LIBERTY WOODRUFF DEEGAN


Address: 16 Woodbine Lane, Danville, PA 17822-9800
Phone: 5702716700

LIBERTY WOODRUFF DEEGAN (NPI# 1164921631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164921631
Entity Type Individual
Full Name LIBERTY WOODRUFF DEEGAN
Credential PA
Practice Address 16 Woodbine Lane
Danville
PA 17822-9800
Mailing Address 100 N Academy Ave
Danville
PA 17822-4903
Practice Telephone 5702716700
Practice Fax Number 5702146700
Mailing Telephone 5702716144
Mailing Fax Number 5702716578
Enumeration Date 2018-02-09
Last Update Date 2020-08-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant MA059699 PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 16 WOODBINE LANE
City DANVILLE
State PA
Zip Code 17822-9800

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164417184 Jared W Schneider Optometrist 16 Woodbine Lane, Danville, PA 17822-8029 2005-09-15
1083277834 Kayla Jean Riswold Student in an Organized Health Care Education/Training Program 16 Woodbine Lane, Danville, PA 17822-1554 2019-04-17
1437636354 Jill Susan Sweigard Nurse Practitioner 16 Woodbine Lane, Danville, PA 17822-1154 2018-07-24
1316462864 Matthew James Delong Optometrist 16 Woodbine Lane, Danville, PA 17822-9118 2017-08-06
1396270096 Oksana Bailiff Student in an Organized Health Care Education/Training Program 16 Woodbine Lane, Danville, PA 17822 2017-05-01
1821521733 Radhika Rani Trivedi Dermatology 16 Woodbine Lane, Danville, PA 17822 2017-04-07
1235660952 Frank Zurfley Jr. Dermatology 16 Woodbine Lane, Geisinger/dermatology, Danville, PA 17821 2017-03-23
1932642949 Rachael Jane Palazzo Physician Assistant 16 Woodbine Lane, Danville, PA 17822-2910 2016-11-22
1902256274 Gisland Montour Physical Medicine & Rehabilitation 16 Woodbine Lane, Danville, PA 17822-3323 2016-06-17
1013366756 Ramya S Chockalingam Dermatology 16 Woodbine Lane, Danville, PA 17822 2016-06-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366062895 Staci Lee Benoit Student in an Organized Health Care Education/Training Program 100 North Academy Avenue Geisinger Medical Center, Danville, PA 17822 2020-04-24
1275162018 Kristena Yossef Student in an Organized Health Care Education/Training Program Geisinger Medical Center, 100 North Academy Avenue, Da, Danville, PA 17822 2020-04-03
1003470444 Intekhab Askari Syed Ahmad Raza Student in an Organized Health Care Education/Training Program 100 North Academy Avenue, Geisinger Medical Center, Danville, PA 17822 2019-04-30
1841766334 Sarah Louise Dearment Counselor Geisinger Medical Center: Department of Psychiatry, 100 N. Academy Avenue, Danville, PA 17822 2018-10-23
1548753908 Josie Pervola Genetic Counselor, MS 100 N Academy Ave Mc-26-20, Danville, PA 17822 2018-06-11
1477059350 Martha Niemiec Counselor Geisinger Medical Center Department of Psychiatry, 100 North Academy Avenue, Danville, PA 17822 2018-04-01
1730625450 Nir Shimony Neurological Surgery 100 N. Academy Ave., Geisinger Medical Center, Neurosurgery Department, Danville, PA 17822 2017-01-19
1164877197 Britta Hunter Speech-Language Pathologist 100 N. Academy Ave., Danville, PA 17822 2016-04-27
1891180725 Zach Rottmann Internal Medicine Geisinger Medical Center, 100 North Academy Avenue, Danville, PA 17822 2015-03-30
1891063251 John D Chakan Pharmacist 1000 S Second St, Sunbury, PA 17822 2011-12-13
Find all providers in zip 17822

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134747959 Michelle Turner Physician Assistant 1095 N County Road 300 E, Danville, IN 46122-8651 2020-07-08
1427681535 Ann Humphrey Physician Assistant 30 Windward Dr, Danville, CA 94526-2341 2020-02-17
1134772288 Austin Simpson Physician Assistant 217 South 3rd Street, Danville, KY 40422 2019-07-18
1164086948 Matthew Hartman Physician Assistant 215 Kaitlyn Ln, Danville, CA 94506-4717 2019-04-26
1902370844 Lindsay Simmons Physician Assistant 167 Maddox Rd, Danville, AL 35619-6535 2019-01-14
1174007165 Caroline Federighi Physician Assistant 1320 El Capitan Dr Ste 200, Danville, CA 94526-6260 2018-09-17
1487136446 Mayura Raghavan Physician Assistant 221 Marigold St, Danville, CA 94506-4760 2018-09-05
1780180406 Megan Marie Allison Physician Assistant 100 Hospital Ln Ste 105, Danville, IN 46122 2018-04-02
1255745709 Nichole Louise Drilling Physician Assistant 1000 E. Main St., Danville, IN 46122 2014-06-12
1154762748 Justin B Cecil Physician Assistant 236 W Main St Ste 202, Danville, KY 40422-1876 2013-07-11
Find all providers in DANVILLE

Competitor

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City DANVILLE
Zip Code 17822

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Dataset Information

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.

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