DR. ANGELA MARIE MONTALVO (NPI# 1124647276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124647276 |
| Entity Type | Individual |
| Full Name | DR. ANGELA MARIE MONTALVO |
| Credential | DO |
| Practice Address |
1500 Highlands Dr Lititz PA 17543-7694 |
| Practice Telephone | 7176255000 |
| Mailing Telephone | 6318978869 |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2020-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | OT020143 | PA | Allopathic & Osteopathic Physicians |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 714 Stone Creek Rd, Lancaster, PA 176039071 | 6318978869 |
| Street Address |
1500 HIGHLANDS DR |
| City | LITITZ |
| State | PA |
| Zip Code | 17543-7694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588646889 | Michael Mellon | Nurse Anesthetist, Certified Registered | 1500 Highlands Dr, Lititz, PA 17543 | 2005-11-14 |
| 1972122281 | Karine Delroux | Family Medicine | 1500 Highlands Dr, Lititz, PA 17543-7694 | 2020-04-16 |
| 1669092953 | Saisaketh Javvaji | Internal Medicine | 1500 Highlands Dr, Lititz, PA 17543-7694 | 2020-04-16 |
| 1609495506 | Katerina Grynyshin | Anesthesiology | 1500 Highlands Dr, Lititz, PA 17543-7694 | 2020-04-10 |
| 1699394742 | Damanjeet Singh Gill | Student in an Organized Health Care Education/Training Program | 1500 Highlands Dr, Lititz, PA 17543-7694 | 2020-04-09 |
| 1578182630 | Nathan Zimmerman | Family Medicine | 1500 Highlands Dr, Lititz, PA 17543-7694 | 2020-04-09 |
| 1366085458 | John Linderman | Registered Nurse | 1500 Highlands Dr, Lititz, PA 17543-7694 | 2019-10-22 |
| 1831759950 | Jason-paul Sanjay Maragh | Internal Medicine | 1500 Highlands Dr, Lititz, PA 17543-7694 | 2019-06-20 |
| 1720648884 | Sonia Young Im Yoo | Internal Medicine | 1500 Highlands Dr, Lititz, PA 17543-7694 | 2019-06-19 |
| 1730749599 | Nicholas Lefevre | Anesthesiology | 1500 Highlands Dr, Lititz, PA 17543-7694 | 2019-06-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205306883 | Lauren Sue Topper | Pharmacist | 740 South Broad Street, Lititz, PA 17543 | 2018-11-27 |
| 1710478540 | Lancaster General Medical Group | Family Medicine | 51 Peters Rd Ste 101, Lititz, PA 17543 | 2018-05-29 |
| 1679062350 | Saima Sarmin Mukta | Family Medicine | Upmc Pinnacle Lititz, 1500 Highlands Dr, Lititz, PA 17543 | 2018-05-08 |
| 1073027488 | Bradford Todd Nicarry | Massage Therapist | 901 Rothsville Rd, Lititz, PA 17543 | 2017-11-21 |
| 1962929539 | Megan Sham | Occupational Therapist | 206 Starflower Vw, Lititz, PA 17543 | 2017-08-24 |
| 1124566815 | Stephanie Schultheisz | Speech-Language Pathologist | 58 E Center St, Lititz, PA 17543 | 2017-02-02 |
| 1720323975 | Gregory Robert James O'neill | Chiropractor | 766 Lititz Pike, Lititz, PA 17543 | 2012-11-29 |
| 1508132234 | J. Cornack Therapy Group LLC | Early Intervention Provider Agency | 604 Cournthouse Cir, Lititz, PA 17543 | 2012-03-27 |
| 1124338793 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 1001 Buckwalter Road, Lititz, PA 17543 | 2010-10-18 |
| 1518289420 | Pamela Lynn Noden | Counselor | 2320 Rothsville Rd Ste 103a, Lititz, PA 17543 | 2010-02-18 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356986897 | Andrea Grill | Student in an Organized Health Care Education/Training Program | 676 Wallingford Rd Apt 104, Lititz, PA 17543-8249 | 2019-11-07 |
| 1699394742 | Damanjeet Singh Gill | Student in an Organized Health Care Education/Training Program | 1500 Highlands Dr, Lititz, PA 17543-7694 | 2020-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1356942825 | Aisha Ghauri | Student in an Organized Health Care Education/Training Program | 645 Springhouse Ln, Hummelstown, PA 17036-7009 | 2020-11-02 |
| 1891395828 | Roopali Mahajan | Student in an Organized Health Care Education/Training Program | 4101 Spruce St Apt 108, Philadelphia, PA 19104-4059 | 2020-10-28 |
| 1629678925 | Jonathan Welch | Student in an Organized Health Care Education/Training Program | 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 | 2020-10-27 |
| 1093313157 | Betty M Beimel | Student in an Organized Health Care Education/Training Program | 5966 Route 66, Kane, PA 16735-3434 | 2020-10-12 |
| 1104432616 | Zach Quince | Student in an Organized Health Care Education/Training Program | 370 Birch St, Imperial, PA 15126-1158 | 2020-09-20 |
| 1073129862 | Philip Andrus | Student in an Organized Health Care Education/Training Program | 3420 Forbes Ave Fl 2, Pittsburgh, PA 15213-3203 | 2020-09-17 |
| 1992310049 | Rachana Amin | Student in an Organized Health Care Education/Training Program | 12 Fitzgerald Dr, Moosic, PA 18507-2105 | 2020-09-14 |
| 1992310767 | Natasha Ann Parrish | Student in an Organized Health Care Education/Training Program | Millersville University, School of Social Work, Strayer, 37 W. Frederick Street, Millersville, PA 17551 | 2020-09-09 |
| 1205440138 | Beth Ann Wagner | Student in an Organized Health Care Education/Training Program | 1444 E Main St, Douglassville, PA 19518-9116 | 2020-09-08 |
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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.