MRS. BROOKE ERIN BREITENBACH (NPI# 1063661742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063661742 |
| Entity Type | Individual |
| Full Name | MRS. BROOKE ERIN BREITENBACH |
| Other Name | MISS BROOKE ERIN PENWELL |
| Credential | PA-C |
| Practice Address |
2501 Shenango Valley Fwy Suite 1 Hermitage PA 16148-2536 |
| Practice Telephone | 7249831820 |
| Practice Fax Number | 7249831822 |
| Mailing Telephone | 7249831820 |
| Mailing Fax Number | 7249831822 |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2016-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA051710 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2501 SHENANGO VALLEY FWY SUITE 1 |
| City | HERMITAGE |
| State | PA |
| Zip Code | 16148-2536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013911528 | Lynn Ann Colaiacovo | Dermatology | 2501 Shenango Valley Fwy, Ste 1, Hermitage, PA 16148-2536 | 2005-06-13 |
| 1568679629 | Brian Szabo,dpm,pc | Podiatrist | 2501 Shenango Valley Fwy, Suite 2, Hermitage, PA 16148-2536 | 2007-05-17 |
| 1891877247 | Sagar V. Vallabh M.d. P.C. | Internal Medicine | 2501 Shenango Valley Fwy, Suite 3, Hermitage, PA 16148-2536 | 2006-10-19 |
| 1245326495 | Brian Szabo | Podiatrist | 2501 Shenango Valley Fwy, Suite 2, Hermitage, PA 16148-2536 | 2006-10-05 |
| 1174541676 | Lynn A. Colaiacovo, M.d., P.C. | Specialist | 2501 Shenango Valley Fwy, Suite 1, Hermitage, PA 16148-2536 | 2006-07-17 |
| 1114988219 | Sagar Vihari Vallabh | Internal Medicine | 2501 Shenango Valley Fwy, Suite 3, Hermitage, PA 16148-2536 | 2006-03-29 |
| 1184621427 | Chad Jason Mathews | Physician Assistant | 2501 Shenango Valley Fwy, Ste 1, Hermitage, PA 16148-2536 | 2005-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571165 | Cassandra L Holder | Physical Therapist | 1559 N. Hermitage Rd, Hermitage, PA 16148 | 2020-09-01 |
| 1750927190 | Hermitage Endoscopy Center Inc | Clinic/Center | 949 N Hermitage Road, Hermitage, PA 16148 | 2019-11-20 |
| 1336791318 | Catlyn Marie Joseph | Pharmacist | 1851 East State St, Rite Aid Store #10995, Hermitage, PA 16148 | 2019-07-10 |
| 1386203107 | Kaitlyn Mostard-smith | Physical Therapist | 1599 N. Hermitage Rd., Hermitage, PA 16148 | 2019-06-06 |
| 1770001513 | Lee Ann Hougelman | Licensed Practical Nurse | 5454 E. State St., Hermitage, PA 16148 | 2017-08-31 |
| 1194245001 | Samantha C Kilar | Audiologist | 1623 Dutch Lane, Hermitage, PA 16148 | 2017-06-21 |
| 1538419197 | Sharon Lynn Taylor | Physician Assistant | 480 N Kerrwood Dr Ste 103, Hermitage, PA 16148 | 2012-09-11 |
| 1912289638 | Amanda Jo Kline | Physical Therapy Assistant | 260 S Buhl Farm Drive, Whispering Oaks Suite 326, Hermitage, PA 16148 | 2011-09-20 |
| 1447548573 | Robert Joseph Jackson | Licensed Practical Nurse | 5454 East State St, Hermitage, PA 16148 | 2011-07-11 |
| 1386974673 | Susan Dawn Mehallick | Specialist/Technologist | 1005 Campus Circle, Hermitage, PA 16148 | 2010-01-08 |
| Find all providers in zip 16148 | ||||
| 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 |
|---|---|---|---|---|
| 1285101279 | Adam Ross Kostka | Physician Assistant | 3821 Hemlock Rd, Hermitage, PA 16148-3591 | 2018-10-27 |
| 1730690371 | Daisy May Walker | Physician Assistant | 1321 Riverbrook Dr, Hermitage, TN 37076-3570 | 2017-10-23 |
| 1457888976 | Danielle Molina | Physician Assistant | 5114 Old Hickory Blvd Ste 201, Hermitage, TN 37076-2590 | 2017-05-15 |
| 1396140380 | Ziba Naseri | Physician Assistant | 2500 Highland Rd Ste 101, Hermitage, PA 16148-4602 | 2014-11-03 |
| 1215365440 | Hospital Based Medical Services of Tennessee-i PC | Physician Assistant | 5655 First Blvd, Hermitage, TN 37076 | 2013-10-25 |
| 1538419197 | Sharon Lynn Taylor | Physician Assistant | 480 N Kerrwood Dr Ste 103, Hermitage, PA 16148 | 2012-09-11 |
| 1144479098 | Allen Ervin Tate | Physician Assistant | 5651 Frist Blvd Ste 712, Hermitage, TN 37076-2061 | 2008-09-16 |
| 1205861929 | Laura Kristin Conrey | Physician Assistant | 3901 Central Pike Ste 352, Hermitage, TN 37076-3421 | 2006-07-11 |
| 1316983836 | Carey A Gagnon | Physician Assistant | 1075 N Hermitage Rd, Hermitage, PA 16148-3114 | 2006-06-22 |
| 1003810961 | Michael Damian Marshall | Physician Assistant | 1005 Campus Cir, Hermitage, PA 16148-7901 | 2005-06-09 |
| Find all providers in HERMITAGE | ||||
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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.