MRS. JILL MARIE MISCOVICH (NPI# 1114433729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114433729 |
| Entity Type | Individual |
| Full Name | MRS. JILL MARIE MISCOVICH |
| Credential | CRNP |
| Practice Address |
1070 Old National Pike Fredericktown PA 15333-2114 |
| Mailing Address |
39 Summit Ave Uniontown PA 15401-3235 |
| Practice Telephone | 7246326801 |
| Mailing Telephone | 4123356103 |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2017-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP018265 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1070 OLD NATIONAL PIKE |
| City | FREDERICKTOWN |
| State | PA |
| Zip Code | 15333-2114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023009198 | Yong Dae Cho | Family Medicine | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2005-10-28 |
| 1689286999 | Christina Lombard | Nurse Practitioner | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2020-08-18 |
| 1699301721 | Janet Lynn Geramita | Dental Hygienist | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2020-03-20 |
| 1912543422 | Daniel Ryan Hinderliter | Nurse Practitioner | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2019-11-19 |
| 1073163689 | Maryann Fee | Counselor | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2019-09-16 |
| 1790247732 | Cassie Davis | Counselor | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2019-04-01 |
| 1891251625 | Amber Marie Prebeg | Nurse Practitioner | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2019-02-17 |
| 1538637517 | Amy Florence | Social Worker | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2018-11-07 |
| 1003397365 | Alexandria Marie Bakos | Nurse Practitioner | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2018-08-24 |
| 1417434358 | Gary Butler II | Nurse Practitioner | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2018-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760968853 | Centerville Clinics Inc | Social Worker | Beth Center Middle School, 136 Crawford Road, Fredericktown, PA 15333 | 2018-07-12 |
| 1871079962 | Centerville Clinics Inc | Social Worker | Beth Center Elementary School, 194 Crawford Road, Fredericktown, PA 15333 | 2018-07-12 |
| 1235181124 | James William Davis IIi | Dentist | 1070 Old National Pike Road, Fredericktown, PA 15333 | 2006-05-17 |
| 1336126937 | Marsha Lawrence | Eyewear Supplier (Equipment, not the service) | 525 Front St, Fredericktown, PA 15333 | 2005-12-27 |
| 1881878361 | Marsha Lee Lawrence | Eyewear Supplier (Equipment, not the service) | 525 Front St, Fredericktown, PA 15333 | 2007-12-20 |
| 1164600995 | Centerville Clinics, Inc. | Specialist | 179 Crawford Rd, Fredericktown, PA 15333-2011 | 2008-02-04 |
| 1720339393 | Centervillle Clinics, Inc | Specialist | 179 Crawford Rd, Fredericktown, PA 15333-2011 | 2012-09-24 |
| 1073656559 | Bethlehem-center School District | Local Education Agency (LEA) | 194 Crawford Rd, Fredericktown, PA 15333-2012 | 2007-02-15 |
| 1699249508 | Scott Robert Hargraves | Physical Therapist | 205 Ridgewood Dr, Fredericktown, PA 15333-2020 | 2019-01-14 |
| 1902861925 | Michelle Renee Stepp | Chiropractor | 3317 Route 40, Fredericktown, PA 15333-2111 | 2006-04-20 |
| Find all providers in zip 15333 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998078 | Melissa Jordan | Nurse Practitioner | 605 Lincoln Dr, Fredericktown, MO 63645-6200 | 2020-07-01 |
| 1689286999 | Christina Lombard | Nurse Practitioner | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2020-08-18 |
| 1912543422 | Daniel Ryan Hinderliter | Nurse Practitioner | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2019-11-19 |
| 1306402680 | Alanna Guess | Nurse Practitioner | 611 W Main St, Fredericktown, MO 63645-1111 | 2019-05-13 |
| 1891251625 | Amber Marie Prebeg | Nurse Practitioner | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2019-02-17 |
| 1003397365 | Alexandria Marie Bakos | Nurse Practitioner | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2018-08-24 |
| 1417434358 | Gary Butler II | Nurse Practitioner | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2018-07-24 |
| 1336655539 | Kelsey Marie Kinneman | Nurse Practitioner | 355 N Chamber Dr, Fredericktown, MO 63645-7947 | 2017-12-26 |
| 1053839282 | Danielle M Guerrieri | Nurse Practitioner | 1070 Old National Pike Road, Fredericktown, PA 15333-2114 | 2017-09-08 |
| 1952825663 | Jessica Brooks | Nurse Practitioner | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2017-08-03 |
| Find all providers in FREDERICKTOWN | ||||
| City | FREDERICKTOWN |
| Zip Code | 15333 |
Please comment or provide details below to improve the information on MRS. JILL MARIE MISCOVICH.
| 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.