ALICIA M WURM (NPI# 1811325608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811325608 |
| Entity Type | Individual |
| Full Name | ALICIA M WURM |
| Credential | PA-C |
| Practice Address |
757 Johnsonburg Rd Suite 110 Saint Marys PA 15857-3488 |
| Mailing Address |
100 Hospital Ave Du Bois PA 15801-1440 |
| Practice Telephone | 8148342850 |
| Practice Fax Number | 8147811580 |
| Mailing Telephone | 8143756560 |
| Mailing Fax Number | 8143722848 |
| Enumeration Date | 2013-10-15 |
| Last Update Date | 2016-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA056509 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
757 JOHNSONBURG RD SUITE 110 |
| City | SAINT MARYS |
| State | PA |
| Zip Code | 15857-3488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053401133 | Dennis W Rhoades | Family Medicine | 757 Johnsonburg Rd, Ground Floor Rehab Building, Saint Marys, PA 15857-3488 | 2006-10-13 |
| 1467075457 | Matt Mignot | Physical Therapist | 757 Johnsonburg Rd, Saint Marys, PA 15857-3488 | 2020-05-25 |
| 1821469685 | Tricia Ann Bell | Physical Therapist | 757 Johnsonburg Rd, Saint Marys, PA 15857-3488 | 2015-10-19 |
| 1932575321 | Dubois Regional Medical Center - Penn Highlands Internal Med St. Marys | Internal Medicine | 757 Johnsonburg Rd, Saint Marys, PA 15857-3488 | 2015-08-19 |
| 1194100636 | Dubois Reg Med Ctr - Ph Dubois Fam Med/internal Med St Marys | Physician Assistant | 757 Johnsonburg Rd, Saint Marys, PA 15857-3488 | 2015-07-27 |
| 1275918997 | Dubois Regional Medical Center - Penn Highlands Family Medicine | Family Medicine | 757 Johnsonburg Rd, Suite 110, Saint Marys, PA 15857-3488 | 2015-07-23 |
| 1578797668 | Amy Marie Kelly | Family Medicine | 757 Johnsonburg Rd, Suite 100, Saint Marys, PA 15857-3488 | 2009-05-05 |
| 1467694646 | Tricia L Stauffer | Speech-Language Pathologist | 757 Johnsonburg Rd, Saint Marys, PA 15857-3488 | 2009-04-02 |
| 1518160225 | Elk Regional Professional Group, Inc. | Clinical Medical Laboratory | 757 Johnsonburg Rd, Suite 100, Saint Marys, PA 15857-3488 | 2007-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255813945 | Emily Gregory | Occupational Therapist | Elk Haven, 785 Johnsonburg Road, Saint Marys, PA 15857 | 2018-08-30 |
| 1902324395 | Kylee Jo Proudfit | Specialist/Technologist | 575 Charles Street, Saint Marys, PA 15857 | 2017-09-06 |
| 1760829212 | Joshua Aaron Kuleck | Social Worker | 801 South Michael St., Cen Clear Child Services, Saint Marys, PA 15857 | 2013-05-23 |
| 1326215146 | St Marys Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 21 S Saint Marys St, Saint Marys, PA 15857 | 2008-05-12 |
| 1801075924 | James L Hackett Jr. | Internal Medicine | 1114 Windfall Road, St Marys, PA 15857 | 2007-10-25 |
| 1427261098 | Mary Kay O'conor | Radiologic Technologist | 346 Church St, St Marys, PA 15857 | 2007-05-08 |
| 1538205976 | Kelley A Mohney | Occupational Therapy Assistant | 211 Eckert Rd., St. Marys, PA 15857 | 2007-01-30 |
| 1851443824 | Joseph Jude Hawkins | Dentist | 1141 South Michael Road, St Marys, PA 15857 | 2007-01-18 |
| 1124190731 | Charles Richard Haskell Sr. | Dentist | 106 Wehler Road, Saint Marys, PA 15857 | 2006-11-15 |
| 1235229170 | Sharon Zaffarese-dippold | Social Worker | 145 Lafayette St Apt 1, Saint Marys, PA 15857 | 2006-10-13 |
| Find all providers in zip 15857 | ||||
| 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 |
|---|---|---|---|---|
| 1639657745 | Taylor Peterson | Physician Assistant | 761 Johnsonburg Rd Ste A, Saint Marys, PA 15857-3483 | 2018-07-31 |
| 1225524390 | Jennifer Rachel Cappiello | Physician Assistant | 761 Johnsonburg Rd Ste 160, Saint Marys, PA 15857-3484 | 2018-07-02 |
| 1417149675 | Andrea E Knapke | Physician Assistant | 1165 S Knoxville Ave Ste 100, Saint Marys, OH 45885-2622 | 2007-08-13 |
| 1952512022 | Todd Edward Harlos | Physician Assistant | 2060 Dan Proctor Dr Ste 2100, Saint Marys, GA 31558-3895 | 2007-05-24 |
| 1053315689 | Crista Marie Bennett | Physician Assistant | 1095 Million Dollar Hwy, Saint Marys, PA 15857-2743 | 2005-06-10 |
| 1053880161 | Natalie Bennett Yonz | Physician Assistant | 2060 Dan Proctor Dr Ste 2100, Saint Marys, GA 31558-3895 | 2018-11-19 |
| 1457826414 | Amanda Rose Meyer | Physician Assistant | 763 Johnsonburg Rd, Saint Marys, PA 15857-3417 | 2018-10-05 |
| 1821538042 | Nathan Scinico | Physician Assistant | 1095 Million Dollar Hwy, Saint Marys, PA 15857-2743 | 2017-03-07 |
| 1700239068 | Sarah Means | Physician Assistant | 761 Johnsonburg Rd, Suite 210, Saint Marys, PA 15857-3483 | 2016-07-21 |
| 1194100636 | Dubois Reg Med Ctr - Ph Dubois Fam Med/internal Med St Marys | Physician Assistant | 757 Johnsonburg Rd, Saint Marys, PA 15857-3488 | 2015-07-27 |
| Find all providers in SAINT MARYS | ||||
| City | SAINT MARYS |
| Zip Code | 15857 |
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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.