HALEY BRIDGES (NPI# 1427407220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427407220 |
| Entity Type | Individual |
| Full Name | HALEY BRIDGES |
| Credential | PA-C |
| Practice Address |
132 Abigail Ln Port Matilda PA 16870-7153 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-4903 |
| Practice Telephone | 8142727200 |
| Mailing Telephone | 5702716144 |
| Mailing Fax Number | 5702716578 |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2020-08-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | OA003793 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | MA058219 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
132 ABIGAIL LN |
| City | PORT MATILDA |
| State | PA |
| Zip Code | 16870-7153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124019104 | Michael G Lesko | Internal Medicine | 132 Abigail Ln, Port Matilda, PA 16870-7153 | 2005-10-31 |
| 1609486596 | Jacob Mills | Psychologist | 132 Abigail Ln, Port Matilda, PA 16870-7153 | 2020-08-05 |
| 1912522590 | Ashley Megan Enciso | Nurse Practitioner | 132 Abigail Ln, Port Matilda, PA 16870-7153 | 2020-06-10 |
| 1275099103 | Kathryn R Hundley | Specialist/Technologist | 132 Abigail Ln, Port Matilda, PA 16870-7153 | 2019-02-15 |
| 1164913380 | Jacqueline Leigh Kline | Registered Nurse | 132 Abigail Ln, Port Matilda, PA 16870-7153 | 2018-05-23 |
| 1306335211 | Mary Jane Rocco | Registered Nurse | 132 Abigail Ln, Port Matilda, PA 16870-7153 | 2018-05-07 |
| 1023556677 | Shahida Fareed | Psychologist | 132 Abigail Ln, Port Matilda, PA 16870 | 2017-02-03 |
| 1922554518 | Alyssa Sebastianelli | Nurse Practitioner | 132 Abigail Ln, Port Matilda, PA 16870-5700 | 2016-09-01 |
| 1417323031 | Anne Sommerfeld Clause | Physician Assistant | 132 Abigail Ln, Port Matilda, PA 16870 | 2015-08-18 |
| 1780070029 | Sarah Wagner | Psychiatry & Neurology | 132 Abigail Ln, Port Matilda, PA 16870-7153 | 2015-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063732717 | St. Joseph Institute | Substance Abuse Rehabilitation Facility | 134 Jacobs Way, Port Matilda, PA 16870 | 2010-06-04 |
| 1548444268 | Georgianna M Achilles | Psychologist | 454 Rolling Ridge Dr., Port Matilda, PA 16870 | 2007-12-18 |
| 1497803605 | Paul Hughes | Dentist | 101 Briar Court, Port Matilda, PA 16870 | 2007-01-08 |
| 1992896237 | Patrick A. Jarvie | Pediatrics | Geisinger Pediatrics, 132 Abigail Lane, Port Matilda, PA 16870 | 2006-09-28 |
| 1316948011 | Port Matilda Emergency Medical Services | Ambulance | 402 S High St, Port Matilda, PA 16870 | 2005-08-03 |
| 1366934101 | Karen Marie Brooks | Registered Nurse | 132 Abigail Lane, Port Matilda, PA 16870 | 2018-06-06 |
| 1326410622 | Nickol Marie Cleary | Physical Therapist | 785 E Mountain Rd, Port Matilda, PA 16870 | 2015-10-26 |
| 1306125190 | Hithem Rahmi | Orthopaedic Surgery | 132 Abigail Lane, Port Matilda, PA 16870 | 2011-08-10 |
| 1336441039 | Universal Community Behavioral Health Inc | Clinic/Center | 132 Abigail Lane, Port Matilda, PA 16870 | 2010-12-01 |
| 1083874770 | Geisinger Clinic | Nurse Practitioner | 132 Abigail Lane, Port Matilda, PA 16870 | 2008-06-16 |
| Find all providers in zip 16870 | ||||
| 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 |
|---|---|---|---|---|
| 1417323031 | Anne Sommerfeld Clause | Physician Assistant | 132 Abigail Ln, Port Matilda, PA 16870 | 2015-08-18 |
| 1720496342 | Jessica Ann Updyke | Physician Assistant | 132 Abigail Ln, Port Matilda, PA 16870-7153 | 2014-07-28 |
| 1821430372 | Jessica R Diehl | Physician Assistant | 132 Abigail Ln, Port Matilda, PA 16870-7153 | 2013-07-25 |
| 1043528532 | Heather N Burmeister | Physician Assistant | 132 Abigail Ln, Port Matilda, PA 16870-7153 | 2010-09-17 |
| 1518271881 | Rebecca K. Roan | Physician Assistant | 132 Abigail Ln, Port Matilda, PA 16870-7153 | 2010-07-29 |
| 1881825552 | Jennifer Lynn Penland | Physician Assistant | 132 Abigail Ln, Port Matilda, PA 16870-7153 | 2009-07-29 |
| 1932337607 | Adam W Norfolk | Physician Assistant | 132 Abigail Ln, Port Matilda, PA 16870-7153 | 2009-07-01 |
| 1881847150 | Elizabeth Anne Royer | Physician Assistant | 132 Abigail Lane, Port Matilda, PA 16870-5700 | 2008-10-30 |
| 1407044266 | Christina R. Carpenter | Physician Assistant | 132 Abigail Ln, Port Matilda, PA 16870-7153 | 2007-10-05 |
| 1053373381 | Deanna R. Martin | Physician Assistant | 132 Abigail Ln, Port Matilda, PA 16870-7153 | 2006-04-03 |
| Find all providers in PORT MATILDA | ||||
| City | PORT MATILDA |
| Zip Code | 16870 |
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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.