MRS. COURTNEY E HOUDE (NPI# 1992058689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992058689 |
| Entity Type | Individual |
| Full Name | MRS. COURTNEY E HOUDE |
| Credential | PA-C |
| Practice Address |
103 Old Marlton Pike Medford NJ 08055 |
| Practice Telephone | 6097140202 |
| Mailing Telephone | (609) 714-0202 |
| Mailing Fax Number | 2152542599 |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2017-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 25MP00295700 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | MA055917 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
103 OLD MARLTON PIKE |
| City | MEDFORD |
| State | NJ |
| Zip Code | 08055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467442384 | John Yohan Kim | Allergy & Immunology | 103 Old Marlton Pike, Suite 211, Medford, NJ 08055-8772 | 2005-10-22 |
| 1790066264 | Sleep for Health-medford LLC | Clinic/Center | 103 Old Marlton Pike, Suite 124, Medford, NJ 08055-8772 | 2011-08-29 |
| 1720318512 | Louis A D'angelo, Dmd, PC | Dentist | 103 Old Marlton Pike, Suite 200, Medford, NJ 08055-8772 | 2009-12-30 |
| 1457581340 | Silen Balin | Dentist | 103 Old Marlton Pike, #200, Medford, NJ 08055-8772 | 2009-07-26 |
| 1275710592 | Donald C Gibson | Dentist | 103 Old Marlton Pike, Suite 200, Medford, NJ 08055-8772 | 2008-01-29 |
| 1942492723 | Janet L Parker | Nurse Practitioner | 103 Old Marlton Pike, Suite 211, Medford, NJ 08055-8772 | 2007-08-15 |
| 1528258274 | Jeffrey Pinto | Internal Medicine | 103 Old Marlton Pike, Suite 103, Medford, NJ 08055-8772 | 2007-07-30 |
| 1881721140 | Jeffrey M Doblin | Dentist | 103 Old Marlton Pike, Suite 200, Medford, NJ 08055 | 2007-02-27 |
| 1073655981 | Doshik Kim | Dentist | 103 Old Marlton Pike, Suite 200, Medford, NJ 08055-8772 | 2007-02-14 |
| 1619019155 | Alfonse J Deluca | Dentist | 103 Old Marlton Pike, Suite 200, Medford, NJ 08055-8772 | 2007-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215406459 | Natalia Eltabaa | Nurse Practitioner | 143b Atsion Rd, Medford, NJ 08055 | 2018-11-16 |
| 1922574326 | Emily G Wilkins | Psychiatry & Neurology | 239 Taunton, A-2, Medford, NJ 08055 | 2018-10-23 |
| 1508348863 | Gerald D Mingin Jr. | Psychologist | 135 Eayrestown Rd. Suite A, Southampton, NJ 08055 | 2018-09-04 |
| 1316465750 | Gabriella Marie Francis | Specialist/Technologist | 133 Apache Trail, Medford Lakes, NJ 08055 | 2017-09-06 |
| 1265968572 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 609 Eugenia, Medford, NJ 08055 | 2017-05-05 |
| 1326574690 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1503 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1780110007 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1610 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1902332216 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1909 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1083140396 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 503 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| 1457887762 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 905 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| Find all providers in zip 08055 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548867856 | Megan Elaine Stewart | Physician Assistant | 3773 Pinetop Dr, Medford, OR 97504-9638 | 2020-10-08 |
| 1811506355 | Nicholas Fantony | Physician Assistant | 28 Leyden St, Medford, MA 02155-6674 | 2020-07-30 |
| 1033739164 | Giana Brunetti | Physician Assistant | 2 Liverpool Way, Medford, NJ 08055-4023 | 2020-04-18 |
| 1881238087 | Rosivel Flores | Physician Assistant | 853 Old Medford Ave, Medford, NY 11763-3521 | 2019-10-30 |
| 1942844386 | Aileen Yaeger | Physician Assistant | 30 Syracuse Ave, Medford, NY 11763-3621 | 2019-10-29 |
| 1568949477 | Evan Xanthos | Physician Assistant | 1600 Delta Waters Rd Ste 107, Medford, OR 97504-9114 | 2018-07-24 |
| 1104369099 | Cullen Anthony Mack | Physician Assistant | 235 E Barnett Rd, Suite 106, Medford, OR 97501-7901 | 2016-11-23 |
| 1053863662 | Mark Thomas Kestner | Physician Assistant | 44 Manning St, Medford, MA 02155-4422 | 2016-10-30 |
| 1972058840 | Victoria Rose Acilio | Physician Assistant | 103 Old Marlton Pike Ste 201, Medford, NJ 08055-8772 | 2016-08-22 |
| 1962896944 | Jeremy Klimar | Physician Assistant | 407 Jesse Ct, Medford, NY 11763-2139 | 2015-03-26 |
| Find all providers in MEDFORD | ||||
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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.