JUSTIN LEE KELCHNER (NPI# 1831335033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831335033 |
| Entity Type | Individual |
| Full Name | JUSTIN LEE KELCHNER |
| Credential | PA-C |
| Practice Address |
1201 Grampian Blvd Suite 2f Williamsport PA 17701-1965 |
| Mailing Address |
1201 Grampian Blvd Williamsport PA 17701-1900 |
| Practice Telephone | 5703212020 |
| Practice Fax Number | 5703207455 |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2016-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 224Z00000X | Occupational Therapy Assistant | OP006492 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 363A00000X | Physician Assistant | OA003414 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1201 GRAMPIAN BLVD SUITE 2F |
| City | WILLIAMSPORT |
| State | PA |
| Zip Code | 17701-1965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942293287 | Joanne Marie Lalli | Internal Medicine | 1201 Grampian Blvd, Ste 2d, Williamsport, PA 17701 | 2005-08-23 |
| 1205436987 | Nicholas Anthony Inverso II | Pharmacist | 1201 Grampian Blvd, Williamsport, PA 17701-1900 | 2020-10-30 |
| 1881193217 | Amanda Shadle | Specialist/Technologist | 1201 Grampian Blvd, Williamsport, PA 17701-1900 | 2018-02-12 |
| 1629528385 | Brian Kramer Jr. | Physician Assistant | 1201 Grampian Blvd, Suite 1a, Williamsport, PA 17701-1900 | 2016-10-06 |
| 1326498726 | Morgan Rogers | Family Medicine | 1201 Grampian Blvd, Suite 3c, Williamsport, PA 17701-1970 | 2016-06-16 |
| 1528424975 | Ncpdc Kidney Center LLC | Clinic/Center | 1201 Grampian Blvd, Williamsport, PA 17701-1900 | 2016-01-14 |
| 1710369467 | North Central Pennsylvania Dialysis Clincs LLC | Clinic/Center | 1201 Grampian Blvd, Williamsport, PA 17701-1900 | 2015-06-18 |
| 1124315320 | Christine Kara Nolan | Podiatrist | 1201 Grampian Blvd, Suite 2f, Williamsport, PA 17701-1965 | 2011-07-08 |
| 1013228857 | Steven Michael Hawley | Podiatrist | 1201 Grampian Blvd, Suite 2f, Williamsport, PA 17701-1965 | 2010-06-26 |
| 1578791497 | Zachary Thomas Ritter | Podiatrist | 1201 Grampian Blvd, Suite 2f, Williamsport, PA 17701-1965 | 2009-06-30 |
| 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.