ELLYSSA SUSAN DEGROOT


Address: 1240 S Cedar Crest Blvd Ste 403, Allentown, PA 18103-6218
Phone: 6104023650

ELLYSSA SUSAN DEGROOT (NPI# 1285143677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285143677
Entity Type Individual
Full Name ELLYSSA SUSAN DEGROOT
Credential PA-C
Practice Address 1240 S Cedar Crest Blvd Ste 403
Allentown
PA 18103-6218
Practice Telephone 6104023650
Mailing Telephone 6104023650
Enumeration Date 2017-09-28
Last Update Date 2017-09-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant MA059299 PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1240 S CEDAR CREST BLVD STE 403
City ALLENTOWN
State PA
Zip Code 18103-6218

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376156752 Syed Ali Aown Internal Medicine 1200 Cedar Crest Blvd Department of Education-office Of, Allentown, PA 18103 2020-08-26
1558980169 Shelley M. Spence Occupational Therapist 1243 South Cc Blvd., Suite 302, Allentown, PA 18103 2020-04-14
1386133791 Hanger Prosthetics & Orthotics East Inc Durable Medical Equipment & Medical Supplies 1259 S Cedar Crest Blvd Ste 336, Allentown, PA 18103 2018-05-02
1366939555 St. Luke's Physician Group, Inc. Family Medicine 3570 Hamilton Blvd Ste 201, Allentown, PA 18103 2018-04-13
1942701008 Bradford Young Family & Cosmetic Dentistry Dentist 1275 S. Cedar Crest Boulevard, Allentown, PA 18103 2018-02-23
1598275281 Lorillie Soleta Nurse Practitioner Good Shepherd Rehabilitation Network, 850 South 5th St., Allentown, PA 18103 2017-10-06
1538681457 Rahul Gupta Internal Medicine Lehigh Valley Physicians Practice, 1250 S. Cedar Crest Blvd, Ste. 300, Allentown, PA 18103 2017-07-12
1669992962 Aaron Michael Roman Audiologist 1210 S. Cedar Crest Blvd., Allentown, PA 18103 2017-06-27
1134658404 Gyujae Choi Internal Medicine 1200 S. Cedar Crest Blvd., Allentown, PA 18103 2017-06-08
1255713731 Firely Home for Kids Skilled Nursing Facility 2402 Sunshine Rd, Allentown, PA 18103 2015-06-22
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972110658 Michael Giacoumopoulos Physician Assistant 3131 College Heights Blvd Ste 2200, Allentown, PA 18104-4877 2020-09-28
1679826036 Adam Robert Ternosky Physician Assistant 1101 South Cedar Crest Blvd., Allentown, PA 18103-7902 2012-10-23
1376892505 Melissa Nicole Shaner Physician Assistant 1611 Pond Rd Ste 301, Allentown, PA 18104-2258 2012-09-04
1356690697 Meghan Lynn Williams Physician Assistant 1255 S. Cedar Crest Blvd, Suite 2200, Allentown, PA 18103-6226 2012-08-31
1144539578 Samantha Michael Evans Physician Assistant 1627 Chew Street, 101, Allentown, PA 18105-7017 2010-10-04
1497087597 Susan R Adkins Physician Assistant 227 Pennsylvania 100, Allentown, PA 18106 2010-02-01
1447586276 Tiffany Ann Burke Physician Assistant 3050 Hamilton Blvd. Ste 105, Allentown, PA 18103 2009-10-29
1063554988 Carolyn Gaffney Physician Assistant 17th St. and Chew St., Allentown, PA 18105 2007-02-14
1376572545 Amanda Lieberman Physician Assistant 1255 S Cedar Crest Blvd Ste 3600, Medical Imaging of Lehigh Valley, P.C., Allentown, PA 18103-6364 2006-07-01
1902858202 Keith A. Holdren Physician Assistant 838 N Leh St, Allentown, PA 18104-3922 2006-05-16
Find all providers in ALLENTOWN

Competitor

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City ALLENTOWN
Zip Code 18103

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Dataset Information

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.

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