AMANDA APOLONIA WALIGUN (NPI# 1811391741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811391741 |
| Entity Type | Individual |
| Full Name | AMANDA APOLONIA WALIGUN |
| Credential | PA-C |
| Practice Address |
560 Pierce St Kingston PA 18704-5716 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-4903 |
| Practice Telephone | 5707145810 |
| Practice Fax Number | 5707145811 |
| Mailing Telephone | 5702716144 |
| Mailing Fax Number | 5702716578 |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2020-08-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
OA-003431 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
560 PIERCE ST |
| City | KINGSTON |
| State | PA |
| Zip Code | 18704-5716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932176435 | Joseph P Chollak Jr. | Family Medicine | 560 Pierce St, Kingston, PA 18704-5716 | 2006-03-02 |
| 1982220760 | Tyler Edmund Ryman | Physician Assistant | 560 Pierce St, Kingston, PA 18704-5716 | 2020-06-17 |
| 1548730278 | Geisinger Clinc | Internal Medicine | 560 Pierce St, Kingston, PA 18704-5716 | 2018-11-26 |
| 1356816904 | Geisinger Clinic | Family Medicine | 560 Pierce St, Kingston, PA 18704-5716 | 2018-10-10 |
| 1225540917 | Karlee Ann Gavrish | Physician Assistant | 560 Pierce St, Kingston, PA 18704 | 2017-11-02 |
| 1609312677 | Gianna Moulton | Physician Assistant | 560 Pierce St, Kingston, PA 18704-5716 | 2017-01-13 |
| 1801343884 | Maggie M Haywood | Nurse Practitioner | 560 Pierce St, Kingston, PA 18704-5716 | 2016-09-07 |
| 1154785301 | Tiffany Anne Becker | Family Medicine | 560 Pierce St, Kingston, PA 18704-5716 | 2016-04-13 |
| 1598160855 | Julia Zafia-carey | Physician Assistant | 560 Pierce St, Kingston, PA 18704-5716 | 2014-10-29 |
| 1760819411 | Elizabeth Anne Bordy | Physician Assistant | 560 Pierce St, Kingston, PA 18704-5716 | 2013-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013557552 | Millmark Health Inc. | Psychiatry & Neurology | 511 Pierce Street, Kingston, PA 18704 | 2020-01-13 |
| 1427550334 | Michael Anthony Waltich | Military Health Care Provider | 82 Cooper Street, Pringle, PA 18704 | 2018-03-06 |
| 1376088435 | Jae LLC | Massage Therapist | 512 Northhampton Street, Edwardsville, PA 18704 | 2016-12-28 |
| 1306278288 | Mohammad Khaled Tashkandi | Internal Medicine | 490 Northampton St Ste 1, Edwardsville, PA 18704 | 2013-08-02 |
| 1396180014 | Sammie Craven IIi | Pharmacist | 96 1st Avenue, Kingston, PA 18704 | 2013-05-08 |
| 1447693114 | Catherine Mary Harding | Nurse Practitioner | 141 South Maple Ave, Kingston, PA 18704 | 2013-04-12 |
| 1861781403 | Jennifer Ann Richards | Pharmacist | 22 West Side Mall, Edwardsville, PA 18704 | 2011-04-05 |
| 1558512772 | Jolon Theresa Sherin | Speech-Language Pathologist | 1825 Sans Souci Highway, Hanover, PA 18704 | 2008-10-07 |
| 1932361102 | Kari Ann Pietralczyk | Audiologist | 190 Welles Street, Forty-fort, PA 18704 | 2008-06-30 |
| 1467584151 | John Christopher Storti | Chiropractor | 180 United Penn Plaza, Kingston, PA 18704 | 2007-03-09 |
| Find all providers in zip 18704 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912558321 | Rafael Rondeau | Physician Assistant | 12 Indian Pond Rd, Kingston, MA 02364-2051 | 2019-09-26 |
| 1740723675 | Ashley K Marsh | Physician Assistant | 610 Wyoming Ave, Suite 1, Kingston, PA 18704-3702 | 2016-11-26 |
| 1386186302 | Laura Sasso | Physician Assistant | 396 Broadway, Kingston, NY 12401 | 2016-11-08 |
| 1366833642 | Elizabeth Adolfie | Physician Assistant | 396 Broadway, Kingston, NY 12401-4626 | 2015-02-09 |
| 1508297524 | Amy Louise Flaherty | Physician Assistant | 451 3rd Ave Ste 1, Kingston, PA 18704-5802 | 2013-12-01 |
| 1982966966 | Megan H Chapman | Physician Assistant | 933 W Race St, Kingston, TN 37763 | 2012-06-14 |
| 1689983272 | Alycia Marie Coar | Physician Assistant | 451 3rd Ave Ste 1, Kingston, PA 18704 | 2010-09-29 |
| 1447589544 | Jessica Anne Frawley Woolfolk | Physician Assistant | 440 Pierce St, Kingston, PA 18704 | 2009-12-18 |
| 1467601732 | Aunisha Desai | Physician Assistant | 445 Wyoming Avenue, Kingston, PA 18704 | 2008-09-11 |
| 1770608481 | Pamela Lea Macneely | Physician Assistant | 675 Wyoming Ave, Kingston, PA 18704-3831 | 2007-03-20 |
| Find all providers in KINGSTON | ||||
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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.