MR. TODD MICHAEL ZOLTACK (NPI# 1366699084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366699084 |
| Entity Type | Individual |
| Full Name | MR. TODD MICHAEL ZOLTACK |
| Credential | PA-C |
| Practice Address |
3760 Brookside Rd Macungie PA 18062-1741 |
| Mailing Address |
3760 Brookside Rd Po Box 487 Macungie PA 18062-1741 |
| Practice Telephone | 6109664646 |
| Practice Fax Number | 6109656201 |
| Mailing Telephone | 6109664646 |
| Mailing Fax Number | 6109656201 |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2010-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
OA002271 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3760 BROOKSIDE RD |
| City | MACUNGIE |
| State | PA |
| Zip Code | 18062-1741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831168400 | Jill Bortz | Family Medicine | 3760 Brookside Rd, Macungie, PA 18062-1741 | 2006-03-16 |
| 1194205484 | Tamatha J Urffer | Nurse Practitioner | 3760 Brookside Rd, Macungie, PA 18062 | 2018-08-16 |
| 1669822482 | Natalie Brauchle | Physical Therapist | 3760 Brookside Rd, Macungie, PA 18062-1741 | 2016-06-14 |
| 1316363518 | Tara Collins | Nurse Practitioner | 3760 Brookside Rd, Macungie, PA 18062-1741 | 2014-03-12 |
| 1588944938 | Ihab Abdelaal | Family Medicine | 3760 Brookside Rd, Macungie, PA 18062-1741 | 2011-08-17 |
| 1194012922 | Lindsey Ann Tyrrell | Physician Assistant | 3760 Brookside Rd, Macungie, PA 18062-1741 | 2011-06-30 |
| 1578509055 | Eric T Cochran | Family Medicine | 3760 Brookside Rd, Macungie, PA 18062-1741 | 2006-06-21 |
| 1205898996 | Macungie Medical Group PC | Family Medicine | 3760 Brookside Rd, Macungie, PA 18062-1741 | 2006-04-06 |
| 1508825548 | William Joseph Liaw | Family Medicine | 3760 Brookside Rd, Macungie, PA 18062-1741 | 2006-03-20 |
| 1760451975 | Michael O'connor | Family Medicine | 3760 Brookside Rd, Macungie, PA 18062-1741 | 2006-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316595275 | Jesse Christopher Dugan | Chiropractor | 6690 Hauser Road, Building O Apartment 201, Macungie, PA 18062 | 2019-09-03 |
| 1710381074 | Kelly Graham Zuluaga | Speech-Language Pathologist | 4674 Berwyn Lane, Macungie, PA 18062 | 2014-10-15 |
| 1497168025 | Faith Home Health Care, Inc. | Registered Nurse | 239 Willow Street, Macungie, PA 18062 | 2014-06-11 |
| 1164793253 | Phallentz Michel | Licensed Practical Nurse | 6595 Arbordeau Lane, Macungie, PA 18062 | 2012-01-20 |
| 1982847984 | Jeremiah Edward Williams Sr. | Physical Therapy Assistant | 1718 Sprink Creek Road, Macungie, PA 18062 | 2009-04-07 |
| 1376781971 | Deanna Ligenza | Family Medicine | 6887 Sunflower Lane, Macungie, PA 18062 | 2009-02-04 |
| 1568566313 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3295 Pa Route 100, Macungie, PA 18062 | 2006-09-12 |
| 1821048349 | Arthur R Kaplan | Optometrist | 3261 Route 100, Macungie, PA 18062 | 2006-05-12 |
| 1548219736 | Desiree Nicole Mccaslin | Physical Therapist | 175 W. Main St., Macungie, PA 18062 | 2006-05-08 |
| 1124379953 | Lehigh Valley Physician Group | Family Medicine | 6451 Village Lane, Macungie, PA 18062 | 2012-09-19 |
| Find all providers in zip 18062 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942578414 | Tama Senick | Physician Assistant | 6451 Village Ln, Macungie, PA 18062 | 2011-12-12 |
| 1194012922 | Lindsey Ann Tyrrell | Physician Assistant | 3760 Brookside Rd, Macungie, PA 18062-1741 | 2011-06-30 |
| 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 | ||||
Please comment or provide details below to improve the information on MR. TODD MICHAEL ZOLTACK.
| 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.