CAROL L TANZIO (NPI# 1083942106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083942106 |
Entity Type | Individual |
Full Name | CAROL L TANZIO |
Credential | CRNP |
Practice Address |
176 S New Middletown Rd Mob, 1st Floor Media PA 19063-5255 |
Mailing Address |
176 S New Middletown Rd Media PA 19063-5255 |
Practice Telephone | 6106273690 |
Practice Fax Number | 6106273684 |
Mailing Telephone | 6106273690 |
Mailing Fax Number | 6106273684 |
Enumeration Date | 2009-12-01 |
Last Update Date | 2014-10-31 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | RN505951L | PA | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP010610 | PA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
176 S NEW MIDDLETOWN RD MOB, 1ST FLOOR |
City | MEDIA |
State | PA |
Zip Code | 19063-5255 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528126844 | Lynnanne Kasarda | Family Medicine | 176 S New Middletown Rd, Media, PA 19063-5255 | 2006-12-06 |
1811258866 | Kevin Dabundo | Family Medicine | 176 S New Middletown Rd, Media, PA 19063-5255 | 2012-06-06 |
1881889848 | Jeanmarie Michalak | Nurse Practitioner | 176 S New Middletown Rd, Media, PA 19063-5255 | 2007-09-12 |
1609085893 | Health Access Network | Family Medicine | 176 S New Middletown Rd, Media, PA 19063-5255 | 2007-05-22 |
1013126218 | Health Access Network | Family Medicine | 176 S New Middletown Rd, Media, PA 19063-5255 | 2007-05-22 |
1497963516 | Health Access Network | Family Medicine | 176 S New Middletown Rd, Media, PA 19063-5255 | 2007-05-21 |
1952454266 | Lucetti L Cellini | Family Medicine | 176 S New Middletown Rd, Media, PA 19063-5255 | 2007-01-19 |
1386797603 | Denne Michelle Thomas-patterson | Family Medicine | 176 S New Middletown Rd, Media, PA 19063-5255 | 2007-01-19 |
1659424240 | David A Broyles | Family Medicine | 176 S New Middletown Rd, Media, PA 19063-5255 | 2007-01-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538766837 | Kimberly Ann Martyn | Nurse Practitioner | 168 W Baltimore Pike, Media, PA 19063 | 2020-10-08 |
1366060220 | Yinka Read | Clinical Neuropsychologist | 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 | 2020-07-08 |
1306304522 | Caroline Dickerson | Speech-Language Pathologist | 510 Williamson Cir, Media, PA 19063 | 2019-03-06 |
1528544178 | Dayeon Cho | Nurse Practitioner | 1400 North Providence Road, Suite 1020, Rose Tree Corporate Center, Building 2, Media, PA 19063 | 2018-07-17 |
1235621400 | Joseph Savukinas | Registered Nurse | Mirmont Treatment Center, 100 Yearsley Mill Rd, Media, PA 19063 | 2018-06-04 |
1003331281 | Accredited Environmental Technologies, Inc. | Contractor | 28 N. Pennell Road, Media, PA 19063 | 2017-08-08 |
1538684220 | Holcomb Associates Inc. | Clinic/Center | 126 East Baltimore Pike, Gayley Square, Media, PA 19063 | 2017-08-03 |
1619498334 | Bryan Allen Mizell | Specialist/Technologist | 324 Crestview Circle, Media, PA 19063 | 2017-07-03 |
1427597970 | Grow Now Therapy Services LLC. | Speech-Language Pathologist | 600 N Jackson Street, Media, PA 19063 | 2017-02-16 |
1720520216 | Kathryn Rauch | Counselor | 107 Chesley Drive Unit #5, Media, PA 19063 | 2016-11-15 |
Find all providers in zip 19063 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699384560 | Stephanie Lynn Bass | Nurse Practitioner | 1088 W Baltimore Pike Ste 2205, Media, PA 19063-5136 | 2020-07-27 |
1861991911 | Rosalie Stio | Nurse Practitioner | 1098 W Baltimore Pike Ste 3101, Media, PA 19063-5139 | 2018-02-05 |
1336669134 | Michelle L Mullarkey | Nurse Practitioner | 1098 W Baltimore Pike Ste 3308, Media, PA 19063-5139 | 2017-06-22 |
1710387428 | Amy Strong | Nurse Practitioner | 1295 N Providence Rd, Apt H 103, Media, PA 19063-1234 | 2014-08-29 |
1740467331 | Tracy Collins Boyle | Nurse Practitioner | 3 South Pennell Rd, Media, PA 19037 | 2008-01-25 |
1104025501 | Donna L Thompson | Nurse Practitioner | 18 Soldier Song Ln, Media, PA 19063-5223 | 2007-07-16 |
1316545353 | Rema Dicen | Nurse Practitioner | 602 E Baltimore Pike, Media, PA 19063-1735 | 2020-10-12 |
1174138325 | Rachel Elizabeth Woodruff | Nurse Practitioner | 1088 W Baltimore Pike Ste 2205, Media, PA 19063-5136 | 2020-09-14 |
1780232009 | Kira M Graziano | Nurse Practitioner | 510 E Baltimore Pike, Media, PA 19063-3836 | 2019-08-29 |
1174184147 | Ruth Kang | Nurse Practitioner | 1088 W Baltimore Pike Ste 2506, Media, PA 19063 | 2019-06-21 |
Find all providers in MEDIA |
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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.