MARK ENZERRA (NPI# 1073823365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073823365 |
| Entity Type | Individual |
| Full Name | MARK ENZERRA |
| Credential | P.A.C. |
| Practice Address |
100 Witmer Rd Suite 220 Horsham PA 19044-2251 |
| Mailing Address |
155 Wilson Ave Washington PA 15301-3336 |
| Practice Telephone | 2154425000 |
| Practice Fax Number | 2159572875 |
| Mailing Telephone | 7242233085 |
| Mailing Fax Number | 2159572875 |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2018-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA053764 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
100 WITMER RD SUITE 220 |
| City | HORSHAM |
| State | PA |
| Zip Code | 19044-2251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588649214 | Yuri O Shevchenko | Anesthesiology | 100 Witmer Rd, Ste 220, Horsham, PA 19044-2251 | 2005-12-15 |
| 1710336128 | Kelly Ann Atkins | Nurse Practitioner | 100 Witmer Rd, #200, Horsham, PA 19044-2251 | 2016-06-07 |
| 1356745046 | Pinnacle Mid-atlantic Anesthesia Associates PC | Anesthesiology | 100 Witmer Rd, Ste 220, Horsham, PA 19044-2251 | 2014-10-09 |
| 1487094967 | Aradia Sophia Tabasko | Physician Assistant | 100 Witmer Rd, Suite 220, Horsham, PA 19044-2251 | 2013-06-28 |
| 1447547823 | Maria Elena Hawkins | Physician Assistant | 100 Witmer Rd, Suite 220, Horsham, PA 19044-2251 | 2011-07-06 |
| 1649565367 | Uneeza K Haque | Internal Medicine | 100 Witmer Rd, Suite 220, Horsham, PA 19044-2251 | 2011-06-10 |
| 1962711671 | Bernadette Martini | Emergency Medical Technician, Basic | 100 Witmer Rd, Suite 220, Horsham, PA 19044-2251 | 2010-09-29 |
| 1457687535 | Lauren Rengen | Emergency Medical Technician, Basic | 100 Witmer Rd, Suite 220, Horsham, PA 19044-2251 | 2009-10-26 |
| 1376715375 | Lisa M Zahn | Emergency Medicine | 100 Witmer Rd, Emcare, Horsham, PA 19044-2251 | 2008-03-31 |
| 1497930408 | Antonio Michael Grasso | Student in an Organized Health Care Education/Training Program | 100 Witmer Rd, Suite #220, Horsham, PA 19044-2251 | 2008-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326687724 | Nan Nursing Services LLC | Home Health | 300 Welsh Road, Bldg One Ste 100, Horsham, PA 19044 | 2020-01-02 |
| 1922645217 | Nutritional Living, LLC | Dietitian, Registered | Horsham Athletic Club, 400 Horsham Road, Horsham, PA 19044 | 2019-12-05 |
| 1669941027 | Walettra Charmese Enoch | Nurse Practitioner | Inspiris Services Company- Pa, 680 Blair Mill Road, Horsham, PA 19044 | 2018-11-15 |
| 1437624244 | Highpoint Pain & Rehabilitation Physicians | Non-Pharmacy Dispensing Site | 2 Village Road, Horsham, PA 19044 | 2018-10-08 |
| 1487177366 | John Devine | Nurse Practitioner | 680 Blairmill Road, Horsham, PA 19044 | 2017-07-21 |
| 1396063533 | Joanna M Ronkowski-ziegast | Chiropractor | 237 W. Moreland Ave, Horsham, PA 19044 | 2010-05-12 |
| 1538499488 | Elizabeth Alison Lillo | Nurse Practitioner | 680 Blair Mill Road, Horsham, PA 19044 | 2009-12-28 |
| 1730390360 | Chitra Lekha Gupta | Pathology | 900 Business Center Drive, Quest Diagnostics Incorporated, Horsham, PA 19044 | 2007-05-25 |
| 1306056122 | Frances T Levin | Social Worker | 110 Gibraltar Rd, Suite 103, Horsham, PA 19044 | 2007-05-23 |
| 1407078439 | Judith M Olimpo | Pharmacist | 56 Woodbine Court, Horsham, PA 19044 | 2007-05-02 |
| Find all providers in zip 19044 | ||||
| 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 |
|---|---|---|---|---|
| 1780229286 | Danielle Marie Barron | Physician Assistant | 11 Claremont Cir, Horsham, PA 19044-1024 | 2019-11-08 |
| 1508322587 | Carmen Cheng | Physician Assistant | 721 Dresher Rd, Horsham, PA 19044-2220 | 2019-02-14 |
| 1720551153 | William Stern | Physician Assistant | 300 Welsh Rd Bldg 2, Horsham, PA 19044-2248 | 2019-01-08 |
| 1487094967 | Aradia Sophia Tabasko | Physician Assistant | 100 Witmer Rd, Suite 220, Horsham, PA 19044-2251 | 2013-06-28 |
| 1447547823 | Maria Elena Hawkins | Physician Assistant | 100 Witmer Rd, Suite 220, Horsham, PA 19044-2251 | 2011-07-06 |
| 1417003641 | Liza C Steele | Physician Assistant | 300 Welsh Rd, Building #2, Horsham, PA 19044-2248 | 2007-01-29 |
| 1215254800 | Amanda Gilarski | Physician Assistant | 100 Witmer Rd Ste 220, Horsham, PA 19044-2211 | 2006-05-27 |
| 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 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MARK ENZERRA.
| 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.