DR. DEBBIE LORETTA DURISEK (NPI# 1881620409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881620409 |
| Entity Type | Individual |
| Full Name | DR. DEBBIE LORETTA DURISEK |
| Credential | M.D. |
| Practice Address |
169 Martin Ave Ephrata PA 17522-1724 |
| Mailing Address |
169 Martin Ave Ephrata PA 17522 |
| Practice Telephone | 7178594454 |
| Practice Fax Number | 7178594475 |
| Mailing Telephone | 7178594454 |
| Mailing Fax Number | 7178594475 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2009-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD030348E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0010501410024 | 05 |
| Street Address |
169 MARTIN AVE |
| City | EPHRATA |
| State | PA |
| Zip Code | 17522-1724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073516233 | John Charles Nawa | Radiology | 169 Martin Ave, Ephrata Community Hospital, Imaging Dept, Ephrata, PA 17522-1724 | 2005-05-23 |
| 1265048565 | Sharon M Szychowski | Nurse Practitioner | 169 Martin Ave, Ephrata, PA 17522-1724 | 2020-09-22 |
| 1770198889 | Amber N Banner | Nurse Practitioner | 169 Martin Ave, Ephrata, PA 17522-1724 | 2020-09-15 |
| 1487277802 | Allen Arslanian | Nurse Anesthetist, Certified Registered | 169 Martin Ave, Ephrata, PA 17522-1724 | 2020-05-20 |
| 1053932749 | Larry Dean Mellott | Nurse Anesthetist, Certified Registered | 169 Martin Ave, Ephrata, PA 17522-1724 | 2020-05-04 |
| 1457981078 | Heather D Mccord | Hospitalist | 169 Martin Ave, Ephrata, PA 17522-1724 | 2020-01-23 |
| 1902455538 | Jonathan Daniel Palmer | Physician Assistant | 169 Martin Ave, Ephrata, PA 17522-1724 | 2019-09-06 |
| 1144876343 | Jocelyn Sarah Stoudt | Hospitalist | 169 Martin Ave, Ephrata, PA 17522-1724 | 2019-08-13 |
| 1942770185 | Rosemarie Vickery | Nurse Practitioner | 169 Martin Ave, Ephrata, PA 17522-1724 | 2018-11-30 |
| 1790251007 | Geordann Weik | Speech-Language Pathologist | 169 Martin Ave, Ephrata, PA 17522-1724 | 2018-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427667336 | Indiju 4 Dental LLC | Clinic/Center | 4240 Oregeon Pk., Ephrata, PA 17522 | 2020-07-27 |
| 1134778251 | Anna Thornton | Pharmacist | Ephrata Outpatient Pharmacy-wellspan, 183 N. Reading Road, Suite 9, Ephrata, PA 17522 | 2019-09-11 |
| 1316320898 | Shivani Bista | Obstetrics & Gynecology | 175 Martin Ave Ste 125, Ephrata, PA 17522 | 2015-07-02 |
| 1336583475 | Ccjp, Inc. | In Home Supportive Care | 1060 S. State Street, Suite E, Ephrata, PA 17522 | 2013-04-19 |
| 1548503600 | Timothy Lawrence Basom | Physical Therapist | 136 E Lake St, Ephrata, PA 17522 | 2013-03-27 |
| 1316228406 | Cheryl L. Stephen | Nurse Practitioner | 466 N. Reading Rd, Suite 301, Ephrata, PA 17522 | 2011-09-01 |
| 1174833743 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 803 Oak Boulevard, Ephrata, PA 17522 | 2010-10-18 |
| 1487964953 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 957 Hammon Avenue, Ephrata, PA 17522 | 2010-10-18 |
| 1396957148 | Carl Richard Hankel | Nurse Practitioner | 4237 Oregon Pike, Worknet Occupational Medicine, Ephrata, PA 17522 | 2007-05-04 |
| 1396877726 | Regional Gastroenterology Associates of Lancaster, Ltd | Clinic/Center | 4140 Oregon Pike, Ephrata, PA 17522 | 2007-03-12 |
| Find all providers in zip 17522 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073516233 | John Charles Nawa | Radiology | 169 Martin Ave, Ephrata Community Hospital, Imaging Dept, Ephrata, PA 17522-1724 | 2005-05-23 |
| 1497165369 | Shiv Tilwa | Radiology | 169 Martin Ave, Ephrata, PA 17522-1724 | 2014-05-01 |
| 1528174596 | Ellen M. O'mara | Radiology | 169 Martin Ave, Ephrata, PA 17522-1724 | 2006-08-22 |
| 1164536405 | Ephrata Radiologic Associates Ltd | Radiology | 169 Martin Ave, Ephrata, PA 17522-1724 | 2006-08-17 |
| 1992734495 | Anthony James Giordano | Radiology | 169 Martin Ave, Ephrata, PA 17522-1724 | 2006-06-30 |
| 1154364727 | Huyen Van Cao | Radiology | 169 Martin Ave, Ephrata, PA 17522-1724 | 2006-06-13 |
| 1659314227 | Peter M Stillwell | Radiology | 169 Martin Ave, Ephrata, PA 17522-1724 | 2006-06-13 |
| 1427090547 | Robert Jon Brosbe | Radiology | 169 Martin Ave, Ephrata, PA 17522-1724 | 2006-06-12 |
| 1285676254 | Jang Kyun Oh | Radiology | 169 Martin Ave, Ephrata, PA 17522-1724 | 2006-06-12 |
| 1306888516 | Joffre P Lewis | Radiology | 169 Martin Ave, Ephrata Community Hospital, Ephrata, PA 17522-1724 | 2006-06-12 |
| Find all providers in EPHRATA | ||||
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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.