JENNIFER E BAJEK (NPI# 1184173726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184173726 |
| Entity Type | Individual |
| Full Name | JENNIFER E BAJEK |
| Credential | PA-C |
| Practice Address |
1211 3rd St Beaver PA 15009-2530 |
| Practice Telephone | 7247707969 |
| Practice Fax Number | 7247707957 |
| Mailing Telephone | 7247707978 |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2018-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | DN005007 | PA | Dietary & Nutritional Service Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA058488 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1211 3rd St, Beaver, PA 150092530 | 7247707969 | 7247707957 |
| Street Address |
1211 3RD ST |
| City | BEAVER |
| State | PA |
| Zip Code | 15009-2530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700808136 | Monica L Farland | Internal Medicine | 1211 3rd St, Beaver, PA 15009-2530 | 2006-07-24 |
| 1770058182 | Austin William Grewe | Physician Assistant | 1211 3rd St, Beaver, PA 15009-2530 | 2018-10-11 |
| 1659523256 | Heritage Valley Medical Group, Inc. | Internal Medicine | 1211 3rd St, Beaver, PA 15009-2530 | 2008-10-15 |
| 1578756318 | Tri - State Medical Group, Inc. | Non-Pharmacy Dispensing Site | 1211 3rd St, Beaver, PA 15009-2530 | 2007-08-24 |
| 1336254838 | Susan Frank | Nurse Practitioner | 1211 3rd St, Beaver, PA 15009-2530 | 2006-08-21 |
| 1033128582 | Martha Louise Pickrell | Physician Assistant | 1211 3rd St, Beaver, PA 15009-2530 | 2006-08-05 |
| 1154343556 | Michael S Heinle | Internal Medicine | 1211 3rd St, Beaver, PA 15009-2530 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548734494 | Renee Thomas | Registered Nurse | 659 3rd Street, Upper Suite, Beaver, PA 15009 | 2019-01-14 |
| 1275048654 | Dominic J. Deluigi Phd LLC | Psychologist | 500 Market St., Sutei 204b, Beaver, PA 15009 | 2017-12-07 |
| 1861845208 | Gary Koch | Psychologist | 500 Market St Ste 204b, Beaver, PA 15009 | 2016-07-21 |
| 1326367616 | Merakey Pennsylvania | Community/Behavioral Health | 148 Theodore Drive, Chippewa, PA 15009 | 2010-05-26 |
| 1912237215 | Sandra L. Mckeel | Counselor | 697 State Street, Vanport, PA 15009 | 2010-01-08 |
| 1790019438 | Tri-state Medical Group, Inc. | Physical Medicine & Rehabilitation | 1030 Beaner Hollow Road, Beaver Medical Commons, Beaver, PA 15009 | 2009-09-29 |
| 1700040730 | Marie R Brauch | Counselor | 697 State St, #5, Beaver, PA 15009 | 2008-07-18 |
| 1932376696 | Justin Dosch | Emergency Medicine | 1000 Dutch Run Rd, Beaver, PA 15009 | 2008-05-13 |
| 1023280492 | Paul Michael Kuzma Jr Md | Ophthalmology | 628 Market Street, Bridgewater, PA 15009 | 2008-03-26 |
| 1881877868 | Jaime Michelle Kinkead | Social Worker | 160 Third Street, Beaver, PA 15009 | 2007-12-12 |
| Find all providers in zip 15009 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841295938 | Kenneth Lynn Hussey | Physician Assistant | 1059 N 100 W, Beaver, UT 84713-1690 | 2005-06-16 |
| 1437789534 | Hannah Louise Palochak | Physician Assistant | 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 2020-01-17 |
| 1043851124 | Harleigh Solvesky | Physician Assistant | 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 2019-09-30 |
| 1174091854 | Kathryn Hankins Renne | Physician Assistant | 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 2018-11-11 |
| 1578030391 | Teresa Elizabeth Rose Pokita | Physician Assistant | 250 College Ave, Beaver, PA 15009-2706 | 2018-10-30 |
| 1669923348 | Cara Costa | Physician Assistant | 1000 Dutch Ridge Rd, Er Department, Beaver, PA 15009-9727 | 2016-10-18 |
| 1649632423 | Carolyn S Maromonte | Physician Assistant | 250 College Ave, Beaver, PA 15009-2706 | 2016-03-22 |
| 1811399116 | Reagan Fails | Physician Assistant | 1059 N 100 W, Beaver, UT 84713-1690 | 2014-09-18 |
| 1972931863 | Heritage Valley Medical Group, Inc | Physician Assistant | 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 2013-10-31 |
| 1275889107 | Jennifer Marie Jablonowski | Physician Assistant | 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 2012-07-30 |
| Find all providers in BEAVER | ||||
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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.