KELLIE JO RODELLI (NPI# 1114035532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114035532 |
| Entity Type | Individual |
| Full Name | KELLIE JO RODELLI |
| Credential | PA |
| Practice Address |
1210 S Cedar Crest Blvd Suite 1100 Allentown PA 18103-6229 |
| Mailing Address |
Po Box 1754 Allentown PA 18105-1754 |
| Practice Telephone | 6104026555 |
| Practice Fax Number | 6104026550 |
| Mailing Telephone | 6107984500 |
| Enumeration Date | 2006-08-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
MA051654 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1210 S CEDAR CREST BLVD SUITE 1100 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18103-6229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225037591 | Tibisay I Villalobos | Pediatrics | 1210 S Cedar Crest Blvd, Suite 2400, Allentown, PA 18103-6229 | 2005-07-19 |
| 1336794627 | Elise Lerario | Audiologist | 1210 S Cedar Crest Blvd, Allentown, PA 18103-6229 | 2019-08-05 |
| 1417467218 | Erin Gerhart | Nurse Practitioner | 1210 S Cedar Crest Blvd, Allentown, PA 18103-6229 | 2017-10-06 |
| 1023559895 | Amelia Kuhns | Nurse Practitioner | 1210 S Cedar Crest Blvd, Ste 1100, Allentown, PA 18103-6229 | 2017-03-14 |
| 1316498876 | Victoria Kuebler | Dietitian, Registered | 1210 S Cedar Crest Blvd, Ste 2400, Allentown, PA 18103-6229 | 2016-10-20 |
| 1679962500 | Lehigh Valley Physician Group | Surgery | 1210 S Cedar Crest Blvd, Suite 3000, Allentown, PA 18103-6229 | 2015-01-15 |
| 1104226190 | Kristen Lissenden | Nurse Practitioner | 1210 S Cedar Crest Blvd, Ste 2400, Allentown, PA 18103-6229 | 2014-08-27 |
| 1942611843 | Kimberly Rarick | Pediatrics | 1210 S Cedar Crest Blvd, 6th Floor Jaindl, Allentown, PA 18103-6229 | 2014-05-13 |
| 1841535036 | Lehigh Valley Physician Group | Pediatrics | 1210 S Cedar Crest Blvd, Suite 2400, Allentown, PA 18103-6229 | 2012-11-29 |
| 1902159874 | Nancy Marie Moore | Dietitian, Registered | 1210 S Cedar Crest Blvd, Ste 2400, Allentown, PA 18103-6229 | 2012-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376156752 | Syed Ali Aown | Internal Medicine | 1200 Cedar Crest Blvd Department of Education-office Of, Allentown, PA 18103 | 2020-08-26 |
| 1558980169 | Shelley M. Spence | Occupational Therapist | 1243 South Cc Blvd., Suite 302, Allentown, PA 18103 | 2020-04-14 |
| 1386133791 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1259 S Cedar Crest Blvd Ste 336, Allentown, PA 18103 | 2018-05-02 |
| 1366939555 | St. Luke's Physician Group, Inc. | Family Medicine | 3570 Hamilton Blvd Ste 201, Allentown, PA 18103 | 2018-04-13 |
| 1942701008 | Bradford Young Family & Cosmetic Dentistry | Dentist | 1275 S. Cedar Crest Boulevard, Allentown, PA 18103 | 2018-02-23 |
| 1598275281 | Lorillie Soleta | Nurse Practitioner | Good Shepherd Rehabilitation Network, 850 South 5th St., Allentown, PA 18103 | 2017-10-06 |
| 1538681457 | Rahul Gupta | Internal Medicine | Lehigh Valley Physicians Practice, 1250 S. Cedar Crest Blvd, Ste. 300, Allentown, PA 18103 | 2017-07-12 |
| 1669992962 | Aaron Michael Roman | Audiologist | 1210 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-27 |
| 1134658404 | Gyujae Choi | Internal Medicine | 1200 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-08 |
| 1255713731 | Firely Home for Kids | Skilled Nursing Facility | 2402 Sunshine Rd, Allentown, PA 18103 | 2015-06-22 |
| Find all providers in zip 18103 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447628169 | Jordan Salibi | Physician Assistant | 1117 Sherman St, Allentown, PA 18109-1716 | 2015-09-11 |
| 1598899809 | Cynthia S. Mang | Physician Assistant | Dept of General Surgery, 1240 S. Cedar Crest Blvd, Allentown, PA 18103 | 2007-03-16 |
| 1558817130 | Christina Marie Strauss | Physician Assistant | 1250 S Cedar Crest Blvd, 215, Allentown, PA 18103-6224 | 2016-09-01 |
| 1225412034 | Ashley Krzemien | Physician Assistant | 1243 S Cedar Crest Blvd Ste 301, Lvpg Plastic and Reconstructive Surgery, Allentown, PA 18103-6268 | 2015-07-13 |
| 1184026874 | Steven J Rogalski | Physician Assistant | 250 Cetronia Rd, Allentown, PA 18104-9147 | 2014-09-24 |
| 1184025447 | Christine Marie Ciaverelli | Physician Assistant | 250 Cetronia Rd, Allentown, PA 18104-9147 | 2014-09-05 |
| 1376942003 | Jonna P Trexler | Physician Assistant | 250 Cetronia Rd, Allentown, PA 18104-9147 | 2014-08-19 |
| 1801203252 | Lauren Christoff | Physician Assistant | 2100 Mack Blvd, Allentown, PA 18103-5622 | 2014-07-17 |
| 1740606359 | Onyedikachukwu K Momah | Physician Assistant | 250 Cetronia Rd, Allentown, PA 18104-9147 | 2014-03-07 |
| 1881016384 | Sarah Clark | Physician Assistant | 250 Cetronia Rd, Allentown, PA 18104-9147 | 2014-01-17 |
| Find all providers in ALLENTOWN | ||||
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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.