MR. MATTHEW ROBERT PHELAN


Address: 205 South Front Street, 4th Floor, Bma, Harrisburg, PA 17104-1619
Phone: 7172318555

MR. MATTHEW ROBERT PHELAN (NPI# 1861981110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861981110
Entity Type Individual
Full Name MR. MATTHEW ROBERT PHELAN
Credential CRNP
Practice Address 205 South Front Street
4th Floor, Bma
Harrisburg
PA 17104-1619
Practice Telephone 7172318555
Practice Fax Number 7172318568
Mailing Telephone 7172318555
Mailing Fax Number 7172318568
Enumeration Date 2018-05-02
Last Update Date 2020-06-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner SP018608 PA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
250 College Ave, Lancaster, PA 176033363 7174130722

Office Location

Street Address 205 SOUTH FRONT STREET
4TH FLOOR, BMA
City HARRISBURG
State PA
Zip Code 17104-1619

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295706125 Paul J Creary Surgery 205 South Front Street, 8th Floor Bma, Harrisburg, PA 17104-1619 2006-01-30
1164041661 Patrick Mcguire Emergency Medicine 205 South Front Street, Brady 3, Harrisburg, PA 17104 2020-04-14
1336768530 Steven William Boehm Surgery 205 South Front Street, Brady 916, Harrisburg, PA 17104 2020-04-09
1649832437 Tylee Kate Rickett Surgery 205 South Front Street, Brady 916, Harrisburg, PA 17104 2019-07-02
1679135677 Lindsey Mae Ruppert Physician Assistant 205 South Front Street, 4th Floor, Bma, Harrisburg, PA 17104-1619 2019-07-01
1295396026 Thara Amilineni Emergency Medicine 205 South Front Street, Brady 3, Harrisburg, PA 17104 2019-06-24
1467015982 Kelechi Eremina Emmanuel Student in an Organized Health Care Education/Training Program 205 South Front Street, Suite 3c, Harrisburg, PA 17104 2019-04-19
1215498381 Resha Khanal Student in an Organized Health Care Education/Training Program 205 South Front Street, Suite 3c, Harrisburg, PA 17104 2019-03-29
1184116436 Chance Benner Surgery 205 South Front Street, Brady 916, Harrisburg, PA 17104 2018-06-02
1063900314 Binita Bhandari Student in an Organized Health Care Education/Training Program 205 South Front Street, Brady Building, Harrisburg, PA 17104 2018-04-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013531292 Siddharth Goel Internal Medicine 205 S Front St Upmc Pinnacle, Internal Medicine Residen, Suite 3c, Harrisburg, PA 17104 2020-06-03
1114541364 Kolsoum Yari Student in an Organized Health Care Education/Training Program 205 S Front St, Suite 3c Upmc Pinnacle Internal Medicin, Harrisburg, PA 17104 2020-06-03
1225652696 Uba Chinyere Udeh Internal Medicine 205 S Front St. Suite 3c, Harrisburg, PA 17104 2020-06-02
1568086932 Firdausi Abubakar Matawalle Student in an Organized Health Care Education/Training Program 205 S Front Street, Suite 3c Upmc Pinnacle Hospital, Harrisburg, PA 17104 2020-06-02
1467075853 Medhavi Rajput Student in an Organized Health Care Education/Training Program 205 S Front St, Suite 3c Upmc Pinnacle, Internal Medici, Harrisburg, PA 17104 2020-05-20
1659992147 Manpreet Sidhu Internal Medicine Upmc Pinnacle Hospitals 205 S Front Street, Suite 3c, Harrisburg, PA 17104 2020-05-06
1336760230 Mahaswi Sirangi Internal Medicine Upmc Pinnacle Hospitals, 205 S Front Street, Suite 3c, Harrisburg, PA 17104 2020-05-01
1033748488 Abhishek Patel Emergency Medicine 205 South Front Street Brady 3, Harrisburg, PA 17104 2020-04-07
1306496443 Jinah Kim Student in an Organized Health Care Education/Training Program 205 S. Front St., Brady Building, Harrisburg, PA 17104 2019-09-19
1356903744 Krupa Patel Podiatrist 205 S Front Street Brady Hall 905, Harrisburg, PA 17104 2019-07-05
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679170989 Aubree Marie Richards Nurse Practitioner 253 N Hershey Rd Ste 2, Harrisburg, PA 17112-9752 2020-10-08
1326654237 Alissa Marie Buckanavage Nurse Practitioner 6223 Autumn View Dr, Harrisburg, PA 17112-1843 2020-09-17
1013384718 Alina N Glazunova Nurse Practitioner 6010 Pindeale Court, Harrisburg, PA 17111 2015-08-28
1063757102 Erica C Bilalovic Nurse Practitioner 24 Thornwood Rd, Harrisburg, PA 17112-2955 2012-11-30
1023108180 Pamela R Atkinson Nurse Practitioner 608 Rollie Moore Dr, Harrisburg, IL 62946-2351 2006-10-12
1942276910 Barbara A Little Nurse Practitioner 4700 Union Deposit Road, Suite 240, Harrisburg, PA 17111 2006-02-28
1861479313 Houcks Road Family Practice PC Nurse Practitioner 100 South Houcks Road, Harrisburg, PA 17109-2827 2005-12-27
1881686806 Danielle Y Oakes Nurse Practitioner 2501 N 3rd St, 2nd Floor Landis Bldg, Harrisburg, PA 17110-1904 2005-08-16
1679573273 Lisa K. Stokes Nurse Practitioner 4387 Sturbridge Dr, Harrisburg, PA 17110-3673 2005-07-26
1215548268 Arianna Waid Nurse Practitioner 2501 N 3rd St, Harrisburg, PA 17110-1904 2020-08-13
Find all providers in HARRISBURG

Competitor

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City HARRISBURG
Zip Code 17104

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Dataset Information

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.

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