JERRY LEVADAS (NPI# 1205862240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205862240 |
| Entity Type | Individual |
| Full Name | JERRY LEVADAS |
| Credential | MD |
| Practice Address |
116 Interstate Pkwy Bradford PA 16701-1036 |
| Mailing Address |
Po Box 159 Bradford PA 16701-0159 |
| Practice Telephone | 8143683123 |
| Mailing Telephone | 8143683123 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
MD053121L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 16643370004 | 05 |
| Street Address |
116 INTERSTATE PKWY |
| City | BRADFORD |
| State | PA |
| Zip Code | 16701-1036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134123060 | Nathaniel Lars Graham | Surgery | 116 Interstate Pkwy, Suite 31, Bradford, PA 16701-1036 | 2005-06-09 |
| 1063909661 | Scott Flick | Physician Assistant | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2018-04-18 |
| 1114439023 | Cynthia Simms | Registered Nurse | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2017-11-01 |
| 1396275970 | Mary Siepierski | Physician Assistant | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2017-06-15 |
| 1396287991 | Keystone Medical Services of Bradford PC | Emergency Medicine | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2016-11-14 |
| 1245781426 | Tracy Lynn Andrus | Physician Assistant | 116 Interstate Pkwy, Suite 32, Bradford, PA 16701-1036 | 2016-10-22 |
| 1184081911 | Andrew Davidson | Nurse Practitioner | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2016-01-25 |
| 1699177725 | Megan Powell | Dietitian, Registered | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2014-09-19 |
| 1588076194 | David Hefferan | Nurse Anesthetist, Certified Registered | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2014-05-30 |
| 1073956850 | Olean General Hospital | Family Medicine | 116 Interstate Pkwy, Suite 42, Bradford, PA 16701-1036 | 2013-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557232 | Allison Keller | Pharmacist | 50 Foster Brook Bvld, Bradford, PA 16701 | 2020-10-30 |
| 1043767734 | Asim Makhdom | Orthopaedic Surgery | 195 Pleasant Street, Suite 5, Bradford, PA 16701 | 2016-09-09 |
| 1821435322 | Family Wellness Chiropractic Inc. | Chiropractor | 536 East Main Street, Bradford, PA 16701 | 2013-05-24 |
| 1285983973 | Ashley Lynn Disney | Physician Assistant | 181 Interstate Parkway, Bradford, PA 16701 | 2012-09-10 |
| 1760799563 | Paulinus Joseph Sorg | Physical Therapist | 24 West Washington Street, Bradford, PA 16701 | 2010-09-01 |
| 1215194535 | Jill Lorryn Campbell | Speech-Language Pathologist | 412 Langmaid Ln, Bradford, PA 16701 | 2008-05-22 |
| 1689890048 | Brian Alan Volpe | Dentist | 84 Boylston St, Bradford, PA 16701 | 2007-04-17 |
| 1366564098 | Lori Ann Peterson | Speech-Language Pathologist | 110 Campus Drive, Bradford, PA 16701 | 2007-04-04 |
| 1760507776 | Bruce Lee Sitler | Physical Therapist | Bradford Ecumenical Home, 100 St. Francis Drive, Bradford, PA 16701 | 2007-03-20 |
| 1932294451 | Nancy Marie Fuhrman | Chiropractor | 28 Davis Street, Union Square, Bradford, PA 16701 | 2006-10-03 |
| Find all providers in zip 16701 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871533984 | John Breznik | Emergency Medicine | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2006-06-07 |
| 1962459701 | Waldemar Szczupak | Emergency Medicine | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053920645 | Ems Medical Care, LLC | Emergency Medicine | 347 N Pottstown Pike Ste 102, Exton, PA 19341-2222 | 2020-07-29 |
| 1275097156 | Sean Thomas Cook | Emergency Medicine | 421 College Park Dr, Monroeville, PA 15146-1535 | 2019-01-25 |
| 1821593849 | Nicole Ann Lollo | Emergency Medicine | 365 Spring Ave, Mars, PA 16046 | 2018-03-30 |
| 1326451758 | Earl David Morgan | Emergency Medicine | 5439 Rt 153, Brockport, PA 15823 | 2014-06-03 |
| 1073802112 | Elizabeth Guttman Sevin | Emergency Medicine | 400 Hidden River Rd, Penn Valley, PA 19072-1113 | 2011-03-29 |
| 1740414820 | Jason Becker | Emergency Medicine | 5501 Old York Road, Korman Basement, Tabor Emergency Physicians, Phila, PA 19141 | 2009-05-05 |
| 1477711190 | Brian J Clohessy | Emergency Medicine | Red Lion and Knights Road, Frankford Hospital, Philadelphia, PA 19114 | 2008-05-29 |
| 1720272818 | Maggie Beams | Emergency Medicine | 1218 Walnut St Apt 1003, Philadelphia, PA 19107-5446 | 2007-08-31 |
| 1336280296 | Thomas Baumgarten | Emergency Medicine | Cove Forge Road, Route 1, Williamsburg, PA 16693 | 2007-02-12 |
| 1407906613 | Mark William Van Dyke | Emergency Medicine | 306 W 11th St 2nd Fl, Erie, PA 16501-1705 | 2007-01-11 |
| Find all providers with the same taxonomy | ||||
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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.