JESSE MICHAEL BLANK (NPI# 1073931788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073931788 |
| Entity Type | Individual |
| Full Name | JESSE MICHAEL BLANK |
| Practice Address |
501 Howard Ave Ste F2 Altoona PA 16601 |
| Mailing Address |
501 Howard Ave Ste F2 Altoona PA 16601-4882 |
| Practice Telephone | 8148892020 |
| Mailing Telephone | 8148892020 |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2018-05-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD461730 | PA | Allopathic & Osteopathic Physicians |
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
MD461730 | PA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 500 University Dr, Hershey, PA 170332360 | 7175318903 |
| Street Address |
501 HOWARD AVE STE F2 |
| City | ALTOONA |
| State | PA |
| Zip Code | 16601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811321045 | Michael Robert Geishauser | Counselor | 501 Howard Ave Ste F2, Altoona, PA 16601-4818 | 2013-08-23 |
| 1023630480 | Alexander Elli Nuique Jr. | Student in an Organized Health Care Education/Training Program | 501 Howard Ave Ste F2, Altoona, PA 16601-4818 | 2020-05-08 |
| 1457972168 | Erin Marie Connolly | Student in an Organized Health Care Education/Training Program | 501 Howard Ave Ste F2, Altoona, PA 16601-4818 | 2020-05-04 |
| 1962021014 | Elizabeth Grace Yordy | Student in an Organized Health Care Education/Training Program | 501 Howard Ave Ste F2, Altoona, PA 16601-4882 | 2020-04-09 |
| 1952920969 | Bushra Zarnigar Manzar | Student in an Organized Health Care Education/Training Program | 501 Howard Ave Ste F2, Altoona, PA 16601-4882 | 2020-04-09 |
| 1801425566 | Aric Berning | Student in an Organized Health Care Education/Training Program | 501 Howard Ave Ste F2, Altoona, PA 16601-4818 | 2020-04-05 |
| 1972132611 | Meena Gella | Student in an Organized Health Care Education/Training Program | 501 Howard Ave Ste F2, Altoona, PA 16601-4882 | 2020-04-04 |
| 1891324539 | Mariana Annette Ferrer Fuenmayor | Student in an Organized Health Care Education/Training Program | 501 Howard Ave Ste F2, Altoona, PA 16601-4882 | 2020-04-04 |
| 1962031674 | Joy Ferro | Student in an Organized Health Care Education/Training Program | 501 Howard Ave Ste F2, Altoona, PA 16601-4818 | 2020-04-04 |
| 1861022972 | Deanna Winchester | Nurse Practitioner | 501 Howard Ave Ste F2, Altoona, PA 16601-4818 | 2020-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205456498 | Divya Venkata Tumuluru | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue-suite F2 Altoona Family Physicians, Altoona, PA 16601 | 2020-04-17 |
| 1114574787 | Neil Pietrolungo | Counselor | 1216 11th Avenue, St. 215, Altoona, PA 16601 | 2019-08-19 |
| 1326509621 | Lucas L Warton | Student in an Organized Health Care Education/Training Program | Altoona Family Physicians, 501 Howard Ave, Ste F2, Altoona, PA 16601 | 2019-03-28 |
| 1669932141 | Edmiston Physical Therapy Co | Physical Therapist | 2927 Beale Ave. Suite E101, Altoona, PA 16601 | 2019-03-21 |
| 1871052407 | Ji Won Lee | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue Altoona Family Physicians, Suite F2, Altoona, PA 16601 | 2019-03-13 |
| 1982199774 | Shikha Salhotra | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue Altoona Family Physicians, Suite F2, Altoona, PA 16601 | 2018-06-25 |
| 1679063655 | Sarah Ann Bier | Registered Nurse | 2900 Plank Rd, Altoona, PA 16601 | 2018-05-15 |
| 1306334073 | Mohammad Omar Bukhari | Student in an Organized Health Care Education/Training Program | Altoona Family Physicians 501 Howard Avenue, Suite F2, Altoona, PA 16601 | 2018-04-27 |
| 1730676164 | Kathleen Elizabeth Woods | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue Suite F2, Altoona Family Physicians, Altoona, PA 16601 | 2018-04-20 |
| 1386082485 | Zachary Charles Haulman | Physical Medicine & Rehabilitation | 2900 Beale Ave Ste 110, Altoona, PA 16601 | 2013-06-11 |
| Find all providers in zip 16601 | ||||
| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346571676 | Institute of Palliative Medicine PC | Internal Medicine | 1 Country Club Pl, South Abington Township, PA 18411-9199 | 2010-01-27 |
| 1598956013 | Eva B Reitschuler-cross | Internal Medicine | 200 Lothrop St # 933w, Pittsburgh, PA 15213 | 2007-08-08 |
| 1043265820 | Consultants In Medical Oncology & Hematology, PC | Internal Medicine | 30 Lawrence Rd, Suite 201, Broomall, PA 19008-3301 | 2006-05-23 |
| 1235183906 | Margaret Kreher | Internal Medicine | 925 Chestnut Street Suite 420, Philadelphia, PA 19107 | 2006-05-19 |
| 1013972058 | Jonathan L. Gelfand | Internal Medicine | 205 Rhyle Ln, Bala Cynwyd, PA 19004-2323 | 2006-04-20 |
| 1194361766 | Temple Faculty Practice Plan, Inc | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2019-11-19 |
| 1235601238 | Mercy Management of Southeastern Pennsylvani | Internal Medicine | 1001 Baltimore Pike, Suite 14ll, Springfield, PA 19064-2800 | 2019-01-02 |
| 1821560350 | Mercy Management of Southeastern Pennsylvani | Internal Medicine | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2018-12-21 |
| 1033651245 | Thi of Pennsylvania At Samaritan Hospice LLC | Internal Medicine | 2 Campus Blvd, Newtown Square, PA 19073-3243 | 2016-11-07 |
| 1427406925 | Alexandra Anne Evans | Internal Medicine | 1787 Sentry Pkwy W Ste 405, Blue Bell, PA 19422-2239 | 2016-05-25 |
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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.