldrick | Physician Assistant | 559 W Germantown Pike, East Norriton, PA 19403-4250 | 2019-10-17 |
| 1194367847 | Prachi Patel | Physician Assistant | 559 W Germantown Pike, East Norriton, PA 19403-4250 | 2019-10-15 |
| 1871134445 | Krystal Humphreys | Physician Assistant | 559 W Germantown Pike, East Norriton, PA 19403-4250 | 2019-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720696099 | Sai Charan Vedula | Internal Medicine | Einstein Medical Center Montgomery, 559 West Germantown Pike, East Norriton, PA 19403 | 2020-07-22 |
| 1255951869 | Jillian Nicole Zerbe | Student in an Organized Health Care Education/Training Program | 3005 Concord Cir, Eagleville, PA 19403 | 2020-04-23 |
| 1649745951 | Gigi Y Frasse | Nurse Practitioner | 10000 Shannondell Drive Main Line Healthcare, Audobon, PA 19403 | 2018-10-12 |
| 1831616002 | Sharlee Dischert | Occupational Therapist | The Arc Alliance Children's Services, 3075 Ridge Pike, Eagleville, PA 19403 | 2017-08-28 |
| 1033633029 | Lauren Aaronson | Social Worker | 2418 Single Tree Lane, Trooper, PA 19403 | 2017-08-01 |
| 1306377288 | Matthew Johnson | Specialist/Technologist | 713 Mill Grove Dr, Audubon, PA 19403 | 2017-03-23 |
| 1720526080 | Dayna Greiner | Speech-Language Pathologist | 70 Bristol Court, Eagleville, PA 19403 | 2017-02-07 |
| 1669928636 | Samantha L Hankey | Specialist/Technologist | 1208 Stonybrook Dr, Norristown, PA 19403 | 2016-08-30 |
| 1154788008 | Noel Patrick Hamilton | Nurse Practitioner | 508 Bassett Lane, Norristown, PA 19403 | 2016-01-23 |
| 1265866115 | Christiana Jo Silcox | Counselor | 128 Riversedge Drive, Jeffersonville, PA 19403 | 2013-08-28 |
| Find all providers in zip 19403 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746858 | Jason Hyunjin Cho | Physician Assistant | 101 Susan Constant Ct, East Norriton, PA 19401-1855 | 2020-10-07 |
| 1811408867 | Bethany Dawn Shirilla | Physician Assistant | 170 W Germantown Pike Ste C1, East Norriton, PA 19401-1389 | 2017-10-17 |
| 1013218197 | Joy Henderson | Physician Assistant | 599 W Germantown Pike, East Norriton, PA 19403 | 2010-11-05 |
| 1942821541 | Anna Vasiliga | Physician Assistant | 559 W Germantown Pike, East Norriton, PA 19403-4250 | 2020-05-05 |
| 1194367847 | Prachi Patel | Physician Assistant | 559 W Germantown Pike, East Norriton, PA 19403-4250 | 2019-10-15 |
| 1871134445 | Krystal Humphreys | Physician Assistant | 559 W Germantown Pike, East Norriton, PA 19403-4250 | 2019-10-03 |
| 1568019628 | Julina Taurino | Physician Assistant | 559 W Germantown Pike, East Norriton, PA 19403-4250 | 2019-08-23 |
| 1396399366 | Elizabeth Catherine Jeitner | Physician Assistant | 559 W Germantown Pike, East Norriton, PA 19403-4250 | 2019-07-29 |
| 1619520194 | Katherine Arnao | Physician Assistant | 559 W Germantown Pike, East Norriton, PA 19403-4250 | 2019-07-23 |
| 1770135105 | Radha B Parekh | Physician Assistant | 559 W Germantown Pike, East Norriton, PA 19403-4250 | 2019-07-16 |
| Find all providers in EAST NORRITON | ||||
| City | EAST NORRITON |
| Zip Code | 19403 |
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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.