STEPHANIE MUDRICK (NPI# 1215429691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215429691 |
| Entity Type | Individual |
| Full Name | STEPHANIE MUDRICK |
| Credential | RDH |
| Practice Address |
176 Virginia Ave Rochester PA 15074-1723 |
| Mailing Address |
100 Shenango Ave Sharon PA 16146-1503 |
| Practice Telephone | 7246833049 |
| Practice Fax Number | 7246833050 |
| Mailing Telephone | 7246833049 |
| Mailing Fax Number | 7246833050 |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2019-08-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH072791 | PA | Dental Providers |
| Street Address |
176 VIRGINIA AVE |
| City | ROCHESTER |
| State | PA |
| Zip Code | 15074-1723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063411429 | Jane L Thurston | Social Worker | 176 Virginia Ave, Rochester, PA 15074-1723 | 2005-07-19 |
| 1831718147 | Ashley N Wood | Nurse Practitioner | 176 Virginia Ave, Rochester, PA 15074-1723 | 2020-04-16 |
| 1598253205 | Julia C Sangster | Counselor | 176 Virginia Ave, Rochester, PA 15074-1723 | 2018-04-27 |
| 1831691161 | Lauren Elizabeth Stone | Dental Hygienist | 176 Virginia Ave, Rochester, PA 15074 | 2018-03-02 |
| 1548633647 | Cheryl Neusch | Nurse Practitioner | 176 Virginia Ave, Rochester, PA 15074-1723 | 2015-11-11 |
| 1861881492 | Stacey M. Laverock | Social Worker | 176 Virginia Ave, Rochester, PA 15074-1723 | 2015-01-20 |
| 1184020810 | Lisa Oliver | Registered Nurse | 176 Virginia Ave, Rochester, PA 15074-1723 | 2014-11-06 |
| 1164831657 | Primary Health Network | Clinic/Center | 176 Virginia Ave, Rochester, PA 15074-1723 | 2014-08-08 |
| 1114297652 | Angela Marie Gilkey | Registered Nurse | 176 Virginia Ave, Rochester, PA 15074 | 2011-12-30 |
| 1619252962 | Marissa Mateer | Social Worker | 176 Virginia Ave, Rochester, PA 15074-1723 | 2011-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922657162 | Leslie C. Yaccich | Technician | 742 Mclean Street, Rochester, PA 15074 | 2019-09-10 |
| 1366969339 | Jenna Marie George | Dietitian, Registered | 300 Brighton Avenue, Suite 110, Rochester, PA 15074 | 2017-08-29 |
| 1457759334 | Monica Joyce Dickerman | Occupational Therapist | 174 Virginia Avenue, Rochester, PA 15074 | 2014-12-09 |
| 1356501712 | Eudora Patricia Williams | Durable Medical Equipment & Medical Supplies | 454 Hamrony Ave, Rochester, PA 15074 | 2008-06-10 |
| 1629137559 | Mario A. Grippa | Chiropractor | 373 Virginia Avenue, Rochester, PA 15074 | 2006-12-06 |
| 1760044093 | Hidden Hill Horse Farm | Recreation Therapist | 600 Pittsburgh Rd, Rochester, PA 15074-1003 | 2019-07-08 |
| 1821061631 | Rochester Area School District | Case Management | 540 Reno St, Rochester, PA 15074-1240 | 2006-02-10 |
| 1396774790 | Rochester Area School District | Local Education Agency (LEA) | 540 Reno St, Rochester, PA 15074-1240 | 2006-06-30 |
| 1154757789 | Passavant Memorial Homes | Community/Behavioral Health | 641 Reno St, Baldwin B, Rochester, PA 15074-1253 | 2013-09-14 |
| 1609891498 | Penn Beaver Pharmacy Inc | Pharmacy | 734 Ohio River Blvd, Rochester Plaza, Rochester, PA 15074-1413 | 2006-07-13 |
| Find all providers in zip 15074 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285271775 | Elizabeth Marie Dooher-anthony | Dental Hygienist | 490 Falstaff Rd, Rochester, NY 14609-5551 | 2019-12-04 |
| 1760027460 | Claire Roesler | Dental Hygienist | 903 Center St W # 103, Rochester, MN 55902-6278 | 2019-11-18 |
| 1225689060 | Kylie Anderson | Dental Hygienist | 903 Center St W Ste 130, Rochester, MN 55902-6278 | 2019-09-23 |
| 1912442898 | Esperanza Torres | Dental Hygienist | 903 West Center Street, Suite 130, United Way Bldg, Rochester, MN 55902 | 2016-12-30 |
| 1760853048 | Brittany Nicole Thomas | Dental Hygienist | 903 W Center St Ste 130, Rochester, MN 55902-6278 | 2015-10-13 |
| 1679901854 | Julie Erickson | Dental Hygienist | United Way Building Suite #208, Rochester, MN 55902 | 2013-10-24 |
| 1619313590 | Mercedes K Schulz | Dental Hygienist | 13394th Ave Sw, Rochester, MN 55902 | 2013-05-17 |
| 1801159207 | Angela Vettrus | Dental Hygienist | 210 Woodlake Dr Se Ste B, Rochester, MN 55904-4514 | 2012-06-20 |
| 1497056089 | Christina R Thompson | Dental Hygienist | 40 Worthington Rd, Ny, Rochester, NY 14622-2538 | 2010-11-12 |
| 1932400215 | Lynn Mulso | Dental Hygienist | 903 W Center St Ste 208, Rochester, MN 55902-6278 | 2010-11-03 |
| Find all providers in ROCHESTER | ||||
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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.