MARK DESANTIS (NPI# 1780682559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780682559 |
Entity Type | Individual |
Full Name | MARK DESANTIS |
Practice Address |
118 Nature Park Rd Ste 300 Greensburg PA 15601-6960 |
Practice Telephone | 7248365540 |
Practice Fax Number | 7248365548 |
Mailing Telephone | 7248365540 |
Mailing Fax Number | 7248365548 |
Enumeration Date | 2005-07-14 |
Last Update Date | 2020-10-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
OA000273L | PA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053424192 | Mark Desantis | Radiology | 79 Middleville Rd, Northport, NY 11768 | 2006-08-15 |
Street Address |
118 NATURE PARK RD STE 300 |
City | GREENSBURG |
State | PA |
Zip Code | 15601-6960 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891225710 | Allegheny Clinic | Clinic/Center | 118 Nature Park Rd Ste 300, Greensburg, PA 15601-6960 | 2017-06-13 |
1144755794 | Allegheny Clinic | Physician Assistant | 118 Nature Park Rd Ste 300, Greensburg, PA 15601-6960 | 2017-04-20 |
1962803643 | Carrie M Ritenour | Physician Assistant | 118 Nature Park Rd Ste 300, Greensburg, PA 15601-6960 | 2014-09-12 |
1225471600 | Christina L Vallano | Dietitian, Registered | 118 Nature Park Rd Ste 300, Greensburg, PA 15601-6960 | 2013-04-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689274128 | Chelsea Anne Lyle | Counselor | Yaroch Counseling, 437 S Maple Ave, Greensburg, PA 15601 | 2020-10-26 |
1538649280 | Valor Healthcare Inc | Nurse Practitioner | 5274 Route 30 East, Suite 10, Greensburg, PA 15601 | 2018-08-21 |
1285121889 | Eugene Flenner Jr. | Orthotist | 3 Gibraltar Way, Greensburg, PA 15601 | 2018-04-18 |
1417461724 | Westmoreland County Area Agency On Aging | Case Management | 200 South Main St., Greensburg, PA 15601 | 2017-11-22 |
1225549769 | Beth Ann Marie Schmidle | Nurse Practitioner | 540 South Street - Medical Commons 2, Suite 302, Greensburg, PA 15601 | 2017-10-23 |
1386167138 | Connections Counseling of Western Pa | Community/Behavioral Health | 231 S Main Street, Suite 404, Greensburg, PA 15601 | 2017-07-24 |
1164963112 | Cory Kunicky | Counselor | 333 Harvey Avenue, Greensburgh, PA 15601 | 2017-03-10 |
1801348826 | Flow Spine & Sport LLC | Chiropractor | 123 Donohoe Drive, Greensburg, PA 15601 | 2016-10-25 |
1235583402 | Marc James Aukerman | Chiropractor | 424 Frye Farm Road, Greensburg, PA 15601 | 2016-04-14 |
1336502806 | Claire Campero | Counselor | One Northgate Square Ste 200, Greensburg, PA 15601 | 2016-04-01 |
Find all providers in zip 15601 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487277703 | Riann Paige Tyree | Physician Assistant | 724 W Lincoln Ave, Greensburg, KS 67054-2522 | 2020-05-20 |
1699220962 | Abigail Diehl | Physician Assistant | 5274 Rte 30 Ste 10, Greensburg, PA 15601-7831 | 2016-08-16 |
1558772178 | Debra A Yothers Lucas | Physician Assistant | 1952 Brinkerton Rd, Greensburg, PA 15601-8226 | 2014-05-16 |
1134544505 | Toni Fontana | Physician Assistant | 504 Fulton St, Greensburg, PA 15601-4402 | 2014-02-21 |
1750613345 | Karla D Gorio | Physician Assistant | 490 Sitman St, Greensburg, LA 70441-1207 | 2010-02-05 |
1447581053 | Heather Lynn Lawrence | Physician Assistant | 545 Rugh St Ste 5000, Greensburg, PA 15601 | 2010-01-21 |
1104978204 | Linda Susan Desantis | Physician Assistant | 325 Alexander Ave, Greensburg, PA 15601-2827 | 2007-01-17 |
1780653436 | Nancy L Kisner | Physician Assistant | 502 Walnut St, Greensburg, KS 67054 | 2006-03-15 |
1073593141 | Marie Pirillo | Physician Assistant | 912 S Main St, Greensburg, PA 15601-4141 | 2006-01-17 |
1043837172 | Allison Laduke | Physician Assistant | 532 W Pittsburgh St, Greensburg, PA 15601-2239 | 2020-07-06 |
Find all providers in GREENSBURG |
City | GREENSBURG |
Zip Code | 15601 |
Please comment or provide details below to improve the information on MARK DESANTIS.
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.