MR. OSWALDO GIOVANNI TAGLE MANRIQUE


Address: 1200 Mokychic Road, Collegeville, PA 19426
Phone: 6104097890

MR. OSWALDO GIOVANNI TAGLE MANRIQUE (NPI# 1063057040) 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) 1063057040
Entity Type Individual
Full Name MR. OSWALDO GIOVANNI TAGLE MANRIQUE
Credential PA-C
Practice Address 1200 Mokychic Road
Collegeville
PA 19426
Mailing Address 4019 Indian Creek Rd
Emmaus
PA 18049-1909
Practice Telephone 6104097890
Mailing Telephone 6107047694
Enumeration Date 2019-11-13
Last Update Date 2019-11-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1200 MOKYCHIC ROAD
City COLLEGEVILLE
State PA
Zip Code 19426

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639722507 Child & Family Focus Inc Community/Behavioral Health 121 Wartman Road, Perkiomen Township, PA 19426 2019-07-19
1487116299 Joshua Heinsheimer Dentist 241-3 Plaza Drive, Collegeville, PA 19426 2019-04-01
1093284101 Courtney Cione Nurse Practitioner 1200 Mokychic Rd., Collegeville, PA 19426 2018-11-19
1538645007 Linda Kathleen Muller Registered Nurse 369 Avon Ave, Collegeville, PA 19426 2018-07-17
1215445333 Mary Catherine Campetti Nurse Practitioner 555 Second Ave Ste C-850, Collegeville, PA 19426 2018-01-11
1831606292 Kevin Titze Counselor 3819 Germantown Pike Ste B, Collegeville, PA 19426 2018-01-08
1942727441 Naomi Avoline Kim Counselor 555 2nd Ave, Building B, Suite 101, Collegeville, PA 19426 2017-08-24
1376086348 Kelly Robin Durante Nurse Practitioner 433 Komen Ct., Collegeville, PA 19426 2016-11-23
1558817262 Joseph Kosto Pharmacist 1219 Taylor Way, Collegeville, PA 19426 2016-09-01
1073906400 Mh Health Care Services, PC Nurse Practitioner 200 W 7th Ave, C/o Lake Region Employee Health Center, Collegeville, PA 19426 2015-03-10
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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
1548879133 Natalia Snyder Physician Assistant 555 Second Ave Ste C-300, Collegeville, PA 19426-3637 2020-07-29
1538102520 Gayle Christine Leen Physician Assistant Centracare Clinic St John's, 2850 Abbey Plaza Hlthc 109, Collegeville, MN 56321 2006-06-14
1194790816 Jeralyn Gambone Romano Physician Assistant 3839 Kratz Rd, Collegeville, PA 19426-1030 2006-02-17
1740490663 Laura Lee Blechner Physician Assistant 78 2nd Ave, Suite 1a, Collegeville, PA 19426-3646 2007-05-22
1225243777 Amy E Baker Physician Assistant 555 Second Avenue, Suite D201, Collegeville, PA 19426 2007-05-10
1811960305 Thomas A Ruth Physician Assistant 555 2nd Ave, Suite 300, Collegeville, PA 19426-3600 2006-02-07
1841296910 Eileen Johanna Haeg Physician Assistant 112 Abbey Rd, Collegeville, MN 56321-7777 2005-06-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1093316762 Alyssa Ann Mikes Physician Assistant 6 New Countryside Dr, West Chester, PA 19382-6456 2020-11-08
1720689011 Marissa Dawn Lamary Physician Assistant 1500 Fifth Ave Bldg Leveld, Mckeesport, PA 15132-2422 2020-11-04
1013517796 Kifany M Gower Physician Assistant 1158 Wyoming Ave, Exeter, PA 18643-1815 2020-10-30
1922608645 Meghan Michelle Allen Physician Assistant 4800 Friendship Ave Ste 439, Pittsburgh, PA 15224-1722 2020-10-30
1912507807 Rachel Nye Physician Assistant 124 Home Depot Dr Ste D, Franklin, PA 16323-8030 2020-10-29
1487254306 Zane T Mcguire Physician Assistant 378 W Chestnut St Ste 103, Washington, PA 15301-4661 2020-10-29
1740889443 Tricia Harenza Physician Assistant 27 Sandy Ln Ste 250, Lewistown, PA 17044-1372 2020-10-22
1336748425 Alexis Marie Ivosevic Physician Assistant 98 Deer Park Ln, Hawley, PA 18428-8223 2020-10-20
1780283986 Margaret Ann Malloy Physician Assistant 3223 N Broad St Fl 1, Philadelphia, PA 19140-5007 2020-10-20
1851990170 Jessica Marie Giordano Physician Assistant 201 Penn Valley Ter, Yardley, PA 19067-1028 2020-10-19
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Competitor

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City COLLEGEVILLE
Zip Code 19426

Improve Information

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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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