BRENNA KAY SMUDDE (NPI# 1073081089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073081089 |
| Entity Type | Individual |
| Full Name | BRENNA KAY SMUDDE |
| Credential | PA-C |
| Practice Address |
421 Chew St Allentown PA 18102-3406 |
| Mailing Address |
3049 Sequoia Dr Macungie PA 18062-9316 |
| Practice Telephone | 6107764500 |
| Mailing Telephone | 6105730242 |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2018-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA060120 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 801 Ostrum St, Bethlehem, PA 180151000 | 4845264000 |
| Street Address |
421 CHEW ST |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18102-3406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487652673 | Sanjay C Kansara | Anesthesiology | 421 Chew St, Allentown, PA 18102-3406 | 2005-07-12 |
| 1639738594 | St. Luke's Physician Group, Inc | Surgery | 421 Chew St, Allentown, PA 18102-3406 | 2019-06-13 |
| 1518441757 | Alexandra Yrievna Savkova | Physician Assistant | 421 Chew St, Allentown, PA 18102-3406 | 2018-09-24 |
| 1508346701 | Christine A Fischer | Physician Assistant | 421 Chew St, Allentown, PA 18102-3406 | 2018-08-16 |
| 1750893400 | Diana Marie Ciminieri | Registered Nurse | 421 Chew St, Allentown, PA 18102-3406 | 2017-11-02 |
| 1467904540 | Sacred Heart Hospital Pharmacy | Pharmacy | 421 Chew St, Allentown, PA 18102-3406 | 2016-10-25 |
| 1992140198 | Cynthia Chayka | Dietitian, Registered | 421 Chew St, Allentown, PA 18102-3406 | 2013-05-02 |
| 1174967293 | Tanner Folster | Emergency Medicine | 421 Chew St, Allentown, PA 18102-3406 | 2013-04-19 |
| 1306289954 | Emily Lisco | Psychiatry & Neurology | 421 Chew St, Allentown, PA 18102-3406 | 2013-04-14 |
| 1275876831 | Bernadette Marie Hoffmann | Nurse Practitioner | 421 Chew St, Allentown, PA 18102-3406 | 2013-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548808363 | Katherine Camoni | Counselor | 451 West Chew St., Allentwon, PA 18102 | 2019-12-11 |
| 1346802931 | Kelly Alexander | Counselor | 451 W . Chew Street, Allentown, PA 18102 | 2019-07-03 |
| 1457910481 | Ayza Taimur | Internal Medicine | 1627 West Chew Street, 101, Allentown, PA 18102 | 2019-06-12 |
| 1972161602 | Emily Skutnik | Internal Medicine | Lvpp 1627 West Chew Street #101, Allentown, PA 18102 | 2019-05-29 |
| 1508336652 | Mercy A Gonzalez Devillacis | Counselor | 843 N . 6 Th St, Allentown, PA 18102 | 2018-12-03 |
| 1134611742 | Amanda Catherine Koziel | Family Medicine | 218 N. 2nd Street, Allentown, PA 18102 | 2018-05-31 |
| 1174981369 | Marcos Morales | Counselor | 462 W. Walnut Street, Allentown, PA 18102 | 2016-02-03 |
| 1740688423 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 451 W. Chew St., Suite 105, Allentown, PA 18102 | 2014-12-12 |
| 1982006250 | Martha Lebron | Nurse Practitioner | 451 Chew St Ste 400, Allentown, PA 18102 | 2014-09-18 |
| 1841699741 | Nicole Tennant | Physical Therapy Assistant | 613 W Allen St, Allentown, PA 18102 | 2014-08-15 |
| Find all providers in zip 18102 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982252185 | Amanda Jane Gower | Physician Assistant | 1605 N Cedar Crest Blvd Ste 110, Allentown, PA 18104-2351 | 2019-08-30 |
| 1104306117 | Sean Duffy | Physician Assistant | 1667 Victoria Cir, Allentown, PA 18103-6474 | 2018-08-19 |
| 1811477300 | Harley Elizabeth Williams | Physician Assistant | 1240 S Cedar Crest Blvd Ste 215, Allentown, PA 18103-6369 | 2018-08-15 |
| 1932621356 | Lauren Dian Demberger | Physician Assistant | 1240 S Cedar Crest Blvd Ste 305, Allentown, PA 18103-6370 | 2017-07-07 |
| 1255773107 | Jacqueline Mary Turner | Physician Assistant | 401 N 17th St Ste 304, Allentown, PA 18104-5051 | 2013-07-20 |
| 1720364110 | Sarah Elizabeth Petruno | Physician Assistant | 401 N 17th St Ste 307, Allentown, PA 18104-5051 | 2011-10-29 |
| 1467755546 | Seth Vaughn | Physician Assistant | 4825 Tilghman Street, Allentown, PA 18104 | 2010-12-13 |
| 1891028122 | Jessica D Zehr | Physician Assistant | 1501 North Cedar Crest Blvd, Allentown, PA 18104-2309 | 2009-09-18 |
| 1275773723 | Samuel James Hertig | Physician Assistant | 1250 S Cedar Crest Blvd Ste 400, Allentown, PA 18103-6224 | 2009-02-24 |
| 1497805022 | Wendi A Hontz | Physician Assistant | 1575 Pond Rd Ste 203, Allentown, PA 18104 | 2007-01-12 |
| Find all providers in ALLENTOWN | ||||
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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.