PHILLIP LONGNECKER (NPI# 1982989646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982989646 |
| Entity Type | Individual |
| Full Name | PHILLIP LONGNECKER |
| Credential | PA-C |
| Practice Address |
1918 W Front St Berwick PA 18603-4230 |
| Practice Telephone | 5709128144 |
| Practice Fax Number | 5707595494 |
| Mailing Telephone | 5709128144 |
| Mailing Fax Number | 5707595494 |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2020-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA055226 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1918 W FRONT ST |
| City | BERWICK |
| State | PA |
| Zip Code | 18603-4230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417017393 | Alexsandra K Motroni | Internal Medicine | 1918 W Front St, Berwick, PA 18603-4230 | 2006-12-11 |
| 1588932891 | Alyssa Diane Menghini | Physician Assistant | 1918 W Front St, Berwick, PA 18603-4230 | 2011-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267841 | Eugene W Moisey | Dental Hygienist | 107 S. Market St, Suite #2, Berwick, PA 18603 | 2019-10-24 |
| 1831571413 | Wyoming Valley Alchol and Drug Services, Inc. | Counselor | 120 East Third Street, Berwick, PA 18603 | 2015-06-19 |
| 1639592942 | Julia Grocki | Dietitian, Registered | 203 E Front St, Berwick, PA 18603 | 2014-01-23 |
| 1144507856 | Ashley Linn Reese | Occupational Therapy Assistant | 801 East 16th Street, Berwick, PA 18603 | 2011-11-09 |
| 1477758407 | Bloomsburg Physicians Services | Family Medicine | 101 West 9th Street, Berwick, PA 18603 | 2007-06-19 |
| 1659591956 | David Curfman | Physical Therapist | 1701 Fowler Avenue, Berwick, PA 18603 | 2007-04-27 |
| 1538287537 | Dental Health Clinic | Dentist | 107 South Market Street, Suite 2, Berwick, PA 18603 | 2007-03-27 |
| 1285724203 | Frank J Giugliano | Family Medicine | 523 Fowler Avenue, Berwick, PA 18603 | 2006-10-13 |
| 1265522098 | Maliyakkal J John | Internal Medicine | 1453 West Front St, Berwick, PA 18603 | 2006-10-13 |
| 1861586497 | Niharika Mehta | Obstetrics & Gynecology | 695 East 16th Street, Suite E, Berwick, PA 18603 | 2006-10-03 |
| Find all providers in zip 18603 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407191950 | Megan Colleen Crawford | Physician Assistant | 301 W 3rd St, Berwick, PA 18603-3603 | 2012-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355341 | Julia Majewicz Wilson | Physician Assistant | 111 Pa-715, #102, Brodheadsville, PA 18322 | 2020-10-29 |
| 1417557273 | Jared Michael Yon | Physician Assistant | 902 Dale Ave, Bradfordwoods, PA 15015-1236 | 2020-10-29 |
| 1295335230 | Jillian Ann Korgeski | Physician Assistant | 400 Corner St, Dunmore, PA 18512-2348 | 2020-10-29 |
| 1821697376 | Sidney Patel | Physician Assistant | 1834 Oregon Pike Ste 20, Lancaster, PA 17601-6463 | 2020-10-25 |
| 1629677356 | Jason Christopher Takacs Jr. | Physician Assistant | 510 Stockton Rdg, Cranberry Township, PA 16066-2280 | 2020-10-23 |
| 1467051763 | Molly Catherine Peters | Physician Assistant | 4338 Boone St, Philadelphia, PA 19128-4901 | 2020-10-19 |
| 1508465840 | Tran Quyen Tran | Physician Assistant | 2941 Hillside Rd, Broomall, PA 19008-1304 | 2020-10-19 |
| 1275132656 | Jessica Haley Stecklein | Physician Assistant | 696 Fir Ave, Langhorne, PA 19047-5450 | 2020-10-18 |
| 1083212625 | Kele Ferreira | Physician Assistant | 1201 Sandhill Rd, Lebanon, PA 17046-1943 | 2020-10-15 |
| 1386251619 | Nicholas James Lazorka | Physician Assistant | 195 Chapmans Round Top Rd, Montoursville, PA 17754-7508 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
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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.