GREGORY IEZZI (NPI# 1144312364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144312364 |
Entity Type | Individual |
Full Name | GREGORY IEZZI |
Credential | APRN, BC |
Practice Address |
716 N Park Rd Wyomissing PA 19610-2912 |
Practice Telephone | 6103750544 |
Practice Fax Number | 6103789779 |
Mailing Telephone | 6103750544 |
Mailing Fax Number | 6103789779 |
Enumeration Date | 2006-09-28 |
Last Update Date | 2009-12-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN278743L | PA | Nursing Service Providers |
Street Address |
716 N PARK RD |
City | WYOMISSING |
State | PA |
Zip Code | 19610-2912 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558300244 | Mark A Putnam | Psychiatry & Neurology | 716 N Park Rd, Wyomissing, PA 19610-2912 | 2006-06-06 |
1669073979 | Elizabeth Sarah Keller | Social Worker | 716 N Park Rd, Wyomissing, PA 19610-2912 | 2020-11-03 |
1801445218 | Cheryl S Derr | Nurse Practitioner | 716 N Park Rd, Wyomissing, PA 19610-2912 | 2019-09-09 |
1700349990 | Kianna Fiscus | Counselor | 716 N Park Rd, Wyomissing, PA 19610-2912 | 2019-04-13 |
1942784301 | Laura Jean Schwendeman | Physician Assistant | 716 N Park Rd, Wyomissing, PA 19610-2912 | 2018-09-21 |
1780075184 | Christine Marie Katzaman | Counselor | 716 N Park Rd, Wyomissing, PA 19610-2912 | 2015-02-07 |
1881082212 | Brian Richardson | Counselor | 716 N Park Rd, Ste 1, Wyomissing, PA 19610-2912 | 2015-01-08 |
1154752350 | Kevin Bowman | Counselor | 716 N Park Rd, Wyomissing, PA 19610-2912 | 2013-12-12 |
1710239272 | Erica Paige Hesselson | Social Worker | 716 N Park Rd, Wyomissing, PA 19610-2912 | 2012-10-09 |
1699051938 | Jillian Gosselin | Counselor | 716 N Park Rd, Wyomissing, PA 19610-2912 | 2011-11-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154944486 | Fresenius Medical Care Wyomissing, LLC | Clinic/Center | 656 Berkshire Blvd, Wyomissing, PA 19610 | 2020-05-21 |
1235779943 | Stacey Oberhauser | Urology | Center for Urologic Care of Berks County, 1320 Broadcasting Road, Suite 200, Wyomissing, PA 19610 | 2020-01-10 |
1932742772 | Kristin Marie Lapp | Social Worker | 1120-c Hobart Ave, Wyomissing, PA 19610 | 2019-10-24 |
1396302410 | Susan Cohick | Occupational Therapy Assistant | The Center for Pediatric Therapy Inc, 9 Bristol Ct, Wyomissing, PA 19610 | 2019-05-23 |
1518475953 | Safe Care Express Pllc | Clinic/Center | 1802 State Hill Rd, Wyomissing, PA 19610 | 2018-01-19 |
1346779733 | Eric Angstadt | Dentist | 85 Commerce Drive, Wyomissing, PW 19610 | 2017-06-08 |
1497209761 | Keystone Orthopaedic Specialists,llc | Durable Medical Equipment & Medical Supplies | 2607 Keiser Blvd # 200, Wyomissing, PA 19610 | 2016-08-04 |
1104270875 | Heather Claudette Meyer | Hearing Instrument Specialist | 50 Berkshire Ct Ste 250, Wyomissing, PA 19610 | 2016-04-19 |
1396125050 | Courtney B. Pursell | Counselor | 716 N. Park Rd., Wyomissing, PA 19610 | 2015-06-08 |
1760892012 | Nicole M Robb | Counselor | 17 Evans Ave, Wyomissing, PA 19610 | 2014-05-07 |
Find all providers in zip 19610 |
Taxonomy Code | 163WP0808X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659394245 | Gail Diblasi | Registered Nurse | 947 Penn Ave, Wyomissing, PA 19610-3018 | 2006-07-25 |
1225149669 | Rita E. Miller | Registered Nurse | 938 Penn Ave, Wyomissing, PA 19610-3017 | 2006-08-31 |
1205855210 | Kay Stout | Registered Nurse | 716 N Park Rd, Wyomissing, PA 19610-2912 | 2006-07-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346864105 | Amanda Jo Keffer | Registered Nurse | 615 E Mcmurray Rd Ste 1, Mc Murray, PA 15317-3497 | 2020-06-07 |
1437783545 | Brad Michael Burns | Registered Nurse | 49 Kendall Ave, Pittsburgh, PA 15202-3930 | 2020-02-27 |
1558904813 | Joseph Richard Gagnon Jr. | Registered Nurse | 3774 Ridge Pike Rear 2, Collegeville, PA 19426-3153 | 2019-10-18 |
1184270787 | Raeann Carter | Registered Nurse | 100 N Bellefield Ave Rm 417, Pittsburgh, PA 15213-2600 | 2019-08-11 |
1023580644 | Summer C Alonso | Registered Nurse | 10 E 6th Ave Ste 200, Conshohocken, PA 19428-1784 | 2018-12-20 |
1902375116 | Ezioma C Onwukanjo | Registered Nurse | 215 Hunter Creek Dr, York, PA 17406-6022 | 2018-11-16 |
1467944199 | Jacquelyn Marie Thayer | Registered Nurse | 2006 Bainbridge St Apt 2f, Philadelphia, PA 19146-1373 | 2018-05-30 |
1962911958 | Deborah Marie Terchanik | Registered Nurse | 313 W High St Ste 211, Ebensburg, PA 15931-1549 | 2017-09-22 |
1528514080 | Margaret Shepard | Registered Nurse | 12 E Princeton Rd, Bala Cynwyd, PA 19004-2241 | 2016-08-25 |
1861840498 | Heather Case | Registered Nurse | 248 Lemoyne Ave, Pittsburgh, PA 15228-2262 | 2016-05-24 |
Find all providers with the same taxonomy |
City | WYOMISSING |
Zip Code | 19610 |
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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.