MR. BRETT DENNIS JEROME (NPI# 1790206175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790206175 |
| Entity Type | Individual |
| Full Name | MR. BRETT DENNIS JEROME |
| Credential | PA-C |
| Practice Address |
1528 Pleasant Valley Blvd Altoona PA 16602-4641 |
| Mailing Address |
428 Grant Ave Altoona PA 16602-4912 |
| Practice Telephone | 8149444340 |
| Mailing Telephone | 7174798588 |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2017-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1528 PLEASANT VALLEY BLVD |
| City | ALTOONA |
| State | PA |
| Zip Code | 16602-4641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992779789 | Vijayaraghaven Janakiraman | Internal Medicine | 1528 Pleasant Valley Blvd, Altoona, PA 16602-4641 | 2006-02-16 |
| 1629332606 | Rahul Siddhartha Sinha | Internal Medicine | 1528 Pleasant Valley Blvd, Altoona, PA 16602 | 2012-06-25 |
| 1306876115 | Pleasant Valley Cardiology, LLP | Internal Medicine | 1528 Pleasant Valley Blvd, Altoona, PA 16602-4641 | 2006-07-04 |
| 1790750453 | Mukul Bhatnagar | Internal Medicine | 1528 Pleasant Valley Blvd, Altoona, PA 16602-4641 | 2006-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817646 | John Francis Cain | Registered Nurse | 319 Meadowlark Ave, Altoona, PA 16602 | 2020-10-06 |
| 1023650991 | Rahaf Obeid | Pharmacist | 508 E Plank Road, Altoona, PA 16602 | 2019-10-12 |
| 1346713641 | Justin M Delasko | Dietitian, Registered | 905 Logan Blvd, Altoona, PA 16602 | 2019-01-09 |
| 1679932420 | Dottie Jean Morgan | Speech-Language Pathologist | 501 Valley View Blvd., Altoona, PA 16602 | 2016-02-22 |
| 1922409283 | Rite Aid of Pennsylvania LLC | Durable Medical Equipment & Medical Supplies | 1600 9th Avenue, Altoona, PA 16602 | 2014-09-05 |
| 1972918878 | Grane Hospice Care, Inc. | Hospice Care, Community Based | 115 Union Ave Ste 100, Altoona, PA 16602 | 2014-06-30 |
| 1033524921 | Grane Hospice Care, Inc. | Home Health | 115 Union Ave Ste 300, Altoona, PA 16602 | 2014-06-30 |
| 1306184858 | Lighthouse Medical, LLC | Physical Medicine & Rehabilitation | 301 E. Pleasant Valley Blvd, Altoona, PA 16602 | 2013-01-17 |
| 1497042576 | Michala Seidel | Counselor | 3010 7th Avenue, Alternative Community Resource Program, Altoona, PA 16602 | 2011-07-08 |
| 1205121647 | Rebekah Brown | Preventive Medicine | 301 E Pleasant Valley Blvd., Altoona, PA 16602 | 2011-06-14 |
| Find all providers in zip 16602 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649713744 | Natalie Aikens | Physician Assistant | 615 6th Ave, Altoona, PA 16602-2621 | 2016-11-22 |
| 1295082519 | Kira Cloa Moyer | Physician Assistant | 1224 7th Avenue, Altoona, PA 16601 | 2012-08-06 |
| 1679646327 | Cara Kathleen Bennett | Physician Assistant | 2513 9th St, Altoona, PA 16601-3818 | 2006-11-17 |
| 1235192410 | Christine L. Panaro | Physician Assistant | 2613 8th Ave, Altoona, PA 16602-2000 | 2006-04-10 |
| 1699753905 | Debora J Fisher | Physician Assistant | 1800 Grant Ave, Altoona, PA 16602-4508 | 2006-01-06 |
| 1427681998 | Jenna Luzi | Physician Assistant | 2612 Pleasant Valley Blvd, Altoona, PA 16602-4420 | 2020-02-12 |
| 1972147692 | Nathan Figart | Physician Assistant | 615 6th Ave, Altoona, PA 16602-2621 | 2019-11-06 |
| 1881256196 | Abigail Rose Shaffer | Physician Assistant | 1400 9th Ave, Altoona, PA 16602-2415 | 2019-07-08 |
| 1386206779 | Heather Nicole Sigwalt | Physician Assistant | 501 Howard Ave Ste F4, Altoona, PA 16601-4818 | 2019-07-05 |
| 1447817747 | Courtney T Chamberlain | Physician Assistant | 3341 Beale Ave, Altoona, PA 16601-1549 | 2019-05-22 |
| Find all providers in ALTOONA | ||||
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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.