JEFFREY JOHN HOLLENBACH (NPI# 1356472799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356472799 |
| Entity Type | Individual |
| Full Name | JEFFREY JOHN HOLLENBACH |
| Credential | PA-C |
| Practice Address |
4605 Locust Ln Harrisburg PA 17109-4424 |
| Mailing Address |
3625 Elmerton Ave Harrisburg PA 17109-1244 |
| Practice Telephone | 7176572111 |
| Practice Fax Number | 7176570110 |
| Mailing Telephone | 7175409047 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA002611L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4605 LOCUST LN |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17109-4424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841786852 | Caroline Lippe | Surgery | Upmc Pinnacle Training Programs, 4300 Londonderry Road, Harrisburg, PA 17109 | 2018-07-03 |
| 1073000477 | Sunny R Parekh | Orthopaedic Surgery | Upmc Pinnacle, 4300 Londonderry Road, Harrisburg, PA 17109 | 2018-04-20 |
| 1003329459 | Liyah Care Homecare, LLC | In Home Supportive Care | 301 N. Progress Ave, #c5, Harrisburg, PA 17109 | 2017-11-08 |
| 1073069951 | Hannah Marie Lafleur | Specialist/Technologist | 500 Nevada Ave., Harrisburg, PA 17109 | 2016-08-30 |
| 1467792333 | Donna M Oswandel | Registered Nurse | 4300 Londonderry Rd Ste 202, Harrisburg, PA 17109 | 2013-02-28 |
| 1841575206 | Jeanine D Bucek | Nurse Practitioner | 550 North Progress Avenue, Harrisburg, PA 17109 | 2011-10-18 |
| 1225348899 | Ashley Dominique Hudson | Optometrist | Route 22 and Colonial Rd., Suite 74, Harrisburg, PA 17109 | 2010-10-18 |
| 1215177183 | Schappell Chiropractic, PC | Chiropractor | 3301 Schoolhouse Lane, Harrisburg, PA 17109 | 2009-03-04 |
| 1902057524 | Orthopedic Surgeons Ltd | Orthopaedic Surgery | 450 Powers Avenue, Harrisburg, PA 17109 | 2008-10-01 |
| 1124286984 | Scott Kevin Leedy | Dentist | 3106 Walnut Street, Harrisburg, PA 17109 | 2008-05-29 |
| Find all providers in zip 17109 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932591260 | Denise Ann Mesaros | Physician Assistant | 5071 Bass Lake Dr Apt 2003, Harrisburg, PA 17111-5918 | 2015-02-24 |
| 1003128547 | Maegan E Greenwade | Physician Assistant | 4200 Union Deposit Rd, Harrisburg, PA 17111-2801 | 2010-07-13 |
| 1598730483 | Joan Nerviano | Physician Assistant | 3601 N Progress Ave, Harrisburg, PA 17110-9100 | 2006-02-22 |
| 1649264268 | Marnie Irene Odonnell | Physician Assistant | 121 Nyes Rd, Harrisburg, PA 17112-3247 | 2005-09-09 |
| 1538791728 | Samantha Larsen | Physician Assistant | 111 S Front St, Harrisburg, PA 17101-2010 | 2020-02-06 |
| 1730721523 | Michalia Amony Humphrey | Physician Assistant | 2200 Dover Rd, Harrisburg, PA 17112-1002 | 2019-10-13 |
| 1619438926 | Justin Lanni | Physician Assistant | 111 S Front St, Harrisburg, PA 17101-2010 | 2019-03-28 |
| 1578017851 | Gretchen Moore | Physician Assistant | 4300 Londonderry Rd, Harrisburg, PA 17109-5317 | 2016-08-04 |
| 1134672660 | Anthony J Manney | Physician Assistant | 4300 Londonderry Rd Ste 302, Harrisburg, PA 17109 | 2016-08-02 |
| 1790150324 | Alyssa N. Peck | Physician Assistant | 111 S Front St, Harrisburg, PA 17101-2010 | 2015-12-08 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 17109 |
Please comment or provide details below to improve the information on JEFFREY JOHN HOLLENBACH.
| 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.