MELISSA ANN DESTEFANO (NPI# 1265461313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265461313 |
| Entity Type | Individual |
| Full Name | MELISSA ANN DESTEFANO |
| Credential | PA-C |
| Practice Address |
16 Manor Ave Ste A Manor Family Health Center Millersville PA 17551-1132 |
| Practice Telephone | 7178725444 |
| Practice Fax Number | 7178721537 |
| Mailing Telephone | 7178725444 |
| Mailing Fax Number | 7178721537 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2011-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
0110001961 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA053304 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0110001961 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417206210 | Melissa K Destefano | Physical Therapist | 409 2nd Ave, Suite 202, Collegeville, PA 19426-3625 | 2012-09-07 |
| Street Address |
16 MANOR AVE STE A MANOR FAMILY HEALTH CENTER |
| City | MILLERSVILLE |
| State | PA |
| Zip Code | 17551-1132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588083463 | Lindsay Alexandra Lafferty | Family Medicine | 16 Manor Ave Ste A, Millersville, PA 17551-1132 | 2014-04-08 |
| 1548692569 | Chelsea Diane Fought | Physician Assistant | 16 Manor Ave Ste A, Millersville, PA 17551-1132 | 2013-08-01 |
| 1528409810 | Elizabeth Lauren Messick | Physician Assistant | 16 Manor Ave Ste A, Millersville, PA 17551-1132 | 2013-07-15 |
| 1316144991 | Jennifer Liddell Kaminstein | Family Medicine | 16 Manor Ave Ste A, Millersville, PA 17551-1132 | 2007-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992310767 | Natasha Ann Parrish | Student in an Organized Health Care Education/Training Program | Millersville University, School of Social Work, Strayer, 37 W. Frederick Street, Millersville, PA 17551 | 2020-09-09 |
| 1710501978 | Debra Lee Failor | Student in an Organized Health Care Education/Training Program | Stayer Hall, 51 Lyte Road, Millersville, PA 17551 | 2020-06-03 |
| 1598387565 | Kelly Spangenberg | Student in an Organized Health Care Education/Training Program | Millersville University, Stayer Hall, 51 Lyte Rd., Millersville, PA 17551 | 2020-05-13 |
| 1780206136 | Darien S Miller | Student in an Organized Health Care Education/Training Program | Stayer Hall, 51 Lyte Rd, Millersville, PA 17551 | 2020-05-08 |
| 1558983049 | Anthony Ha | Student in an Organized Health Care Education/Training Program | Millersville University, School of Social Work, Stayer, Millersville, PA 17551 | 2020-05-07 |
| 1619598455 | Cortnney Danielle Faulkner | Social Worker | 51 Lyte, Millersville, PA 17551 | 2020-05-04 |
| 1801417274 | Aaliyah Gilbert-walker | Student in an Organized Health Care Education/Training Program | Millersville University, School of Social Work Stayer H, Millersville, PA 17551 | 2020-04-27 |
| 1053931667 | Shiloh Hagerty | Student in an Organized Health Care Education/Training Program | 40 Dilmorth Rd, Millersville, PA 17551 | 2020-04-23 |
| 1114552049 | Emily Dicola | Social Worker | 1 S George St, Millersville, PA 17551 | 2020-03-11 |
| 1245863265 | Brooke Anna Swinehart | Social Worker | One South George Street, Millersville, PA 17551 | 2020-02-18 |
| Find all providers in zip 17551 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770037210 | Kimberly E Duckett | Physician Assistant | 231 Najoles Rd Ste 300, Millersville, MD 21108-2659 | 2016-08-13 |
| 1548692569 | Chelsea Diane Fought | Physician Assistant | 16 Manor Ave Ste A, Millersville, PA 17551-1132 | 2013-08-01 |
| 1740530500 | Jaimie Wotell | Physician Assistant | 231 Najoles Rd Ste 300, Millersville, MD 21108-2659 | 2012-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355341 | Julia Majewicz Wilson | Physician Assistant | 111 Pa-715, #102, Brodheadsville, PA 18322 | 2020-10-29 |
| 1417557273 | Jared Michael Yon | Physician Assistant | 902 Dale Ave, Bradfordwoods, PA 15015-1236 | 2020-10-29 |
| 1295335230 | Jillian Ann Korgeski | Physician Assistant | 400 Corner St, Dunmore, PA 18512-2348 | 2020-10-29 |
| 1821697376 | Sidney Patel | Physician Assistant | 1834 Oregon Pike Ste 20, Lancaster, PA 17601-6463 | 2020-10-25 |
| 1629677356 | Jason Christopher Takacs Jr. | Physician Assistant | 510 Stockton Rdg, Cranberry Township, PA 16066-2280 | 2020-10-23 |
| 1467051763 | Molly Catherine Peters | Physician Assistant | 4338 Boone St, Philadelphia, PA 19128-4901 | 2020-10-19 |
| 1508465840 | Tran Quyen Tran | Physician Assistant | 2941 Hillside Rd, Broomall, PA 19008-1304 | 2020-10-19 |
| 1275132656 | Jessica Haley Stecklein | Physician Assistant | 696 Fir Ave, Langhorne, PA 19047-5450 | 2020-10-18 |
| 1083212625 | Kele Ferreira | Physician Assistant | 1201 Sandhill Rd, Lebanon, PA 17046-1943 | 2020-10-15 |
| 1386251619 | Nicholas James Lazorka | Physician Assistant | 195 Chapmans Round Top Rd, Montoursville, PA 17754-7508 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
| City | MILLERSVILLE |
| Zip Code | 17551 |
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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.