DR. AMANDA BRAKE ARSENAULT (NPI# 1407149651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407149651 |
| Entity Type | Individual |
| Full Name | DR. AMANDA BRAKE ARSENAULT |
| Credential | M.D. |
| Practice Address |
100 North Academy Ave Danville PA 17822-2710 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-4903 |
| Practice Telephone | 5702718091 |
| Practice Fax Number | 5702715879 |
| Mailing Telephone | 5702716144 |
| Mailing Fax Number | 5702716578 |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2020-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
MD460096 | PA | Allopathic & Osteopathic Physicians |
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
MD14571 | RI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 Dudley St, Providence, RI 029052401 | 4012741100 |
| Street Address |
100 NORTH ACADEMY AVE |
| City | DANVILLE |
| State | PA |
| Zip Code | 17822-2710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225022858 | Charles Nicholas Burns Jr. | Specialist | 100 North Academy Ave, Danville, PA 17822-4903 | 2005-09-09 |
| 1689045684 | Shivam Mital | Hospitalist | 100 North Academy Ave, Danville, PA 17822-4903 | 2015-10-15 |
| 1609250596 | Umair Iqbal | Hospitalist | 100 North Academy Ave, Danville, PA 17822 | 2015-07-10 |
| 1841689601 | Joseph Thomas | Registered Nurse | 100 North Academy Ave, Danville, PA 17822-2025 | 2015-01-16 |
| 1588070346 | Olatunde Bosu | Family Medicine | 100 North Academy Ave, Danville, PA 17822 | 2014-07-01 |
| 1871904862 | Irfan Ahsan | Internal Medicine | 100 North Academy Ave, Danville, PA 17822-2019 | 2014-05-13 |
| 1144665977 | Michelle Cornacchia | Internal Medicine | 100 North Academy Ave, Danville, PA 17822-1401 | 2013-05-07 |
| 1104168533 | Christopher James Whiting | Psychiatry & Neurology | 100 North Academy Ave, Danville, PA 17822-1405 | 2013-03-24 |
| 1407101991 | Arsalan Rafiq | Internal Medicine | 100 North Academy Ave, Danville, PA 17822 | 2012-07-20 |
| 1396090940 | Rafael Antonio Ching Companioni | Internal Medicine | 100 North Academy Ave, Danville, PA 17822-2111 | 2012-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366062895 | Staci Lee Benoit | Student in an Organized Health Care Education/Training Program | 100 North Academy Avenue Geisinger Medical Center, Danville, PA 17822 | 2020-04-24 |
| 1275162018 | Kristena Yossef | Student in an Organized Health Care Education/Training Program | Geisinger Medical Center, 100 North Academy Avenue, Da, Danville, PA 17822 | 2020-04-03 |
| 1003470444 | Intekhab Askari Syed Ahmad Raza | Student in an Organized Health Care Education/Training Program | 100 North Academy Avenue, Geisinger Medical Center, Danville, PA 17822 | 2019-04-30 |
| 1841766334 | Sarah Louise Dearment | Counselor | Geisinger Medical Center: Department of Psychiatry, 100 N. Academy Avenue, Danville, PA 17822 | 2018-10-23 |
| 1548753908 | Josie Pervola | Genetic Counselor, MS | 100 N Academy Ave Mc-26-20, Danville, PA 17822 | 2018-06-11 |
| 1477059350 | Martha Niemiec | Counselor | Geisinger Medical Center Department of Psychiatry, 100 North Academy Avenue, Danville, PA 17822 | 2018-04-01 |
| 1730625450 | Nir Shimony | Neurological Surgery | 100 N. Academy Ave., Geisinger Medical Center, Neurosurgery Department, Danville, PA 17822 | 2017-01-19 |
| 1164877197 | Britta Hunter | Speech-Language Pathologist | 100 N. Academy Ave., Danville, PA 17822 | 2016-04-27 |
| 1891180725 | Zach Rottmann | Internal Medicine | Geisinger Medical Center, 100 North Academy Avenue, Danville, PA 17822 | 2015-03-30 |
| 1891063251 | John D Chakan | Pharmacist | 1000 S Second St, Sunbury, PA 17822 | 2011-12-13 |
| Find all providers in zip 17822 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1003235623 | Maura Elizabeth Gable | Pediatrics | 100 N Academy Ave, Danville, PA 17822-9800 | 2014-04-10 |
| 1376720748 | Ray Hayes | Pediatrics | 100 N Academy Ave, Danville, PA 17822-9800 | 2008-01-28 |
| 1700834835 | Robert C. Spahr | Pediatrics | 100 N Academy Ave, Danville, PA 17822-2710 | 2006-05-04 |
| 1730144379 | Bakulesh D. Patel | Pediatrics | 100 N Academy Ave, Danville, PA 17822-2710 | 2006-04-18 |
| 1679532154 | Lauren A. Johnson-robbins | Pediatrics | 100 N Academy Ave, Danville, PA 17822-2710 | 2006-03-22 |
| 1669448932 | James A Cook | Pediatrics | 100 N Academy Ave, Danville, PA 17822-2710 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922595016 | St. Luke's Physician Group, Inc. | Pediatrics | 450 Chew St Fl 2, Allentown, PA 18102-3434 | 2018-04-16 |
| 1942671532 | Ian Gertner | Pediatrics | 3430 W Congress St, Allentown, PA 18104-2677 | 2015-10-08 |
| 1871810192 | Christine Marie Ennis | Pediatrics | 1512 Bensalem Blvd, Bensalem, PA 19020-2404 | 2010-04-26 |
| 1740443936 | Sulaiman Sannoh | Pediatrics | 2545 Schoenersville Rd Fl 3, Bethlehem, PA 18017-7300 | 2008-07-08 |
| 1568656981 | Mario Zichella Jr. | Pediatrics | 1025 Walnut Street, Suite 700, Philadelphia, PA 19107-3121 | 2007-08-29 |
| 1235333774 | Andrea Freeman Duncan | Pediatrics | 3401 Civic Center Blvd Fl 2, Philadelphia, PA 19104-4319 | 2007-06-11 |
| 1831302603 | Folasade Ibironke Kehinde | Pediatrics | 160 E Erie Ave Dept Of, Philadelphia, PA 19134-1011 | 2007-05-08 |
| 1851512685 | Andrew Meyer | Pediatrics | Cedar Crest Blvd & I78, Allentown, PA 18105 | 2007-05-01 |
| 1700918414 | Nicole Esther Cohen-addad | Pediatrics | 6039 Boardwalk Dr, Tobyhanna, PA 18466-3207 | 2007-03-09 |
| 1770610677 | Erika Maria Yencha | Pediatrics | Lehigh Valley Hospital, Cedar Crest & I78, Allentown, PA 18102-1556 | 2007-02-27 |
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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.