MRS. SHANA E PETERSON (NPI# 1073023990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073023990 |
| Entity Type | Individual |
| Full Name | MRS. SHANA E PETERSON |
| Credential | PA-C |
| Practice Address |
1342 Chelsea Ave Bethlehem PA 18018-2459 |
| Mailing Address |
2679 Milan St Unit I Easton PA 18045-5798 |
| Practice Telephone | 6108619469 |
| Mailing Telephone | 6105093177 |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2017-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA059386 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1342 CHELSEA AVE |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18018-2459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093373292 | Jade Madison Hennessy | Specialist/Technologist | Moravian College, 1200 Main Street, Bethlehem, PA 18018 | 2019-06-03 |
| 1780106179 | Courtney Jane Kruscavage | Specialist/Technologist | 641 Dellwood Street, Bethlehem, PA 18018 | 2017-07-07 |
| 1205357936 | Balanced Body Therapeutic Massage, LLC | Massage Therapist | 227 W Broad St Ste 102, Bethlehem, PA 18018 | 2017-07-03 |
| 1033567599 | Jessamine Martin | Counselor | 1 East Broad Street, Suite 510, Bethlehem, PA 18018 | 2016-05-25 |
| 1841650041 | Akhi Saha | Internal Medicine | 325 W Broad St Fl 1, Bethlehem, PA 18018 | 2016-03-01 |
| 1063804193 | Paul Minh Le | Internal Medicine | 800 Eaton Ave Ste B, Bethlehem, PA 18018 | 2015-02-26 |
| 1578962841 | Elizabeth Veronica Weiss Iobst | Counselor | 1754 W. Broad St., Bethlehem, PA 18018 | 2014-08-22 |
| 1255771739 | Inner Resources Counseling Inc | Counselor | 807 West Broad St, Bethlehem, PA 18018 | 2013-06-28 |
| 1437404878 | St Luke Hospital | General Acute Care Hospital | 1956 C Allwood Dr., Bethlehem, PA 18018 | 2012-07-23 |
| 1275802944 | St. Luke's Physician Group, Inc | Ophthalmology | 800 Eaton Avenue, Suite 101, Bethlehem, PA 18018 | 2011-12-23 |
| Find all providers in zip 18018 | ||||
| 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 |
|---|---|---|---|---|
| 1336782648 | Emily A Hake | Physician Assistant | 801 Ostrum St Fl Street2, Bethlehem, PA 18015-1000 | 2019-10-21 |
| 1841767456 | Jason T Trahan | Physician Assistant | 1469 8th Avene, Bethlehem, PA 18018-2256 | 2018-11-01 |
| 1346753258 | Robert L Gonzalez | Physician Assistant | 801 Ostrum St Fl St2, Bethlehem, PA 18015-1000 | 2017-11-14 |
| 1417466269 | Jeremy Griffis | Physician Assistant | 2101 Emrick Blvd Ste 101, Bethlehem, PA 18020-8040 | 2017-09-25 |
| 1023560059 | Brianna Taylor | Physician Assistant | 2571 Baglyos Cir Ste B29, Bethlehem, PA 18020-8050 | 2016-10-25 |
| 1609115161 | Ashley Nicole Pane | Physician Assistant | 236 Brodhead Rd, Bethlehem, PA 18017-8937 | 2013-02-04 |
| 1104143924 | Nicole M Herrick | Physician Assistant | 2597 Schoenersville Rd Ste 100, Bethlehem, PA 18017 | 2010-05-04 |
| 1619092202 | John Paul Rose | Physician Assistant | St Luke's Hospital - Critical Care Division, 801 Ostrum Street, Bethlehem, PA 18015 | 2007-03-20 |
| 1396859062 | John D Page | Physician Assistant | Lvpg Expresscare Muhlenberg, 2649 Schoenersville Road Suite 201, Bethlehem, PA 18017-7316 | 2006-08-18 |
| 1902800394 | Josefina Andrea Valdivieso | Physician Assistant | 2775 Schoenersville Rd, Bethlehem, PA 18017-7307 | 2005-06-13 |
| Find all providers in BETHLEHEM | ||||
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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.