ERIKA J PEAVY (NPI# 1932573482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932573482 |
| Entity Type | Individual |
| Full Name | ERIKA J PEAVY |
| Practice Address |
912 Russell Dr Lebanon PA 17042-7485 |
| Mailing Address |
3421 Concord Rd York PA 17402-9001 |
| Practice Telephone | 7172727971 |
| Practice Fax Number | 7172721241 |
| Mailing Telephone | 7172727971 |
| Mailing Fax Number | 7172721241 |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2016-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | MA058034 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA058034 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
912 RUSSELL DR |
| City | LEBANON |
| State | PA |
| Zip Code | 17042-7485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225013642 | Robert Campbell | Anesthesiology | 912 Russell Dr, Lebanon, PA 17042-7485 | 2005-12-08 |
| 1205308954 | Wellspan Medical Group | Preventive Medicine | 912 Russell Dr, Lebanon, PA 17042-7485 | 2018-12-19 |
| 1477927408 | Amy Jo Krall | Nurse Practitioner | 912 Russell Dr, Lebanon, PA 17042-7485 | 2015-11-13 |
| 1861759342 | Ian M Yarger | Podiatrist | 912 Russell Dr, Lebanon, PA 17042-7485 | 2012-04-20 |
| 1821354176 | Sirish Kumar Kondabolu | Orthopaedic Surgery | 912 Russell Dr, Lebanon, PA 17042 | 2012-04-11 |
| 1851687362 | Jitesh Umarvadia | Family Medicine | 912 Russell Dr, Lebanon, PA 17042-7485 | 2011-06-22 |
| 1932417128 | Anthony Guy Helwig | Orthopaedic Surgery | 912 Russell Dr, Lebanon, PA 17042-7485 | 2010-09-22 |
| 1770777427 | Wendy Lynn Updegrove | Physician Assistant | 912 Russell Dr, Lebanon, PA 17042-7485 | 2007-09-05 |
| 1881892172 | David Trigg Streets | Orthopaedic Surgery | 912 Russell Dr, Lebanon, PA 17042-7485 | 2007-07-07 |
| 1417972902 | Scott M. Williams | Orthopaedic Surgery | 912 Russell Dr, Lebanon, PA 17042 | 2006-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
| 1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
| 1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
| 1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
| 1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
| Find all providers in zip 17042 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212625 | Kele Ferreira | Physician Assistant | 1201 Sandhill Rd, Lebanon, PA 17046-1943 | 2020-10-15 |
| 1841843174 | Jesse Paul Laughner | Physician Assistant | 735 Norman Dr Ste 8, Lebanon, PA 17042-7559 | 2019-07-16 |
| 1881868750 | Oronzo Ronald Schiraldi | Physician Assistant | 7 Deer Run, Lebanon, NJ 08833-3004 | 2008-04-22 |
| 1740211788 | Tammie Wampler | Physician Assistant | 107 Glidepath Way, Lebanon, TN 37090-4133 | 2006-07-06 |
| 1487610069 | Erin Mcculloch Crisp | Physician Assistant | 1407 W Baddour Pkwy, Lebanon, TN 37087-2513 | 2006-04-24 |
| 1023013620 | Richard B Halbur | Physician Assistant | 191 N Main St, Lebanon, OR 97355-2870 | 2005-06-20 |
| 1326679366 | Joshua Christopher Schirripa | Physician Assistant | 675 N 5th St Ste 200, Lebanon, OR 97355-2875 | 2020-01-29 |
| 1245878420 | Lauren Michelle Eastman | Physician Assistant | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2019-12-18 |
| 1164079091 | Sarah A Muse | Physician Assistant | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2019-08-26 |
| 1356812291 | David Lawrence Federoff | Physician Assistant | 35 Mullins Dr Ste 2, Lebanon, OR 97355-3985 | 2018-12-17 |
| Find all providers in LEBANON | ||||
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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.