MS. MAHOUSSI NICOLE AHOLOUKPE (NPI# 1336671064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336671064 |
| Entity Type | Individual |
| Full Name | MS. MAHOUSSI NICOLE AHOLOUKPE |
| Credential | M.D. |
| Practice Address |
618 Cornwall Rd Ste 2 Lebanon PA 17042-7089 |
| Mailing Address |
3421 Concord Rd York PA 17402-9001 |
| Practice Telephone | 7172796700 |
| Mailing Telephone | 7178511405 |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2020-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD470252 | PA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 500 University Drive, Penn State Health Milton S. Hershey Medical Center, Hershey, PA 17033 | 8002431455 |
| Street Address |
618 CORNWALL RD STE 2 |
| City | LEBANON |
| State | PA |
| Zip Code | 17042-7089 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124318563 | Vernon David Savell Jr. | Pediatrics | 832 Pebble Cove Rd, Lebanon, TN 37087-1004 | 2011-04-19 |
| 1952504250 | Otto Pediatrics | Pediatrics | 1570 Cornwall Road, Lebanon, PA 17042 | 2007-06-06 |
| 1669523684 | The Childrens Clinic, Pllc. | Pediatrics | 420 Loretta Road, Lebanon, KY 40033 | 2007-01-16 |
| 1972687309 | Deborah Wen-yee Mark | Pediatrics | 115 Winwood Drive, Centennial Pediatrics Ste 105, Lebanon, TN 37087 | 2006-10-24 |
| 1578586939 | Gene P Otto IIi | Pediatrics | 1570 Cornwall Rd, Lebanon, PA 17042-7403 | 2006-07-26 |
| 1003834441 | Russell County Clinic Corp | Pediatrics | 640 Overlook Drive, Lebanon, VA 24266 | 2006-07-17 |
| 1245276310 | John Fischer | Pediatrics | 1390 Route 22 W, Lebanon, NJ 08833 | 2006-06-20 |
| 1841234168 | Harinder Singh Grewal | Pediatrics | 330 Loretto Rd, Ste 700, Lebanon, KY 40033-1308 | 2006-06-16 |
| 1437105079 | Eric Yorke | Pediatrics | 1390 Us Highway 22, Lebanon, NJ 08833-2217 | 2006-05-25 |
| 1295783843 | Mita Patel | Pediatrics | 1608 N Lebanon St, Lebanon, IN 46052-1514 | 2006-05-05 |
| Find all providers in LEBANON | ||||
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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.