MISS KELLY JORDAN SPANGLER (NPI# 1093128753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093128753 |
| Entity Type | Individual |
| Full Name | MISS KELLY JORDAN SPANGLER |
| Other Name | KELLY JORDAN MAHER |
| Credential | PA-C |
| Practice Address |
1599 Somerset Ave Windber PA 15963-1745 |
| Mailing Address |
1599 Somerset Ave Ste 1 Windber PA 15963-1745 |
| Practice Telephone | 8144675600 |
| Practice Fax Number | 8144675605 |
| Mailing Telephone | 8143411059 |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2019-10-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851797476 | Kelly Spangler | Behavioral Analyst | 233 E Larkin St, Midland, MI 48640-5110 | 2014-11-10 |
| 1659855526 | Kelly Spangler | Behavior Technician | 3620 W White River Blvd, Muncie, IN 47304-4286 | 2018-09-18 |
| 1730380809 | Kelly Spangler | Speech-Language Pathologist | 301 Governors Dr Sw, Huntsville, AL 35801-5123 | 2007-05-29 |
| Street Address |
1599 SOMERSET AVE |
| City | WINDBER |
| State | PA |
| Zip Code | 15963-1745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104818756 | Jerry L Gray | Internal Medicine | 1599 Somerset Ave, Ste #1, Windber, PA 15963 | 2005-08-19 |
| 1154809762 | Sassy Medical Services LLC | Family Medicine | 1599 Somerset Ave, Windber, PA 15963-1745 | 2018-08-06 |
| 1811168024 | Conor Joseph Mulcahy | Internal Medicine | 1599 Somerset Ave, Suite #1, Windber, PA 15963-1745 | 2008-03-14 |
| 1427040088 | Patrick M. Gray | Internal Medicine | 1599 Somerset Ave, Suite #1, Windber, PA 15963-0000 | 2005-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679897748 | Medical Group of Windber Inc. | Non-Pharmacy Dispensing Site | 500 Somerset Street, Windber, PA 15963 | 2010-03-18 |
| 1023271400 | Robert J. Waibel | Physical Therapist | 1304 Graham Avenue, Windber, PA 15963 | 2008-07-07 |
| 1760549315 | David Neil Kreinbrook Sr. | Chiropractor | 508 15th Street, Windber, PA 15963 | 2007-01-02 |
| 1760579270 | Gail Louise Frycklund | Nurse Anesthetist, Certified Registered | 138 Lyn Lane, Windber, PA 15963 | 2006-10-06 |
| 1215043559 | Matthew Jerome Klena | Dentist | 1812 Stockholm Ave, Windber, PA 15963 | 2006-08-21 |
| 1720070436 | David J Bencie | Internal Medicine | 620 7th Street, Suite A, Windber, PA 15963 | 2005-08-18 |
| 1578555280 | David A Csikos | Internal Medicine | 1511 Scalp Avenue, Suite A, Windber, PA 15963 | 2005-08-18 |
| 1407468655 | Daniel Zambanini | Physical Therapist | 600 Somerset Avenue, Windber, PA 15963 | 2020-08-19 |
| 1871076612 | Angela Marie Yoder | Counselor | 2301 Graham Ave, Windber, PA 15963 | 2018-09-07 |
| 1609374321 | Ashley Lea Peterman Beener | Nurse Practitioner | 600 Somerset Ave, Windber, PA 15963 | 2018-01-28 |
| Find all providers in zip 15963 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174764013 | Renal Care Consultants, PC | Physician Assistant | 700 5th St, Suite 200, Windber, PA 15963-1313 | 2009-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355341 | Julia Majewicz Wilson | Physician Assistant | 111 Pa-715, #102, Brodheadsville, PA 18322 | 2020-10-29 |
| 1417557273 | Jared Michael Yon | Physician Assistant | 902 Dale Ave, Bradfordwoods, PA 15015-1236 | 2020-10-29 |
| 1295335230 | Jillian Ann Korgeski | Physician Assistant | 400 Corner St, Dunmore, PA 18512-2348 | 2020-10-29 |
| 1821697376 | Sidney Patel | Physician Assistant | 1834 Oregon Pike Ste 20, Lancaster, PA 17601-6463 | 2020-10-25 |
| 1629677356 | Jason Christopher Takacs Jr. | Physician Assistant | 510 Stockton Rdg, Cranberry Township, PA 16066-2280 | 2020-10-23 |
| 1467051763 | Molly Catherine Peters | Physician Assistant | 4338 Boone St, Philadelphia, PA 19128-4901 | 2020-10-19 |
| 1508465840 | Tran Quyen Tran | Physician Assistant | 2941 Hillside Rd, Broomall, PA 19008-1304 | 2020-10-19 |
| 1275132656 | Jessica Haley Stecklein | Physician Assistant | 696 Fir Ave, Langhorne, PA 19047-5450 | 2020-10-18 |
| 1083212625 | Kele Ferreira | Physician Assistant | 1201 Sandhill Rd, Lebanon, PA 17046-1943 | 2020-10-15 |
| 1386251619 | Nicholas James Lazorka | Physician Assistant | 195 Chapmans Round Top Rd, Montoursville, PA 17754-7508 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
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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.