SYDNEY MARIE SOBERDASH (NPI# 1194217778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194217778 |
| Entity Type | Individual |
| Full Name | SYDNEY MARIE SOBERDASH |
| Practice Address |
621 S Main St Du Bois PA 15801-1413 |
| Mailing Address |
7 Chestwood Dr Connellsville PA 15425-9745 |
| Practice Telephone | 7245625298 |
| Mailing Telephone | 7246286480 |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-05-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
621 S MAIN ST |
| City | DU BOIS |
| State | PA |
| Zip Code | 15801-1413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568454833 | Albert D. Abrams | Internal Medicine | 621 S Main St, Du Bois, PA 15801-1413 | 2005-08-22 |
| 1902403405 | Michelle Bennett | Pharmacist | 621 S Main St, Du Bois, PA 15801-1413 | 2020-10-07 |
| 1154805349 | Jo Dee Mulhollan | Nurse Practitioner | 621 S Main St, Du Bois, PA 15801-1413 | 2018-09-24 |
| 1023592458 | Tabitha Joy Ashoff | Physician Assistant | 621 S Main St, Du Bois, PA 15801-1413 | 2018-09-21 |
| 1639656606 | Sara Elizabeth Wolbert | Nurse Practitioner | 621 S Main St, Du Bois, PA 15801 | 2018-07-23 |
| 1245748151 | Eric Wolfgang | Pharmacist | 621 S Main St, Du Bois, PA 15801-1413 | 2018-01-12 |
| 1538671524 | Kimberly Renee Placer | Pharmacist | 621 S Main St, Du Bois, PA 15801-1413 | 2017-10-30 |
| 1407367295 | Amanda Marie Spencer | Pharmacist | 621 S Main St, Du Bois, PA 15801-1413 | 2017-10-19 |
| 1215487509 | Christos Karalis | Internal Medicine | 621 S Main St, Du Bois, PA 15801-1413 | 2016-10-11 |
| 1750759726 | Dubois Regional Medical Center - Penn Highlands Q-care Dubois | Family Medicine | 621 S Main St, Du Bois, PA 15801-1413 | 2015-09-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215551452 | Grace Polohonki | Counselor | 490 Jefers Street, Dubois, PA 15801 | 2020-06-03 |
| 1144869231 | Richard Lee Kerstetter II | Hearing Instrument Specialist | 124 San Juan Rd, Du Bois, PA 15801 | 2020-01-06 |
| 1700368487 | Holly Noel Knoll | Counselor | 490 Jeffers Street, Dubois, PA 15801 | 2018-08-30 |
| 1992298160 | Dubois Regional Medical Center | Family Medicine | 145 Hospital Ave Ste 315, Du Bois, PA 15801 | 2018-06-12 |
| 1154814846 | Sara Beth Stone | Dietitian, Registered | 16288 Treasure Lk, Du Bois, PA 15801 | 2018-06-07 |
| 1942790779 | Wendi Dawn Wenzel | Counselor | 490 Jeffers St., Dubois, PA 15801 | 2018-05-17 |
| 1144748443 | Nancy Foradora | Massage Therapist | 200 Narrows Creek Park Road, Dubois, PA 15801 | 2017-09-07 |
| 1679098891 | Deborah Jean Mitchell | Hearing Instrument Specialist | 900 Beaver Drive, Dubois, PA 15801 | 2017-08-09 |
| 1861937757 | Shaun M Kanouff | Counselor | 100 Caldwell Dr., Dubois, PA 15801 | 2016-12-30 |
| 1164897740 | Drayer Physical Therapy Institute LLC | Physical Therapist | 873 Beaver Drive, Dubois, PA 15801 | 2015-12-08 |
| Find all providers in zip 15801 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710470224 | Marissa Zocco | Physician Assistant | 145 Hospital Ave Ste 204, Du Bois, PA 15801-1464 | 2018-06-08 |
| 1396112926 | Conda Joseph Weimer | Physician Assistant | 655 E Dubois Ave, Du Bois, PA 15801-3605 | 2015-08-31 |
| 1477756286 | Dorothy Miriam Brager | Physician Assistant | Clearfield Jefferson Community Mental Health Center Inc, 100 Caldwell Dr., Du Bois, PA 15801 | 2007-06-08 |
| 1942833538 | Kimberly Erin Miller | Physician Assistant | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-02-21 |
| 1215418470 | Michael Christopher Blose | Physician Assistant | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2018-08-27 |
| 1164915591 | Rebecca Ann Gongloff | Physician Assistant | 871 Beaver Dr, Du Bois, PA 15801-2511 | 2018-06-11 |
| 1316467038 | Morgan Diane Miksich | Physician Assistant | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2017-06-23 |
| 1053714642 | Ashley Nicole Bertram | Physician Assistant | 529 Sunflower Dr, Du Bois, PA 15801-2378 | 2014-09-26 |
| 1629482161 | Chelsea Lee Mcnutt | Physician Assistant | 145 Hospital Ave, Suite 215, Du Bois, PA 15801-1462 | 2014-06-12 |
| 1700121258 | Margo Puhala | Physician Assistant | 33 Beaver Dr, Ste 1, Du Bois, PA 15801-2434 | 2012-12-10 |
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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.