MR. JOEY RUDD JR. (NPI# 1184076036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184076036 |
| Entity Type | Individual |
| Full Name | MR. JOEY RUDD JR. |
| Practice Address |
1995 Technology Pkwy Mechanicsburg PA 17050-8522 |
| Mailing Address |
409 S 2nd St Ste 2f Harrisburg PA 17104-1612 |
| Practice Telephone | 7172318772 |
| Practice Fax Number | 7172318435 |
| Mailing Telephone | 7172318772 |
| Mailing Fax Number | 7172318435 |
| Enumeration Date | 2016-07-04 |
| Last Update Date | 2019-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | OA004257 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | MA059293 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 503 N 21st St, Camp Hill, PA 170112204 | 7179724448 |
| Street Address |
1995 TECHNOLOGY PKWY |
| City | MECHANICSBURG |
| State | PA |
| Zip Code | 17050-8522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306804620 | Ricardo Calla | Physician Assistant | 1995 Technology Pkwy, Mechanicsburg, PA 17050 | 2006-05-03 |
| 1225659782 | Diane Kathleen Farrell | Registered Nurse | 1995 Technology Pkwy, Mechanicsburg, PA 17050-8522 | 2020-05-06 |
| 1811518442 | Nicole Lynn Berstler | Nurse Anesthetist, Certified Registered | 1995 Technology Pkwy, Mechanicsburg, PA 17050-8522 | 2020-05-05 |
| 1871130526 | Brenna Cassidy Houser | Registered Nurse | 1995 Technology Pkwy, Mechanicsburg, PA 17050-8522 | 2019-12-02 |
| 1679135107 | Megan J Douden | Physician Assistant | 1995 Technology Pkwy, Mechanicsburg, PA 17050-8522 | 2019-07-04 |
| 1629631320 | Kameron M Page | Physician Assistant | 1995 Technology Pkwy, Mechanicsburg, PA 17050-8522 | 2019-04-17 |
| 1164980793 | Yana Dilman | Nurse Practitioner | 1995 Technology Pkwy, Mechanicsburg, PA 17050-8522 | 2019-03-02 |
| 1588130611 | Lorrin Petrole | Nurse Practitioner | 1995 Technology Pkwy, Mechanicsburg, PA 17050-8522 | 2018-10-16 |
| 1912423146 | Sarah Mckee | Nurse Practitioner | 1995 Technology Pkwy, Mechanicsburg, PA 17050-8522 | 2017-08-18 |
| 1558899450 | Maham Saeed | Internal Medicine | 1995 Technology Pkwy, Mechanicsburg, PA 17050-8522 | 2017-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902459381 | Agape Counseling of Central Penn | Counselor | 5249 Simpson Ferry Rd., Mechanicsburg, PA 17050 | 2019-07-24 |
| 1316590300 | Elizabeth Vanpelt | Social Worker | 2023 Mountain Pine Dr., Mechanicsburg, PA 17050 | 2019-07-19 |
| 1760967392 | Megan Michele Okafor | Family Medicine | 335 Lambs Gap Road, Mechanicsburg, PA 17050 | 2018-09-28 |
| 1962980300 | Biodxx, Inc. | Pathology | Biodxx Inc., 100 Bianca Court, Mechanicsburg, PA 17050 | 2018-07-28 |
| 1871071217 | Biozt Corporation | Pathology | 100 Bianca Ct, Mechanicsburg, PA 17050 | 2018-07-28 |
| 1699151183 | Barry Alan Wingard | Surgery | 1615 Jerusalem Road, Mechanicsburg, PA 17050 | 2015-08-06 |
| 1720488737 | Jonathan Thomas Milliron | Physical Therapist | 5103 Carliste Pike, Gilbert Physical Therapy Affiliate of Outpatient Physic, Mechanicsburg, PA 17050 | 2014-08-27 |
| 1952652554 | Behavioral Health PC | Counselor | 1229 Scenery Dr, Mechanicsburg, PA 17050 | 2012-09-24 |
| 1194091546 | John Clinton Stoner | Pediatrics | 5385 Rivendale Blvd., Mechanicsburg, PA 17050 | 2012-03-30 |
| 1922394634 | Mary Ann Nowak Stetz | Social Worker | 1016 Crystal Creek Circle, Mechanicsburg, PA 17050 | 2011-06-21 |
| Find all providers in zip 17050 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003860511 | Laurel Erin Books | Physician Assistant | 2025 Technology Pkwy Ste 400, Mechanicsburg, PA 17050-9400 | 2006-05-20 |
| 1306804620 | Ricardo Calla | Physician Assistant | 1995 Technology Pkwy, Mechanicsburg, PA 17050 | 2006-05-03 |
| 1740280296 | Kelli L Scurfield | Physician Assistant | 880 Century Dr, Second Floor, Mechanicsburg, PA 17055-4375 | 2005-07-27 |
| 1609412378 | Abby Flinchbaugh | Physician Assistant | 6481 Carlisle Pike, Mechanicsburg, PA 17050-2377 | 2019-11-18 |
| 1326694290 | David Allen Sanchez | Physician Assistant | 6481 Carlisle Pike, Mechanicsburg, PA 17050 | 2019-08-15 |
| 1912559808 | Kristina Marie Scherrer | Physician Assistant | 6481 Carlisle Pike, Mechanicsburg, PA 17050-2377 | 2019-07-11 |
| 1679135107 | Megan J Douden | Physician Assistant | 1995 Technology Pkwy, Mechanicsburg, PA 17050-8522 | 2019-07-04 |
| 1821658212 | Briana Marie Smith | Physician Assistant | 6481 Carlisle Pike, Mechanicsburg, PA 17050-2377 | 2019-06-18 |
| 1629631320 | Kameron M Page | Physician Assistant | 1995 Technology Pkwy, Mechanicsburg, PA 17050-8522 | 2019-04-17 |
| 1013498906 | Muranda Maurer | Physician Assistant | 2005 Technology Pkwy Ste 400, Mechanicsburg, PA 17050-9413 | 2018-08-28 |
| Find all providers in MECHANICSBURG | ||||
| City | MECHANICSBURG |
| Zip Code | 17050 |
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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.