KEVIN JENNINGS (NPI# 1407146889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407146889 |
| Entity Type | Individual |
| Full Name | KEVIN JENNINGS |
| Credential | PAC |
| Practice Address |
420 S Jackson St Pottsville PA 17901-3625 |
| Practice Telephone | 5706215000 |
| Practice Fax Number | 5706215589 |
| Mailing Telephone | 5706215000 |
| Mailing Fax Number | 5706215589 |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2011-04-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA001406L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PA LICENSE NUMBER | MA001406L | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669462941 | Kevin D Jennings | Dentist | 211 Providence Rd, Suite 11, Chesapeake, VA 23325-4687 | 2005-10-26 |
| 1801874714 | Kevin T Jennings | Optometrist | 2743 Mt Pleasant St, Burlington, IA 52601-2137 | 2006-01-03 |
| Street Address |
420 S JACKSON ST |
| City | POTTSVILLE |
| State | PA |
| Zip Code | 17901-3625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902804511 | Glen A Marino | Neuromusculoskeletal Medicine & OMM | 420 S Jackson St, Pottsville, PA 17901-3625 | 2005-07-08 |
| 1821617150 | Rebecca Verderame | Occupational Therapist | 420 S Jackson St, Pottsville, PA 17901-3625 | 2020-04-16 |
| 1396309357 | Kaila D Muser | Physician Assistant | 420 S Jackson St, Pottsville, PA 17901-3625 | 2019-04-25 |
| 1649748385 | Leeann Mcdermott | Registered Nurse | 420 S Jackson St, Pottsville, PA 17901-3625 | 2018-11-12 |
| 1760922769 | Amy Strauss | Nurse Practitioner | 420 S Jackson St, Pottsville, PA 17901-3625 | 2017-02-24 |
| 1235514845 | Pottsville Medical Services, LLC | Emergency Medicine | 420 S Jackson St, Pottsville, PA 17901-3625 | 2015-07-24 |
| 1730566498 | Ashlee Moore | Speech-Language Pathologist | 420 S Jackson St, Pottsville, PA 17901-3625 | 2015-05-01 |
| 1457741985 | Patti Ann Dasilva | Nurse Practitioner | 420 S Jackson St, Pottsville, PA 17901-3625 | 2015-02-04 |
| 1760804512 | Colleen Margaret Lizewski | Physician Assistant | 420 S Jackson St, Pottsville, PA 17901-3625 | 2014-01-14 |
| 1164767034 | Karen L Vigoda | Social Worker | 420 S Jackson St, 5th Floor, Pottsville, PA 17901-3625 | 2012-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013409762 | Culture2culture, Inc. | Community/Behavioral Health | 110 E Arch St Fl 1, Pottsville, PA 17901 | 2018-05-30 |
| 1376059444 | Stacie Marie Herring | Registered Nurse | 1400 Laurel Boulevard, Pottsville, PA 17901 | 2017-12-27 |
| 1477092567 | Dr. Scott Rosenthal, P.C. | Pain Medicine | 48 Tunnel Rd Ste 202, Pottsville, PA 17901 | 2017-02-22 |
| 1932573268 | Allied Health Care Services | Community/Behavioral Health | 320 N Second St, Pottsville, PA 17901 | 2015-11-24 |
| 1417344862 | Megan Heffron-foose | Behavioral Analyst | 221 Mahantongo Street, Pottsville, PA 17901 | 2015-04-23 |
| 1326443417 | Richard Adam Haycock | Psychiatry & Neurology | 16 South Centre St, Pottsville, PA 17901 | 2014-10-31 |
| 1245647296 | Maria Gustis | Counselor | 100 Greenbriar Road, Pottsville, PA 17901 | 2014-07-22 |
| 1790198398 | Michelle Chilinskas | Pharmacist | 500 N Claude Lord Blvd, Pottsville, PA 17901 | 2014-06-11 |
| 1952720153 | Darcie Nan Roeder | Physical Therapy Assistant | 700 E Norwegian St., Pottsville, PA 17901 | 2014-04-15 |
| 1205180858 | Rocky Mountain Holdings LLC | Ambulance | 1394 Cedar St, Pottsville, PA 17901 | 2012-11-05 |
| Find all providers in zip 17901 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689220782 | Alex James Pennachio | Physician Assistant | 100 Schuylkill Medical Plz Ste 204, Pottsville, PA 17901-3767 | 2019-08-14 |
| 1013469139 | Caitlin Ralston | Physician Assistant | 100 Schuylkill Med Plz, Suite 202, Pottsville, PA 17901-3636 | 2016-10-25 |
| 1851601447 | Eric Siminitus | Physician Assistant | 700 East Norwegian Street, Pottsville, PA 17901-2710 | 2010-10-15 |
| 1801992680 | Andrew Matthew Knepp | Physician Assistant | 1410 Laurel Blvd, Community Based V.a. Clinic, Pottsville, PA 17901 | 2006-09-16 |
| 1396309357 | Kaila D Muser | Physician Assistant | 420 S Jackson St, Pottsville, PA 17901-3625 | 2019-04-25 |
| 1679035760 | Geisinger Clinic | Physician Assistant | 529 Terry Reiley Way Ste 101, Pottsville, PA 17901-1775 | 2019-04-05 |
| 1831606748 | Heidi Lee Stertzel | Physician Assistant | 48 Tunnel Rd Ste 104, Pottsville, PA 17901-3875 | 2018-01-02 |
| 1750891511 | Jenna Williams | Physician Assistant | 200 Schuylkill Medical Plz, Pottsville, PA 17901 | 2017-10-06 |
| 1902343429 | Amanda Kristine Johnson | Physician Assistant | 700 E Norwegian St, Pottsville, PA 17901-2710 | 2017-01-22 |
| 1376092585 | Sarah Stern | Physician Assistant | 529 Terry Reiley Way, Pottsville, PA 17901-1774 | 2016-09-28 |
| Find all providers in POTTSVILLE | ||||
| City | POTTSVILLE |
| Zip Code | 17901 |
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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.