SARA J HERNANDEZ (NPI# 1801046909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801046909 |
| Entity Type | Individual |
| Full Name | SARA J HERNANDEZ |
| Other Name | SARA CAMPBELL |
| Credential | PA-C |
| Practice Address |
700 High St Williamsport PA 17701-3100 |
| Mailing Address |
1201 Grampian Blvd Williamsport PA 17701-1900 |
| Practice Telephone | 5703212125 |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2019-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | OA004770 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA06222 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | MA053614 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093312571 | Sara Edith Hernandez | Social Worker | 2451 N Lincoln Ave, Chicago, IL 60614-1509 | 2020-10-07 |
| 1821637562 | Sara Hernandez | Counselor | 4545 S 86th St, Lincoln, NE 68526-9227 | 2019-12-28 |
| 1851812952 | Sara Marie Hernandez | Case Manager/Care Coordinator | 1600 N Lee Trevino Dr Ste C4, El Paso, TX 79936-5164 | 2017-06-29 |
| 1770027633 | Sara Dickes Hernandez | Psychologist | 1638 Windsor St, San Bernardino, CA 92407-3364 | 2016-12-12 |
| 1639627250 | Sara Hernandez | Physical Therapist | 30 Broad Street, Level A, New York, NY 10004 | 2016-09-12 |
| 1003205642 | Sara Clancy Hernandez | Psychologist | 4199 Campus Dr, Suite 300, Irvine, CA 92612-4684 | 2015-01-20 |
| 1366852618 | Sara Hernandez | Registered Nurse | 220 Mcgee Rd, Anderson, SC 29625-2104 | 2014-05-07 |
| 1265611826 | Sara Hernandez | Social Worker | 60 Boston Post Rd, Madison, CT 06443-2157 | 2007-10-31 |
| 1699819870 | Sara Jane Hernandez | Social Worker | 455 Silicon Valley Blvd, San Jose, CA 95138-1858 | 2007-02-19 |
| Street Address |
700 HIGH ST |
| City | WILLIAMSPORT |
| State | PA |
| Zip Code | 17701-3100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063412948 | Alfredo L Blas IIi | Internal Medicine | 700 High St, Williamsport, PA 17701-3198 | 2005-07-21 |
| 1013534031 | Austin Strosser | Physician Assistant | 700 High St, Williamsport, PA 17701-3100 | 2020-06-26 |
| 1720605728 | Kyrstin Hubbard | Pharmacist | 700 High St, Williamsport, PA 17701-3100 | 2020-06-25 |
| 1861013682 | Daniel Schuler | Student in an Organized Health Care Education/Training Program | 700 High St, Williamsport, PA 17701-3100 | 2020-05-04 |
| 1164068904 | Jeremy Tock | Physician Assistant | 700 High St, Williamsport, PA 17701-3100 | 2019-11-26 |
| 1144866278 | Ivan Pinsky | Nurse Anesthetist, Certified Registered | 700 High St, Williamsport, PA 17701-3100 | 2019-11-25 |
| 1659917128 | Jo Ann Evans | Nurse Practitioner | 700 High St, Williamsport, PA 17701-3198 | 2019-11-20 |
| 1093359713 | Randy Metzger | Occupational Therapy Assistant | 700 High St, Williamsport, PA 17701-3100 | 2019-11-06 |
| 1629610480 | Andrea Liebersohn | Nurse Practitioner | 700 High St, Williamsport, PA 17701-3100 | 2019-10-14 |
| 1265074389 | Trevor Joseph Hiller | Registered Nurse | 700 High St, Williamsport, PA 17701-3100 | 2019-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
| 1396395299 | Susan E Fetzer | Occupational Therapy Assistant | Upmc Susquehanna,625 West Edwin Street, Williamsport, PA 17701 | 2019-09-13 |
| 1184280984 | Craig Andrew Tuller | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 | 2019-05-16 |
| 1760048045 | Michael Harvey | Student in an Organized Health Care Education/Training Program | 740 High St. Suite 4001, Williamsport, PA 17701 | 2019-05-13 |
| 1275196008 | Olivia Fladmark | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 | 2019-04-17 |
| 1528551231 | Mark Hampton Chiropractic Inc. | Durable Medical Equipment & Medical Supplies | 1111 East 3rd Street, Williamsport, PA 17701 | 2018-06-08 |
| 1548710882 | Central Pennsylvania Rehabilitation Medicine, Inc | Physical Medicine & Rehabilitation | 460 River Ave Ste 1, Williamsport, PA 17701 | 2016-10-11 |
| 1376096784 | Christine Kessler | Physician Assistant | One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 | 2016-08-02 |
| 1629440276 | Matthew Ray Rebuck | Specialist/Technologist | 220 N Reach Rd, Williamsport, PA 17701 | 2015-10-22 |
| 1508237223 | Neihl Williamson | Physician Assistant | 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 | 2015-10-08 |
| Find all providers in zip 17701 | ||||
| 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 |
|---|---|---|---|---|
| 1508237223 | Neihl Williamson | Physician Assistant | 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 | 2015-10-08 |
| 1376979534 | Geisinger Clinic | Physician Assistant | 824 E Third Street, Williamsport, PA 17701-5856 | 2013-09-19 |
| 1134469653 | Ashley Elizabeth Vanord | Physician Assistant | 1205 Grampian Blvd Ste 1d, Williamsport, PA 17701-1968 | 2013-02-20 |
| 1477793172 | Susquehanna Physician Services | Physician Assistant | 1201 Grampian Blvd Ste 1a, Williamsport, PA 17701-1965 | 2009-02-20 |
| 1437308343 | Michelle L Hartford | Physician Assistant | 1201 Grampian Blvd Ste 2f, Williamsport, PA 17701-1965 | 2008-09-16 |
| 1558373571 | Daniel Ryan Freshour | Physician Assistant | 1824 E 3rd St, Williamsport, PA 17701-3914 | 2006-08-12 |
| 1356380901 | Annette Louise Mileto | Physician Assistant | 1205 River Ave Fl 1, Williamsport, PA 17701-3724 | 2006-06-06 |
| 1467430942 | Bruce W. Body | Physician Assistant | 1824 East Third St., Williamsport, PA 17701-6063 | 2006-01-05 |
| 1952916256 | Karlye Gentzyel | Physician Assistant | 740 High St Ste 1003, Williamsport, PA 17701-3102 | 2020-09-14 |
| 1891305579 | Suhag Patel | Physician Assistant | 740 High St Ste 3002, Williamsport, PA 17701-3102 | 2020-08-06 |
| Find all providers in WILLIAMSPORT | ||||
| City | WILLIAMSPORT |
| Zip Code | 17701 |
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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.