JAY KENNETH BRUBAKER (NPI# 1063482172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063482172 |
| Entity Type | Individual |
| Full Name | JAY KENNETH BRUBAKER |
| Credential | M.D. |
| Practice Address |
2110 Harrisburg Pike Suite 300 Lancaster PA 17604-3200 |
| Practice Telephone | 7175443022 |
| Practice Fax Number | 7175443021 |
| Mailing Telephone | 7175443022 |
| Mailing Fax Number | 7175443021 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2011-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
MD012919E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0006876040001 | 05 | |
| PA | CAPITAL BLUE CROSS | 01350102 | 01 |
| PA | GATEWAY HEALTH PLAN | P002665 | 01 |
| PA | 0006876040002 | 05 | |
| PA | HIGHMARK BLUE SHIELD | 127131 | 01 |
| PA | GEISINGER HEALTH PLAN | 20011 S101 | 01 |
| PA | AETNA NON-HMO | 4662910 | 01 |
| PA | 000687604 | 05 | |
| PA | AETNA HMO | 516348 | 01 |
| PA | 0006876040004 | 05 |
| Street Address |
2110 HARRISBURG PIKE SUITE 300 |
| City | LANCASTER |
| State | PA |
| Zip Code | 17604-3200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922092618 | Elizabeth Anne O'connor-boll | Internal Medicine | 2110 Harrisburg Pike, Suite 100, Lancaster, PA 17601-2644 | 2005-09-08 |
| 1396345542 | Aaron Jon Steinhart | Nurse Practitioner | 2110 Harrisburg Pike, Lancaster, PA 17601-2644 | 2020-10-27 |
| 1770936114 | Dana R Nikles | Nurse Practitioner | 2110 Harrisburg Pike, Ste 310, Lancaster, PA 17601-2644 | 2016-07-21 |
| 1437500683 | Allison M Sileo | Nurse Practitioner | 2110 Harrisburg Pike, Suite 310, Lancaster, PA 17601-2644 | 2016-06-29 |
| 1013384916 | Jessica Ashley Quirin | Nurse Practitioner | 2110 Harrisburg Pike, Lancaster, PA 17601-2644 | 2015-08-26 |
| 1730586843 | Lancaster General Medical Group | Internal Medicine | 2110 Harrisburg Pike, Building 2112 - Suite 327, Lancaster, PA 17601-2644 | 2014-12-04 |
| 1437558962 | Kathryn Elizabeth Couch | Nurse Practitioner | 2110 Harrisburg Pike, Suite 310, Lancaster, PA 17601-2644 | 2014-08-20 |
| 1972912616 | Kara Clark Doberstein | Nurse Practitioner | 2110 Harrisburg Pike, Suite 100, Lancaster, PA 17601-2644 | 2014-08-06 |
| 1629358965 | Lori A Johnson | Nurse Practitioner | 2110 Harrisburg Pike, Lancaster, PA 17601-2644 | 2011-08-18 |
| 1417263617 | Surgical Specialists of Lancaster P.C. | Surgery | 2110 Harrisburg Pike, Suite 308, Lancaster, PA 17604-3200 | 2010-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710301718 | April Noelle Campbell | Psychologist | 283 Butler Rd., Philhaven, Mt. Gretna, PA 17604 | 2014-02-11 |
| 1578658787 | Donna Marie Wiest | Pharmacist | Lifecare Pharmacy, 2106 Harrisburg Pk., Lancaster, PA 17604 | 2006-10-04 |
| 1649298498 | Cancer Care for Women PC | Obstetrics & Gynecology | 694 Good Drive, Suite 205, Lancaster, PA 17604 | 2006-07-18 |
| 1811974108 | James L Medina | Emergency Medicine | 555 North Duke St, Lancaster, PA 17604 | 2005-12-28 |
| 1003892167 | Julia Darlene Fuller | Nurse Anesthetist, Certified Registered | 555 N. Duke St., Lancaster, PA 17604 | 2005-12-21 |
| 1275016065 | Lauren Olmstead | Pharmacist | 555 North Duke Street, Lancaster, PA 17604 | 2018-09-08 |
| 1750592531 | The Physicians' Surgery Center Lancaster General, LLC | Clinic/Center | 2150 Harrisburg Pike, Lancaster, PA 17604 | 2007-05-24 |
| 1992926554 | Jean David Dumornay | Family Medicine | 555 North Duke Street, Lancaster, PA 17604 | 2007-05-01 |
| 1487791711 | North Pointe Surgery Center, LLC | Clinic/Center | 170 North Pointe Blvd, Lancaster, PA 17604 | 2007-01-30 |
| 1124180427 | Lancaster Pa Endoscopy Asc LLC | Clinic/Center | 2112 Harrisburg Pike, Suite 323, Lancaster, PA 17604 | 2006-12-14 |
| Find all providers in zip 17604 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508899063 | Kristen M Nebel | Family Medicine | 1762 Pioneer Rd, Lancaster, PA 17602-1516 | 2006-07-08 |
| 1245295229 | Robert Howse | Family Medicine | 2110 Harrisburg Pike Ste 300, Lancaster, PA 17601-2644 | 2006-04-20 |
| 1083933766 | Ma Mon Mon Aung | Family Medicine | 44445 15th St W, Lancaster, CA 93534-2801 | 2010-05-20 |
| 1790942225 | Amy C Hancock | Family Medicine | 555 N Duke St, Lancaster, PA 17602-2250 | 2008-05-21 |
| 1477765568 | Laura K Moyer | Family Medicine | 2110 Harrisburg Pike, Suite 300, Lancaster, PA 17601-2644 | 2007-05-03 |
| 1285654467 | Lancaster General Hospital | Family Medicine | 2112 Harrisburg Pike, Suite 312, Lancaster, PA 17601-2644 | 2006-07-20 |
| 1215992201 | Leon Kraybill | Family Medicine | 2110 Harrisburg Pike, Suite 300, Lancaster, PA 17601-2644 | 2006-04-20 |
| 1831154178 | Dale Hursh | Family Medicine | 2110 Harrisburg Pike, Suite 300, Lancaster, PA 17601-2644 | 2006-04-19 |
| 1265497820 | Neelofer Sohail | Family Medicine | 2110 Harrisburg Pike, Suite 300, Lancaster, PA 17601-2644 | 2006-04-18 |
| 1770548216 | Matthew Beelen | Family Medicine | 555 N Duke St, Lancaster, PA 17602-2250 | 2006-04-18 |
| Find all providers in LANCASTER | ||||
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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.