LINDSAY MARGARET STAVISH


Address: 114 Lt Michael Cleary Dr, Dallas, PA 18612-1649
Phone: 5706752000

LINDSAY MARGARET STAVISH (NPI# 1881946770) 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) 1881946770
Entity Type Individual
Full Name LINDSAY MARGARET STAVISH
Other Name LINDSAY MARGARET SMITH
Credential PA-C
Practice Address 114 Lt Michael Cleary Dr
Dallas
PA 18612-1649
Mailing Address 100 N Academy Ave
Danville
PA 17822-4903
Practice Telephone 5706752000
Practice Fax Number 5706751806
Mailing Telephone 5702716144
Mailing Fax Number 5702716578
Enumeration Date 2012-10-03
Last Update Date 2020-08-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant MA055721 PA Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
MA055721 PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 114 LT MICHAEL CLEARY DR
City DALLAS
State PA
Zip Code 18612-1649

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063472389 Michael A. Kovalick Family Medicine 114 Lt Michael Cleary Dr, Dallas, PA 18612-1649 2006-03-23
1184260184 Lindsay Theresa Denion Family Medicine 114 Lt Michael Cleary Dr, Dallas, PA 18612-1649 2019-11-25
1720623523 Courtney Mackrell Nurse Practitioner 114 Lt Michael Cleary Dr, Dallas, PA 18612-1649 2019-11-15
1962944041 Mallory Turner Physician Assistant 114 Lt Michael Cleary Dr, Dallas, PA 18612-1649 2016-11-07
1598113045 Raymond Alan Besecker Pharmacist 114 Lt Michael Cleary Dr, Dallas, PA 18612-1649 2016-05-25
1609220961 Kathryn Olivia Gussman Family Medicine 114 Lt Michael Cleary Dr, Dallas, PA 18612-1649 2016-04-22
1023407244 Aimee Detweiler Nurse Practitioner 114 Lt Michael Cleary Dr, Dallas, PA 18612-1649 2015-01-12
1679820583 Matthew George Perry Physician Assistant 114 Lt Michael Cleary Dr, Dallas, PA 18612-1649 2012-08-09
1912262759 Matthew Evan Joseph Family Medicine 114 Lt Michael Cleary Dr, Dallas, PA 18612-1649 2012-07-09
1649568403 Geisinger Wyoming Valley Medical Center Clinic/Center 114 Lt Michael Cleary Dr, Dallas, PA 18612-1649 2011-07-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487009882 Jacqueline Patricia O'brien Occupational Therapist 345 Lake Louise Rd, Dallas, PA 18612 2016-05-04
1164772927 Katie M Ferguson Pharmacist 26 Dallas Shopping Center Memorial Highway, Dallas, PA 18612 2012-09-19
1619235892 Crista Zern Physical Therapist 4 East Center Hill Road, Dallas, PA 18612 2012-04-25
1336423631 Angela Mary Evans Nurse Practitioner 301 Lake Street, Misericordia University's Health & Wellness Center, Dallas, PA 18612 2011-10-05
1376835868 Peter Frederick Casterline Surgery 5 Old Well Lane, Dallas, PA 18612 2011-05-03
1336386051 Judy A Williams Speech-Language Pathologist 368 Tioga Avenue, Kingston, PA 18612 2009-01-16
1013195015 Joseph John Kowalski Psychiatry & Neurology 2 Birch Hill Lane, Dallas, PA 18612 2008-02-01
1063621233 Back Mountain Pediatrics Clinical Medical Laboratory 550 Memorial Highway, Dallas, PA 18612 2007-05-22
1760699177 Leonard M Evans Internal Medicine 1806 Country Club Apartments, Dallas, PA 18612 2007-05-16
1417170549 Clem-mar House, Inc. Substance Abuse Rehabilitation Facility 2860 State Route 309, Dallas, PA 18612 2007-04-10
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932700440 Heather Weir Physician Assistant 7331 Gaston Ave Ste 180, Dallas, TX 75214-4131 2020-11-03
1225643562 Yermiahu Levi Sarne Physician Assistant 6206 Preston Crest Ln, Dallas, TX 75230-1828 2020-09-14
1255945564 Amanda Michelle Flores Physician Assistant 1801 Young St, Dallas, TX 75201 2020-09-03
1275151102 Kelly Ashworth Physician Assistant 7331 Gaston Ave # 180, Dallas, TX 75214-4131 2020-07-07
1780201715 Gabriela Yvonne Camacho Physician Assistant 7331 Gaston Ave Unit 180, Dallas, TX 75214-4131 2020-06-25
1346879699 Ws Neuroassist, Pllc Physician Assistant 7324 Gaston Ave Ste 124-80, Dallas, TX 75214-6126 2020-04-07
1265065122 Sarah Bell Stewart Physician Assistant 7811 Bryn Mawr Dr, Dallas, TX 75225-8217 2020-02-19
1093348237 Meagan Lee Barry Physician Assistant 221 W Colorado Blvd Ste 431, Dallas, TX 75208-2312 2020-02-17
1245863554 Melissa Ann Johnston Physician Assistant 4373 Boca Bay Dr, Dallas, TX 75244-7408 2020-02-14
1205479607 Mj Surgical, Pllc Physician Assistant 1408 N Riverfront Blvd # 906, Dallas, TX 75207-3912 2019-10-18
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Competitor

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City DALLAS
Zip Code 18612

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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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