HILDE JERIUS (NPI# 1255437240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255437240 |
| Entity Type | Individual |
| Full Name | HILDE JERIUS |
| Credential | MD |
| Practice Address |
252 S 4th St Fl 2 Lebanon PA 17042-6111 |
| Mailing Address |
200 Clinic Dr Madisonville KY 42431-1661 |
| Practice Telephone | 7172703751 |
| Practice Fax Number | 7172703754 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 39560 | KY | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MD442906 | PA | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
39560 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS PROVIDER NUMBER | 000000371200 | 01 | |
| KY | LICENSE | 39560 | 01 |
| KY | 64100571 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 800 Hospital Dr, Madisonville, KY 424311658 | 2703263800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750326252 | Hilde A Jerius | Internal Medicine | 27150 Ryan Rd, Warren, MI 48092-5124 | 2006-06-18 |
| Street Address |
252 S 4TH ST FL 2 |
| City | LEBANON |
| State | PA |
| Zip Code | 17042-6111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013912070 | Savas Mavridis | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 252 S 4th St Fl 2, Lebanon, PA 17042 | 2005-06-16 |
| 1083192926 | Jennifer Anne Noggle | Registered Nurse | 252 S 4th St Fl 2, Lebanon, PA 17042-6111 | 2018-08-02 |
| 1548204696 | Mohammad Bashar Yousuf | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 252 S 4th St Fl 2, Lebanon, PA 17042-6111 | 2006-06-16 |
| 1861499337 | David John Cohen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 252 S 4th St Fl 2, Lebanon, PA 17042-6111 | 2005-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
| 1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
| 1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
| 1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
| 1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
| Find all providers in zip 17042 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255336715 | Charles Dinerstein | Surgery | 4th & Walnut Streets, 2nd Floor, Lebanon, PA 17042-6123 | 2005-06-20 |
| 1063963585 | Good Samaritan Physician Services | Surgery | 4th and Walnut Streets, 2ns Floor, Lebanon, PA 17042 | 2016-10-19 |
| 1669815130 | Jesse A Columbo | Surgery | 1 Medical Center Dr, Section of Vascular Surgery, 3v, Lebanon, NH 03756-0001 | 2013-04-15 |
| 1437415478 | Jocelyn Michelle Beach | Surgery | One Medical Center Dr, Dartmouth Hitchcock - Vascular Surgery, Lebanon, NH 03756 | 2012-04-04 |
| 1023251717 | Nikolaos Zacharias | Surgery | 1 Medical Center Dr, Vascular Surgery, Lebanon, NH 03756-1000 | 2009-04-12 |
| 1316059058 | Robert Won-kee Chang | Surgery | 1 Medical Center Dr, Vascular Surgery, Lebanon, NH 03756-1000 | 2006-08-31 |
| 1144337569 | Brian William Nolan | Surgery | 1 Medical Center Dr, Dartmouth Hitchcock Medical Center, Lebanon, NH 03756-1000 | 2006-08-23 |
| 1942316914 | Richard James Powell | Surgery | 1 Medical Center Dr, Section of Vascular Surgery, Lebanon, NH 03756-1000 | 2006-08-22 |
| 1508879024 | Mark Fillinger | Surgery | 1 Medical Center Dr, Dhmc Vascular Surgery, Lebanon, NH 03756-1000 | 2006-08-14 |
| 1477564151 | Daniel Bernard Walsh | Surgery | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-08-10 |
| Find all providers in LEBANON | ||||
Please comment or provide details below to improve the information on HILDE JERIUS.
| 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.