MS. JULIANN PANDELIDIS (NPI# 1154393320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154393320 |
| Entity Type | Individual |
| Full Name | MS. JULIANN PANDELIDIS |
| Credential | P.A. |
| Practice Address |
80 Wyntre Brooke Dr York PA 17403-4535 |
| Practice Telephone | 7177419462 |
| Practice Fax Number | 7177414399 |
| Mailing Telephone | 7177419462 |
| Mailing Fax Number | 7177414399 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2010-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA001052L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | CAPITAL BLUE CROSS | 02377500 | 01 |
| PA | HEALTH AMERICA | 136324 | 01 |
| PA | HIGHMARK BLUE SHIELD | 606644 | 01 |
| Street Address |
80 WYNTRE BROOKE DR |
| City | YORK |
| State | PA |
| Zip Code | 17403-4535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154983930 | Alexander M Case | Physician Assistant | 80 Wyntre Brooke Dr, York, PA 17403-4535 | 2019-07-02 |
| 1336373794 | Sara Alysse Mills | Family Medicine | 80 Wyntre Brooke Dr, York, PA 17403-4535 | 2009-05-13 |
| 1205007150 | White Rose Family Practice, LLC | Non-Pharmacy Dispensing Site | 80 Wyntre Brooke Dr, York, PA 17403-4535 | 2008-03-19 |
| 1164465225 | Joanne E Pears | Physician Assistant | 80 Wyntre Brooke Dr, York, PA 17403-4535 | 2006-06-14 |
| 1750330106 | White Rose Family Practice LLC | Family Medicine | 80 Wyntre Brooke Dr, York, PA 17403-4535 | 2006-05-10 |
| 1033182449 | Maria F. Hudish | Physician Assistant | 80 Wyntre Brooke Dr, York, PA 17403-4535 | 2006-02-08 |
| 1932171501 | Dawn M. Brusse | Family Medicine | 80 Wyntre Brooke Dr, York, PA 17403-4535 | 2006-02-07 |
| 1073585840 | Scott R. Mann | Family Medicine | 80 Wyntre Brooke Dr, York, PA 17403-4535 | 2006-02-06 |
| 1013989078 | Cathy P. Carpenter | Family Medicine | 80 Wyntre Brooke Dr, York, PA 17403-4535 | 2006-02-03 |
| 1487626461 | Diane M. Kepner | Family Medicine | 80 Wyntre Brooke Dr, York, PA 17403-4535 | 2006-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113286 | Maria Frances Defelice | Social Worker | 1902 Woodland Rd, York, PA 17403 | 2020-01-11 |
| 1710524335 | White Deer Run LLC | Community/Behavioral Health | 257 E Market Street, 2nd Floor, York, PA 17403 | 2019-12-02 |
| 1275016917 | Laura Anne Wanenchak | Speech-Language Pathologist | Genesis Rehab Services, 2760 Pine Grove Road, York, PA 17403 | 2018-09-10 |
| 1306355771 | Emily Good | Occupational Therapist | 34 N Albemarle St, York, PA 17403 | 2017-09-28 |
| 1275054983 | Lindsay Sentz | Nurse Anesthetist, Certified Registered | 110 Pine Grove Commons, York, PA 17403 | 2017-07-03 |
| 1649721713 | Omasiel Herenia Comrie-reinert | Nurse Practitioner | 2690 Southfield Dr Ste A, York, PA 17403 | 2016-10-24 |
| 1144675703 | Audrey C Hess | Dietitian, Registered | 35 Monument Rd Suite 202, Wellspan Maternal Fetal Medicine, York, PA 17403 | 2016-05-02 |
| 1346616505 | Joseph A Tolomeo | Psychologist | 807 S. George St, York, PA 17403 | 2015-08-11 |
| 1750798328 | Charles W. Hash Jr. | Surgery | 1400 E. Market St., York, PA 17403 | 2014-07-16 |
| 1124430764 | Kelly Michael Martin | Registered Nurse | 1001 S. Gearge St, York, PA 17403 | 2014-06-02 |
| Find all providers in zip 17403 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376153650 | Hannah Christine Kowalewski | Physician Assistant | 1765 Hillock Ln, York, PA 17403-4033 | 2020-08-03 |
| 1306461959 | Brandon Rauhauser | Physician Assistant | 1921 Worth St, York, PA 17404-5230 | 2020-06-09 |
| 1629337902 | Shannon N Moreau | Physician Assistant | 343 Us Route 1, York, ME 03909-1636 | 2012-05-08 |
| 1205117363 | Emily Macik | Physician Assistant | 1001 S George St Fl 3, York, PA 17403-3676 | 2011-09-02 |
| 1366769085 | David Arthur Hamel | Physician Assistant | 85 Brixham Rd, York, ME 03909-5342 | 2010-04-21 |
| 1649448127 | Lauralee Brooke Trump | Physician Assistant | 2532 Knobhill Rd, York, PA 17403-4796 | 2008-02-18 |
| 1699886069 | Cynthia F Helm | Physician Assistant | 1796 3rd Ave, York, PA 17403-1913 | 2006-08-31 |
| 1740280031 | Charlotte S. Greene | Physician Assistant | 15 Hospital Dr, York, ME 03909-1011 | 2005-07-28 |
| 1306446166 | Kathryn M Fossaceca | Physician Assistant | 116 S George St, York, PA 17401-1474 | 2020-10-29 |
| 1124626171 | Ciara Nicole Rundle | Physician Assistant | 116 S George St, York, PA 17401-1474 | 2020-10-13 |
| Find all providers in YORK | ||||
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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.