DR. JENNIFER VODZAK (NPI# 1811152663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811152663 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER VODZAK |
| Credential | M.D. |
| Practice Address |
100 North Academy Ave. Danville PA 17822-1339 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-4903 |
| Practice Telephone | 5702716440 |
| Mailing Telephone | 5702716144 |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2020-08-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | MT189518 | PA | Allopathic & Osteopathic Physicians |
| Y | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
MD438505 | PA | Allopathic & Osteopathic Physicians |
| N | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
0439149 | KS | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5808 W 110th St, Overland Park, KS 662112504 | 8166968000 | 8163029939 |
| Street Address |
100 NORTH ACADEMY AVE. |
| City | DANVILLE |
| State | PA |
| Zip Code | 17822-1339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871580167 | Michael James Murray | Anesthesiology | 100 North Academy Ave., Danville, PA 17822-2037 | 2005-10-01 |
| 1467922013 | Danielle Marie Klock | Physician Assistant | 100 North Academy Ave., Danville, PA 17822 | 2018-11-27 |
| 1871021394 | Robert Thomson | Nurse Anesthetist, Certified Registered | 100 North Academy Ave., Danville, PA 17822-2025 | 2017-05-28 |
| 1760890909 | Tamoor Shahid | Hospitalist | 100 North Academy Ave., Danville, PA 17822-2019 | 2014-07-31 |
| 1508277443 | Hardik Arvindbhai Patel | Internal Medicine | 100 North Academy Ave., Danville, PA 17822-2019 | 2014-05-14 |
| 1396165874 | Alex Snyder | Hospitalist | 100 North Academy Ave., Danville, PA 17822 | 2014-04-23 |
| 1548689987 | Pranav Dineshkumar Patel | Hospitalist | 100 North Academy Ave., Danville, PA 17822-2019 | 2014-04-14 |
| 1437590320 | Mena Michael Danial Samaan | Psychiatry & Neurology | 100 North Academy Ave., Danville, PA 17822-1405 | 2013-07-09 |
| 1093155483 | Mudassar Raees Ahmad | Hospitalist | 100 North Academy Ave., Danville, PA 17822-2019 | 2013-06-28 |
| 1265872931 | Isaac Siegfried | Emergency Medicine | 100 North Academy Ave., Danville, PA 17822 | 2013-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366062895 | Staci Lee Benoit | Student in an Organized Health Care Education/Training Program | 100 North Academy Avenue Geisinger Medical Center, Danville, PA 17822 | 2020-04-24 |
| 1275162018 | Kristena Yossef | Student in an Organized Health Care Education/Training Program | Geisinger Medical Center, 100 North Academy Avenue, Da, Danville, PA 17822 | 2020-04-03 |
| 1003470444 | Intekhab Askari Syed Ahmad Raza | Student in an Organized Health Care Education/Training Program | 100 North Academy Avenue, Geisinger Medical Center, Danville, PA 17822 | 2019-04-30 |
| 1841766334 | Sarah Louise Dearment | Counselor | Geisinger Medical Center: Department of Psychiatry, 100 N. Academy Avenue, Danville, PA 17822 | 2018-10-23 |
| 1548753908 | Josie Pervola | Genetic Counselor, MS | 100 N Academy Ave Mc-26-20, Danville, PA 17822 | 2018-06-11 |
| 1477059350 | Martha Niemiec | Counselor | Geisinger Medical Center Department of Psychiatry, 100 North Academy Avenue, Danville, PA 17822 | 2018-04-01 |
| 1730625450 | Nir Shimony | Neurological Surgery | 100 N. Academy Ave., Geisinger Medical Center, Neurosurgery Department, Danville, PA 17822 | 2017-01-19 |
| 1164877197 | Britta Hunter | Speech-Language Pathologist | 100 N. Academy Ave., Danville, PA 17822 | 2016-04-27 |
| 1891180725 | Zach Rottmann | Internal Medicine | Geisinger Medical Center, 100 North Academy Avenue, Danville, PA 17822 | 2015-03-30 |
| 1891063251 | John D Chakan | Pharmacist | 1000 S Second St, Sunbury, PA 17822 | 2011-12-13 |
| Find all providers in zip 17822 | ||||
| Taxonomy Code | 2080P0208X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Infectious Diseases |
| A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265957906 | Daniel Jorgensen | Pediatrics | 5 Great Valley Pkwy Ste 160, Malvern, PA 19355-1445 | 2017-08-03 |
| 1528434495 | Judith Js Ochs | Pediatrics | 1213 Fairville Road, Chadds Ford, PA 19317 | 2015-08-14 |
| 1538579263 | Mark Leonard Bagarazzi | Pediatrics | 280 Garrison Way, Conshohocken, PA 19428-2546 | 2014-05-02 |
| 1477654044 | Lee Antoinette Darville | Pediatrics | 4401 Penn Ave., Division of Infectious Diseases, Pittsburgh, PA 15224-1334 | 2006-09-26 |
| 1578511994 | Jill Ann Foster | Pediatrics | Erie Avenue At Front Street, St. Christopher's Hospital for Children, Philadelphia, PA 19134 | 2006-05-05 |
| 1750355053 | Leslie Serchuck | Pediatrics | 2118 Pine St, Philadelphia, PA 19103-6535 | 2006-02-14 |
| 1225037591 | Tibisay I Villalobos | Pediatrics | 1210 S Cedar Crest Blvd, Suite 2400, Allentown, PA 18103-6229 | 2005-07-19 |
| 1114535002 | Pinnacle Health Medical Services | Pediatrics | 3 Walnut St Ste 205, Lemoyne, PA 17043-1168 | 2020-07-17 |
| 1003451345 | Stc Pediatrics LLC | Pediatrics | 500 York Rd Ste 250, Jenkintown, PA 19046-2870 | 2019-11-11 |
| 1134763568 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-10-29 |
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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.