KELLIE JO RODELLI


Address: 1210 S Cedar Crest Blvd, Suite 1100, Allentown, PA 18103-6229
Phone: 6104026555

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 1210 S CEDAR CREST BLVD
SUITE 1100
City ALLENTOWN
State PA
Zip Code 18103-6229

Providers in the same location

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
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Providers in the same zip code

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 Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City ALLENTOWN
Zip Code 18103

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Dataset Information

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.

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