GEORGE L. JENKINS, D.C., P.C. (NPI# 1174828644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174828644 |
Entity Type | Organization |
Organization Name | GEORGE L. JENKINS, D.C., P.C. |
Practice Address |
618 Cornwall Rd Suite #1 Lebanon PA 17042-7089 |
Mailing Address |
Po Box 116 Lebanon PA 17042-0116 |
Practice Telephone | 7172735959 |
Practice Fax Number | 7172745450 |
Mailing Telephone | 7172735959 |
Mailing Fax Number | 7172745450 |
Enumeration Date | 2011-01-14 |
Last Update Date | 2011-01-14 |
Authorized Official Name | DR. GEORGE L JENKINS (PRESIDENT) |
Authorized Official Telephone | 7172735959 |
Authorized Official Credential | D.C. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
DC003199R | PA | Ambulatory Health Care Facilities |
Street Address |
618 CORNWALL RD SUITE #1 |
City | LEBANON |
State | PA |
Zip Code | 17042-7089 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366442121 | Won Khill Yun | Specialist | 618 Cornwall Rd, Lebanon, PA 17042-7089 | 2005-07-22 |
1588074942 | Nancy S Dingler | Nurse Practitioner | 618 Cornwall Rd, Building 2, Lebanon, PA 17042-7089 | 2014-05-06 |
1528492535 | Kelly M Boesch | Nurse Practitioner | 618 Cornwall Rd, Building 2, Lebanon, PA 17042-7089 | 2013-08-27 |
1174885834 | Olamide Odubogun | Pediatrics | 618 Cornwall Rd, Building 2, Lebanon, PA 17042-7089 | 2012-06-08 |
1134409246 | Center City Podiatry Associates, PC | Podiatrist | 618 Cornwall Rd, Lebanon, PA 17042-7089 | 2011-08-19 |
1528209012 | Tammy S Walmer | Pediatrics | 618 Cornwall Rd, Building 2, Lebanon, PA 17042-7089 | 2009-03-13 |
1588828917 | Sreenath R Joshi | Pediatrics | 618 Cornwall Rd, Wellspan Good Samaritan Pediatrics, Lebanon, PA 17042-7089 | 2008-07-15 |
1316161862 | Pilkington Surgical Associates | Surgery | 618 Cornwall Rd, Lebanon, PA 17042-7089 | 2007-04-13 |
1760510523 | Good Samaritan Physician Services | Family Medicine | 618 Cornwall Rd, Building 2, Lebanon, PA 17042-7089 | 2007-03-01 |
1548217664 | Deborah Sue Lubitz | Pediatrics | 618 Cornwall Rd, Suite # 2, Lebanon, PA 17042-7089 | 2006-05-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
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Taxonomy Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
Notes: [7/1/2003: new] |
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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.