ANTHONY MARK HACKETT (NPI# 1184952855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184952855 |
| Entity Type | Individual |
| Full Name | ANTHONY MARK HACKETT |
| Credential | PA-C |
| Practice Address |
4830 Londonderry Rd Harrisburg PA 17109-5207 |
| Mailing Address |
7 Dock Hill Rd Middleburg PA 17842-8910 |
| Practice Telephone | 7176572595 |
| Practice Fax Number | 7176573091 |
| Mailing Telephone | 5708372123 |
| Mailing Fax Number | 5708372185 |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2016-01-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | OA003110 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | MA054209 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053676403 | Anthony Joseph Hackett | Emergency Medicine | 36000 Darnall Loop, Carl R. Darnall Amc, Fort Hood, TX 76544-5095 | 2012-07-11 |
| Street Address |
4830 LONDONDERRY RD |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17109-5207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205832177 | David Bronstein Do Richard H Jeffries Do Professional Assoc | Internal Medicine | 4830 Londonderry Rd, Harrisburg, PA 17109-5207 | 2005-06-24 |
| 1134760465 | Gabrielle Marie Kulig | Registered Nurse | 4830 Londonderry Rd, Harrisburg, PA 17109-5207 | 2019-10-08 |
| 1013493105 | Gina M Koons | Registered Nurse | 4830 Londonderry Rd, Harrisburg, PA 17109-5207 | 2018-07-12 |
| 1588188858 | Brieann N Buletza | Physical Therapist | 4830 Londonderry Rd, Harrisburg, PA 17109-5207 | 2017-07-28 |
| 1033646955 | Matthew Heffernan | Student in an Organized Health Care Education/Training Program | 4830 Londonderry Rd, Harrisburg, PA 17109-5207 | 2017-05-23 |
| 1427585629 | Aaron Charles Barasch | Internal Medicine | 4830 Londonderry Rd, Harrisburg, PA 17109-5207 | 2017-05-18 |
| 1013444587 | Dominic Joseph Pinciotti | Student in an Organized Health Care Education/Training Program | 4830 Londonderry Rd, Harrisburg, PA 17109-5207 | 2017-05-16 |
| 1023545662 | Shane Richard Specht | Student in an Organized Health Care Education/Training Program | 4830 Londonderry Rd, Harrisburg, PA 17109-5207 | 2017-05-14 |
| 1962818377 | Sarah Elizabeth Rhodes | Internal Medicine | 4830 Londonderry Rd, Harrisburg, PA 17109-5207 | 2014-07-07 |
| 1720329170 | Caitlin Johanna Warf | Internal Medicine | 4830 Londonderry Rd, Harrisburg, PA 17109-5207 | 2013-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841786852 | Caroline Lippe | Surgery | Upmc Pinnacle Training Programs, 4300 Londonderry Road, Harrisburg, PA 17109 | 2018-07-03 |
| 1073000477 | Sunny R Parekh | Orthopaedic Surgery | Upmc Pinnacle, 4300 Londonderry Road, Harrisburg, PA 17109 | 2018-04-20 |
| 1003329459 | Liyah Care Homecare, LLC | In Home Supportive Care | 301 N. Progress Ave, #c5, Harrisburg, PA 17109 | 2017-11-08 |
| 1073069951 | Hannah Marie Lafleur | Specialist/Technologist | 500 Nevada Ave., Harrisburg, PA 17109 | 2016-08-30 |
| 1467792333 | Donna M Oswandel | Registered Nurse | 4300 Londonderry Rd Ste 202, Harrisburg, PA 17109 | 2013-02-28 |
| 1841575206 | Jeanine D Bucek | Nurse Practitioner | 550 North Progress Avenue, Harrisburg, PA 17109 | 2011-10-18 |
| 1225348899 | Ashley Dominique Hudson | Optometrist | Route 22 and Colonial Rd., Suite 74, Harrisburg, PA 17109 | 2010-10-18 |
| 1215177183 | Schappell Chiropractic, PC | Chiropractor | 3301 Schoolhouse Lane, Harrisburg, PA 17109 | 2009-03-04 |
| 1902057524 | Orthopedic Surgeons Ltd | Orthopaedic Surgery | 450 Powers Avenue, Harrisburg, PA 17109 | 2008-10-01 |
| 1124286984 | Scott Kevin Leedy | Dentist | 3106 Walnut Street, Harrisburg, PA 17109 | 2008-05-29 |
| Find all providers in zip 17109 | ||||
| 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 |
|---|---|---|---|---|
| 1821613589 | Jessica Ann Hoffman | Physician Assistant | 675 Gregs Dr Apt 78, Harrisburg, PA 17111-5545 | 2020-06-09 |
| 1881253912 | Jacob Moses Doan | Physician Assistant | 815 Sir Thomas Ct, Harrisburg, PA 17109-4839 | 2019-06-12 |
| 1376058594 | Cara Kraus | Physician Assistant | 129 Curvin Dr, Harrisburg, PA 17112-2964 | 2017-12-11 |
| 1497150288 | Ronald Wayne Jones | Physician Assistant | 3827 Over Dr, Harrisburg, PA 17109-1230 | 2014-10-23 |
| 1831447960 | Heather Lynn Mychak | Physician Assistant | 2201 Forest Hills Dr Ste 7, Harrisburg, PA 17112-1089 | 2012-08-21 |
| 1659696714 | Daniel J Church | Physician Assistant | 20 Capital Dr, Harrisburg, PA 17110-9446 | 2010-04-01 |
| 1932269701 | Leanne H Deneal | Physician Assistant | 28 Veteran's Drive, Harrisburg, IL 62946 | 2006-12-11 |
| 1619990603 | Sanford Clinic | Physician Assistant | 410 N Cliff Ave, Harrisburg, SD 57032-2253 | 2006-07-25 |
| 1326009812 | Thomas W. Ladley | Physician Assistant | 6301 Grayson Rd, Harrisburg, PA 17111-3331 | 2006-04-01 |
| 1770580185 | Kimberly Anne Walker | Physician Assistant | 1199 Colonial Rd, Harrisburg, PA 17112-1900 | 2005-06-30 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 17109 |
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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.