KELLY R. JANNER (NPI# 1083605885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083605885 |
| Entity Type | Individual |
| Full Name | KELLY R. JANNER |
| Credential | EMT-P |
| Practice Address |
360 W Ruddle St Coaldale PA 18218-1027 |
| Mailing Address |
227 Stock St Nesquehoning PA 18240-2316 |
| Practice Telephone | 5706450478 |
| Mailing Telephone | 5706450332 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146L00000X | Emergency Medical Technician, Paramedic | 149179 | PA | Emergency Medical Service Providers |
| Street Address |
360 W RUDDLE ST |
| City | COALDALE |
| State | PA |
| Zip Code | 18218-1027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710987219 | Coaldale Cardiology, Inc. | Internal Medicine | 360 W Ruddle St, Coaldale, PA 18218-1027 | 2005-07-26 |
| 1922639228 | Jordan Lynn Nowacki | Occupational Therapist | 360 W Ruddle St, Coaldale, PA 18218-1027 | 2020-01-27 |
| 1467098939 | Ethan Eichhorst | Occupational Therapist | 360 W Ruddle St, Coaldale, PA 18218-1027 | 2019-11-20 |
| 1124685425 | St. Luke's Physician Group, Inc | Surgery | 360 W Ruddle St, Coaldale, PA 18218-1027 | 2019-05-22 |
| 1396212767 | Devon M Bizarre | Physician Assistant | 360 W Ruddle St, Coaldale, PA 18218-1027 | 2018-10-24 |
| 1932674215 | Tia M Rex | Physician Assistant | 360 W Ruddle St, Coaldale, PA 18218-1027 | 2018-10-12 |
| 1003390840 | Sarah Lynn Matika | Dietitian, Registered | 360 W Ruddle St, Coaldale, PA 18218-1027 | 2018-09-18 |
| 1851650600 | Matthew D Morgan | Physician Assistant | 360 W Ruddle St, Coaldale, PA 18218-1027 | 2012-05-15 |
| 1154620045 | Jennifer Toth | Dietitian, Registered | 360 W Ruddle St, Coaldale, PA 18218-1027 | 2011-03-18 |
| 1851698468 | St. Luke's Physician Group, Inc | Internal Medicine | 360 W Ruddle St, Suite 800, Coaldale, PA 18218-1027 | 2011-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114095973 | Eric Bodish | Emergency Medicine | 370 Ruddle St., Coaldale, PA 18218 | 2006-12-01 |
| 1275593485 | Dilliswar Sahoo | Internal Medicine | 48 W Phillip St, Coaldale, PA 18218 | 2006-03-23 |
| 1366875759 | James Hanson | Specialist | 18 E Foster Ave, Coaldale, PA 18218-1007 | 2013-08-21 |
| 1306953443 | Elizabeth Marie Perilli | Family Medicine | 48 W. Phillip St, Coaldale, PA 18218-1123 | 2006-08-24 |
| 1740371939 | Coaldale Community Ambulance Association | Ambulance | 300 W Water St, Coaldale, PA 18218-1153 | 2006-09-27 |
| 1790024495 | Jennifer M. Smell | Physical Therapy Assistant | 137 1st St, Coaldale, PA 18218-1304 | 2013-01-31 |
| 1730523291 | Larry Dean Weaver Jr. | Physical Therapy Assistant | 258 5th St, Coaldale, PA 18218-1412 | 2013-04-26 |
| 1851321897 | Dilliswar Sahoo Md PC | Internal Medicine | 48 W Phillips St, Coaldale, PA 18218-1437 | 2006-07-04 |
| 1245766682 | Rachel Seitzinger | Nurse Practitioner | 48 W Phillips St, Coaldale, PA 18218-1437 | 2017-05-04 |
| 1225319098 | St. Luke's Physician Group, Inc. | Family Medicine | 48 W Phillips St, Coaldale, PA 18218-1437 | 2011-09-07 |
| Find all providers in zip 18218 | ||||
| Taxonomy Code | 146L00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Paramedic |
| An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174954929 | Edward Reynolds | Emergency Medical Technician, Paramedic | 105 Westwind Dr, Coraopolis, PA 15108-3866 | 2013-12-04 |
| 1306136775 | Michael Raymond Bolinsky | Emergency Medical Technician, Paramedic | 101 Pine Springs Blvd, York, PA 17408-6236 | 2011-04-19 |
| 1689863235 | Michael Christoph Campbell | Emergency Medical Technician, Paramedic | 3600 Meyran Ave, 10028 Forbes Tower, Pittsburgh, PA 15260 | 2007-10-19 |
| 1760682397 | Mariann Holnaider | Emergency Medical Technician, Paramedic | 2321 Raymond Ave, Latrobe, PA 15650-3347 | 2007-07-22 |
| 1467679654 | Patrick Joseph Huber | Emergency Medical Technician, Paramedic | 4910 Brightwood Rd D-312, Bethel Park, PA 15102 | 2007-04-19 |
| 1902925860 | Bentworth Ambulance Service Inc | Emergency Medical Technician, Paramedic | 6 Diamond Way, Bentleyville, PA 15314-1997 | 2007-03-29 |
| 1124155080 | Thomas Ray Alleman | Emergency Medical Technician, Paramedic | 575 Ridge Rd, Dillsburg, PA 17019-8942 | 2007-02-27 |
| 1124194352 | New Kensington Volunteer Fire Department Ambulance Corps | Emergency Medical Technician, Paramedic | 839 Anderson Street, New Kensington, PA 15068 | 2006-11-28 |
| 1497824049 | Citizens Hose Company of Jersey Shore | Emergency Medical Technician, Paramedic | 1212 Locust St, Jersey Shore, PA 17740-1920 | 2006-11-07 |
| 1174602585 | Central Erie County Paramedic Association Inc | Emergency Medical Technician, Paramedic | 5011 School St, Mc Kean, PA 16426-1413 | 2006-11-05 |
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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.