JENNIFER ERIN DODMAN (NPI# 1407323298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407323298 |
| Entity Type | Individual |
| Full Name | JENNIFER ERIN DODMAN |
| Credential | PA-C |
| Practice Address |
700 E Township Line Rd Havertown PA 19083-5733 |
| Mailing Address |
Po Box 7776 Lancaster PA 17604-7776 |
| Practice Telephone | 8889852727 |
| Mailing Telephone | 8889852727 |
| Mailing Fax Number | 8567790211 |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2018-12-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA060232 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
700 E TOWNSHIP LINE RD |
| City | HAVERTOWN |
| State | PA |
| Zip Code | 19083-5733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427021351 | Shailen Jalali | Pain Medicine | 700 E Township Line Rd, First Floor, Havertown, PA 19083-5733 | 2006-02-10 |
| 1447629951 | Integrated Health Networks, LLC | Clinic/Center | 700 E Township Line Rd, Havertown, PA 19083-5733 | 2015-09-15 |
| 1386025880 | Teresa Ingram | Nurse Practitioner | 700 E Township Line Rd, Havertown, PA 19083-5733 | 2015-06-11 |
| 1851782874 | Mina Nakhla | Pharmacist | 700 E Township Line Rd, 205, Havertown, PA 19083-5733 | 2015-02-12 |
| 1306241047 | United Pharmacy Services LLC | Pharmacy | 700 E Township Line Rd, Suite 205, Havertown, PA 19083-5733 | 2014-10-23 |
| 1295138477 | Titleman Orthopedics | Durable Medical Equipment & Medical Supplies | 700 E Township Line Rd, 1st Floor, Havertown, PA 19083-5733 | 2014-10-02 |
| 1427490655 | Young Hoon Gim | Pharmacist | 700 E Township Line Rd, Suite Pharmacy, Havertown, PA 19083-5733 | 2013-07-30 |
| 1629315346 | 700 Pharmacy LLC | Pharmacy | 700 E Township Line Rd, Havertown, PA 19083-5733 | 2013-01-15 |
| 1881944007 | Lauren Marie Ziegler | Physician Assistant | 700 E Township Line Rd, 1st Floor, Havertown, PA 19083-5733 | 2012-09-14 |
| 1598056293 | Shawn K Puri | Anesthesiology | 700 E Township Line Rd, Havertown, PA 19083-5733 | 2011-04-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043835457 | Kelly Anne Clarke | Counselor | American Treatment Network Physician & Associates, 1120 Township Line Road, Havertown, PA 19083 | 2020-06-11 |
| 1588216238 | Angela Wrolstad | Registered Nurse | 614 Darby Road, Havertown, PA 19083 | 2019-07-12 |
| 1639696214 | Osaru Anyumba | Case Manager/Care Coordinator | 311 Lansdowne Road, Havertown, PA 19083 | 2017-08-24 |
| 1346762739 | Luke Francis Mattson | Pharmacist | 60 West Hillcrest Avenue, Havertown, PA 19083 | 2017-07-07 |
| 1124558150 | Clare M Chakey | Counselor | 1631 Ridgeway Road, Haventown, PA 19083 | 2017-06-13 |
| 1205382553 | Silverware Home Care Service LLC | Residential Treatment Facility, Physical Disabilities | 2010 Wester Chester Pike, Suite 448, Havertown, PA 19083 | 2016-08-28 |
| 1275903486 | Megan Keeley Ramaika | Dietitian, Registered | 404 Fairmont Road, Havertown, PA 19083 | 2015-09-30 |
| 1972987246 | Katie Paugh | Occupational Therapist | One North Belfield Avenue, Havertown, PA 19083 | 2015-07-16 |
| 1497140180 | Total Health Home Care Corporation | Nurse's Aide | 2710 West Township Line Rd, Havertown, PA 19083 | 2015-03-31 |
| 1851704084 | Ul Sik Jason Chong | Pharmacist | 700 East Townshipline Road Ste Ll, Havertown, PA 19083 | 2014-06-05 |
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| 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 |
|---|---|---|---|---|
| 1134739618 | Kaitlyn Elizabeth Tintera | Physician Assistant | 1713 Green Valley Rd, Havertown, PA 19083-2520 | 2020-08-09 |
| 1235774985 | Katelyn Ann Matekovic | Physician Assistant | 109 N Eagle Rd Ste 2, Havertown, PA 19083-3400 | 2019-11-16 |
| 1548498611 | Joan Frances Ward | Physician Assistant | 2510 W Township Line Rd, Havertown, PA 19083-5212 | 2009-06-29 |
| 1376781328 | Sandra Honeycutt | Physician Assistant | 301 W Chester Pike, Suite 101, Havertown, PA 19083-4530 | 2009-01-29 |
| 1285805820 | Jeanne-marie Pennington | Physician Assistant | 1305 W Chester Pike, Havertown, PA 19083-2929 | 2008-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316762 | Alyssa Ann Mikes | Physician Assistant | 6 New Countryside Dr, West Chester, PA 19382-6456 | 2020-11-08 |
| 1720689011 | Marissa Dawn Lamary | Physician Assistant | 1500 Fifth Ave Bldg Leveld, Mckeesport, PA 15132-2422 | 2020-11-04 |
| 1013517796 | Kifany M Gower | Physician Assistant | 1158 Wyoming Ave, Exeter, PA 18643-1815 | 2020-10-30 |
| 1922608645 | Meghan Michelle Allen | Physician Assistant | 4800 Friendship Ave Ste 439, Pittsburgh, PA 15224-1722 | 2020-10-30 |
| 1912507807 | Rachel Nye | Physician Assistant | 124 Home Depot Dr Ste D, Franklin, PA 16323-8030 | 2020-10-29 |
| 1487254306 | Zane T Mcguire | Physician Assistant | 378 W Chestnut St Ste 103, Washington, PA 15301-4661 | 2020-10-29 |
| 1740889443 | Tricia Harenza | Physician Assistant | 27 Sandy Ln Ste 250, Lewistown, PA 17044-1372 | 2020-10-22 |
| 1336748425 | Alexis Marie Ivosevic | Physician Assistant | 98 Deer Park Ln, Hawley, PA 18428-8223 | 2020-10-20 |
| 1780283986 | Margaret Ann Malloy | Physician Assistant | 3223 N Broad St Fl 1, Philadelphia, PA 19140-5007 | 2020-10-20 |
| 1851990170 | Jessica Marie Giordano | Physician Assistant | 201 Penn Valley Ter, Yardley, PA 19067-1028 | 2020-10-19 |
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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.