DR. KAREN MARY BRADY (NPI# 1154399178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154399178 |
| Entity Type | Individual |
| Full Name | DR. KAREN MARY BRADY |
| Other Name | KAREN KOLODZIEJCZAK |
| Credential | DO |
| Practice Address |
1205 Grampian Blvd Suite 1d Williamsport PA 17701-1978 |
| Mailing Address |
1201 Grampian Blvd Suite 1k Williamsport PA 17701-1900 |
| Practice Telephone | 5703207880 |
| Practice Fax Number | 5703207882 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2011-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | OS005273L | PA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | OS005273L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0013935100006 | 05 | |
| PA | CAPITAL BLUE CROSS | 50055619 | 01 |
| PA | FIRST PRIORITY HEALTH | 819775 | 01 |
| PA | UNITEDHEALTHCARE | 2672912 | 01 |
| PA | HIGHMARK BLUE SHIELD | 191347 | 01 |
| PA | AETNA | 5301057 | 01 |
| PA | 0013935100005 | 05 | |
| PA | HEALTHAMERICA | F42891 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770866014 | Karen Ann Brady | Licensed Practical Nurse | 3035 Thomson Ave, Long Island City, NY 11101-3003 | 2011-09-22 |
| 1154549418 | Karen M Brady | Registered Nurse | 11000 Euclid Ave, Cleveland, OH 44106-1714 | 2007-04-23 |
| 1861617870 | Karen Louise Brady | Registered Nurse | 425 5th Ave N, Cordell Hull Bldg. 1st Floor Ceds, Nashville, TN 37243-0001 | 2007-04-16 |
| 1255409298 | Karen Louise Brady | Physical Therapist | 557 Pilgrim Dr, Suite B, Foster City, CA 94404-5106 | 2006-11-30 |
| Street Address |
1205 GRAMPIAN BLVD SUITE 1D |
| City | WILLIAMSPORT |
| State | PA |
| Zip Code | 17701-1978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376523449 | Cornerstone Family Health, PC | Family Medicine | 1205 Grampian Blvd, Suite 3, Williamsport, PA 17701-1978 | 2006-01-17 |
| 1790120921 | Malcolm James Eldredge | Social Worker | 1205 Grampian Blvd, Suite 3c, Williamsport, PA 17701-1970 | 2013-05-01 |
| 1144517483 | Leeanna M Lyne | Family Medicine | 1205 Grampian Blvd, Suite 3c, Williamsport, PA 17701-1970 | 2011-07-07 |
| 1518288935 | Matthew James Meeker | Family Medicine | 1205 Grampian Blvd, Suite 1a, Williamsport, PA 17701-1978 | 2010-06-21 |
| 1932353802 | Debra Joan Gramley | Physician Assistant | 1205 Grampian Blvd, Suite3-c, Williamsport, PA 17701-1978 | 2008-11-05 |
| 1144344201 | Cornerstone Family Health, PC | Clinical Medical Laboratory | 1205 Grampian Blvd, Suite 3, Williamsport, PA 17701-1978 | 2007-03-16 |
| 1316975881 | Susquehanna Physician Services | Obstetrics & Gynecology | 1205 Grampian Blvd, Suite 3c, Williamsport, PA 17701-1970 | 2006-06-30 |
| 1578507455 | David Lyndell Cute Jr. | Ophthalmology | 1205 Grampian Blvd, Suite 1d, Williamsport, PA 17701-1968 | 2006-06-15 |
| 1093761728 | Nancy L Guerrisky | Physician Assistant | 1205 Grampian Blvd, Suite 3c, Williamsport, PA 17701-1970 | 2006-05-25 |
| 1407824949 | Rana Colaianni | Nurse Practitioner | 1205 Grampian Blvd, Suite 1a, Williamsport, PA 17701-1978 | 2006-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
| 1396395299 | Susan E Fetzer | Occupational Therapy Assistant | Upmc Susquehanna,625 West Edwin Street, Williamsport, PA 17701 | 2019-09-13 |
| 1184280984 | Craig Andrew Tuller | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 | 2019-05-16 |
| 1760048045 | Michael Harvey | Student in an Organized Health Care Education/Training Program | 740 High St. Suite 4001, Williamsport, PA 17701 | 2019-05-13 |
| 1275196008 | Olivia Fladmark | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 | 2019-04-17 |
| 1528551231 | Mark Hampton Chiropractic Inc. | Durable Medical Equipment & Medical Supplies | 1111 East 3rd Street, Williamsport, PA 17701 | 2018-06-08 |
| 1548710882 | Central Pennsylvania Rehabilitation Medicine, Inc | Physical Medicine & Rehabilitation | 460 River Ave Ste 1, Williamsport, PA 17701 | 2016-10-11 |
| 1376096784 | Christine Kessler | Physician Assistant | One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 | 2016-08-02 |
| 1629440276 | Matthew Ray Rebuck | Specialist/Technologist | 220 N Reach Rd, Williamsport, PA 17701 | 2015-10-22 |
| 1508237223 | Neihl Williamson | Physician Assistant | 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 | 2015-10-08 |
| Find all providers in zip 17701 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447227707 | Sabrina Kay Mikita | Dermatology | 1205 Grampian Blvd Ste 1a, Williamsport, PA 17701-1968 | 2006-03-07 |
| 1417903683 | Susquehanna Physician Services | Dermatology | 699 Rural Ave, Suite 201, Williamsport, PA 17701-3251 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962013748 | Consonant Healing Medical Associates of Pa LLC | Dermatology | 49 Smith Mill Rd, New Freedom, PA 17349-8147 | 2020-08-13 |
| 1790395747 | Dermatology Specialists of Pennsylvania | Dermatology | 1122 Street Rd Ste 204, Southampton, PA 18966-4218 | 2020-08-05 |
| 1275151458 | Sylvan Dermatology LLC | Dermatology | 32 Parking Plz Ste 300, Ardmore, PA 19003-2443 | 2020-07-14 |
| 1841819455 | Rowe Dermatology, Pllc | Dermatology | 519 Owen Rd, Wynnewood, PA 19096-1714 | 2020-04-14 |
| 1750923579 | Alliance Dermatology Physicians, P.C. | Dermatology | 1205 Langhorne Newtown Road Suite 215, Langhorne, PA 19047 | 2019-10-14 |
| 1346882651 | Whalen Dermatology of Pittsburgh PC | Dermatology | 160 Millers Run Rd Ste 500, Bridgeville, PA 15017-1358 | 2019-10-09 |
| 1932740461 | Mark Abdelmalek, Md LLC | Dermatology | 200 N 16th St Ste D, Philadelphia, PA 19102-1225 | 2019-10-07 |
| 1093368185 | Alliance Dermatology Physicians, P.C. | Dermatology | 1205 Langhorne Newtown Rd Ste 215a, Langhorne, PA 19047-1219 | 2019-07-18 |
| 1821573619 | St. Luke's Physician Group, Inc | Dermatology | 1600 St Lukes Blvd Ste 100, Easton, PA 18045-5671 | 2018-09-27 |
| 1588147748 | Pittsburgh Skin PC | Dermatology | 144 Emeryville Dr Ste 230, Cranberry Twp, PA 16066-5015 | 2018-09-12 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSPORT |
| Zip Code | 17701 |
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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.