JENNIFER DEARDORFF (NPI# 1811348758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811348758 |
| Entity Type | Individual |
| Full Name | JENNIFER DEARDORFF |
| Practice Address |
701 E Marshall St West Chester PA 19380-4412 |
| Mailing Address |
140 Wright St Philadelphia PA 19127-1922 |
| Practice Telephone | 6104315000 |
| Mailing Telephone | 7178170024 |
| Mailing Fax Number | 2152581037 |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA058221 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | MA058221 | PA | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5501 Old York Rd, Philadelphia, PA 191413018 | 8003467834 |
| Street Address |
701 E MARSHALL ST |
| City | WEST CHESTER |
| State | PA |
| Zip Code | 19380-4412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629079934 | Doris M Cascino | Pediatrics | 701 E Marshall St, Chester County Hospital, West Chester, PA 19380-4412 | 2005-08-09 |
| 1972124790 | Gregory Thomas Scullin | Physician Assistant | 701 E Marshall St, West Chester, PA 19380-4412 | 2020-05-04 |
| 1417595737 | Jennifer Ann Nelson | Anesthesiology | 701 E Marshall St, West Chester, PA 19380-4412 | 2019-12-17 |
| 1609414002 | Laura Dennin | Nurse Practitioner | 701 E Marshall St, West Chester, PA 19380-4412 | 2019-12-16 |
| 1982241345 | Shanesha Denere Butler | Nurse Anesthetist, Certified Registered | 701 E Marshall St, West Chester, PA 19380-4412 | 2019-12-04 |
| 1720625189 | Jessica Malinowski | Nurse Anesthetist, Certified Registered | 701 E Marshall St, West Chester, PA 19380-4412 | 2019-12-04 |
| 1356804942 | Lorene Elizabeth Williams | Nurse Anesthetist, Certified Registered | 701 E Marshall St, West Chester, PA 19380-4412 | 2019-04-10 |
| 1568921161 | Kelly M Cimino | Nurse Practitioner | 701 E Marshall St, West Chester, PA 19380-4412 | 2019-03-14 |
| 1285191858 | Nicole Ann Brice | Nurse Practitioner | 701 E Marshall St, West Chester, PA 19380-4412 | 2019-03-01 |
| 1396202867 | Heather Teufel | Pharmacist | 701 E Marshall St, West Chester, PA 19380-4421 | 2019-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245846062 | Mikaela Lynn Mastromatto | Occupational Therapist | 1615 Boot Rd, West Chester, PA 19380 | 2020-09-17 |
| 1356969679 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 100 Genuardi Circle, West Chester, PA 19380 | 2020-07-13 |
| 1457984759 | Dana Marie Buckalew | Nurse Practitioner | 915 Fern Hill Road, Building A Suite 3, West Chester, PA 19380 | 2020-02-15 |
| 1285102921 | Audrey Caulfeild Caspar-clark | Dietitian, Registered | 221 Chatham Way, West Chester, PA 19380 | 2018-11-12 |
| 1497245260 | Hshc, Inc. | Audiologist-Hearing Aid Fitter | 131 North Church Street, West Chester, PA 19380 | 2018-05-16 |
| 1164946364 | Kevin Hayes | Social Worker | 310 N Matlack St., West Chester, PA 19380 | 2017-07-29 |
| 1750804472 | Pamela Ann Najera | Psychologist | 390 E. Boot Road, West Chester, PA 19380 | 2017-07-25 |
| 1356723613 | Rynda Ross Ganster | Nurse Practitioner | 400 E. Marshall St., West Chester, PA 19380 | 2015-06-23 |
| 1164823845 | Jeffrey Diksa | Behavioral Analyst | 117 E Chestnut St., Apt 307, West Chester, PA 19380 | 2014-09-12 |
| 1134535057 | Miranda Wolff | Speech-Language Pathologist | 1507 Manchester Ct, Apt 304, West Chester, PA 19380 | 2014-07-11 |
| Find all providers in zip 19380 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346799434 | Stephanie Marie Daviduk | Physician Assistant | 915 Old Fern Hill Rd Ste 202, West Chester, PA 19380-3431 | 2016-09-29 |
| 1306216288 | Matthew Ivin Walton | Physician Assistant | 1624 Shadyside Rd, West Chester, PA 19380-1566 | 2015-10-05 |
| 1114310844 | Monica Minnick | Physician Assistant | 1572 Wilmington Pike Ste 1, West Chester, PA 19382-8371 | 2015-03-04 |
| 1447493036 | Michelle Sovern Boyer | Physician Assistant | 7792 Misty Shore Dr, West Chester, OH 45069-9645 | 2009-04-12 |
| 1972124790 | Gregory Thomas Scullin | Physician Assistant | 701 E Marshall St, West Chester, PA 19380-4412 | 2020-05-04 |
| 1588216642 | Lauren Elizabeth Jolley | Physician Assistant | 835 W Chester Pike, West Chester, PA 19382-4848 | 2019-07-09 |
| 1821594391 | Christopher Diaz | Physician Assistant | 501 S Wawaset Rd, West Chester, PA 19382-6762 | 2018-04-03 |
| 1487019238 | Doreen Hu | Physician Assistant | 701 E Marshall St, West Chester, PA 19380 | 2015-12-22 |
| 1194180083 | Sean Elizabeth Conroy | Physician Assistant | 1101 Paoli Pike, West Chester, PA 19380-4642 | 2015-12-21 |
| 1255714424 | Brianna Culp | Physician Assistant | 501 S Wawaset Rd, West Chester, PA 19382-6762 | 2015-07-07 |
| Find all providers in WEST CHESTER | ||||
| City | WEST CHESTER |
| Zip Code | 19380 |
Please comment or provide details below to improve the information on JENNIFER DEARDORFF.
| 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.