DR. JAYASEELAN AMBROSE (NPI# 1437155363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437155363 |
| Entity Type | Individual |
| Full Name | DR. JAYASEELAN AMBROSE |
| Credential | M.D. |
| Practice Address |
145 Hospital Ave Ste 113 Du Bois PA 15801-1463 |
| Practice Telephone | 8143753722 |
| Practice Fax Number | 8143753363 |
| Mailing Telephone | 8143753722 |
| Mailing Fax Number | 8143753363 |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2015-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD061321L | PA | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
MD061321L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 01757982 | 05 |
| Street Address |
145 HOSPITAL AVE STE 113 |
| City | DU BOIS |
| State | PA |
| Zip Code | 15801-1463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780688366 | Michael M Hall | Family Medicine | 145 Hospital Ave, Ste 104, Du Bois, PA 15801-1463 | 2005-06-10 |
| 1710518279 | Kaitlyn Marie Eckelberry | Physician Assistant | 145 Hospital Ave, Du Bois, PA 15801-1462 | 2020-02-03 |
| 1912546193 | Jamie Sue Miller | Registered Nurse | 145 Hospital Ave, Du Bois, PA 15801-1462 | 2020-01-05 |
| 1780125062 | Dubois Regional Medical Center | Clinical Neuropsychologist | 145 Hospital Ave, Suite 312, Du Bois, PA 15801-1462 | 2017-03-20 |
| 1215470679 | Melissa Allio | Nurse Practitioner | 145 Hospital Ave, Suite 315, Du Bois, PA 15801-1462 | 2016-12-02 |
| 1740645480 | Michele Harris | Nurse Practitioner | 145 Hospital Ave, Suite 212, Du Bois, PA 15801-1462 | 2015-12-23 |
| 1861868143 | Dubois Regional Medical Center - Penn Highlands Dubois Medical Arts | Surgery | 145 Hospital Ave, Du Bois, PA 15801-1462 | 2015-08-20 |
| 1841675469 | Dubois Regional Medical Center - Penn Highlands Family Medicine | Internal Medicine | 145 Hospital Ave, Suite 205, Du Bois, PA 15801-1462 | 2015-07-24 |
| 1205211265 | Cierra Sechman | Physician Assistant | 145 Hospital Ave, Suite 300, Du Bois, PA 15801-1462 | 2015-07-20 |
| 1912303223 | University Orthopedics Center, Ltd | Durable Medical Equipment & Medical Supplies | 145 Hospital Ave, Suite 311, Du Bois, PA 15801-1462 | 2014-11-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215551452 | Grace Polohonki | Counselor | 490 Jefers Street, Dubois, PA 15801 | 2020-06-03 |
| 1144869231 | Richard Lee Kerstetter II | Hearing Instrument Specialist | 124 San Juan Rd, Du Bois, PA 15801 | 2020-01-06 |
| 1700368487 | Holly Noel Knoll | Counselor | 490 Jeffers Street, Dubois, PA 15801 | 2018-08-30 |
| 1992298160 | Dubois Regional Medical Center | Family Medicine | 145 Hospital Ave Ste 315, Du Bois, PA 15801 | 2018-06-12 |
| 1154814846 | Sara Beth Stone | Dietitian, Registered | 16288 Treasure Lk, Du Bois, PA 15801 | 2018-06-07 |
| 1942790779 | Wendi Dawn Wenzel | Counselor | 490 Jeffers St., Dubois, PA 15801 | 2018-05-17 |
| 1144748443 | Nancy Foradora | Massage Therapist | 200 Narrows Creek Park Road, Dubois, PA 15801 | 2017-09-07 |
| 1679098891 | Deborah Jean Mitchell | Hearing Instrument Specialist | 900 Beaver Drive, Dubois, PA 15801 | 2017-08-09 |
| 1861937757 | Shaun M Kanouff | Counselor | 100 Caldwell Dr., Dubois, PA 15801 | 2016-12-30 |
| 1164897740 | Drayer Physical Therapy Institute LLC | Physical Therapist | 873 Beaver Drive, Dubois, PA 15801 | 2015-12-08 |
| Find all providers in zip 15801 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326609686 | Grand View Hospital | Internal Medicine | 700 Lawn Ave Fl 2, Sellersville, PA 18960-1548 | 2019-06-26 |
| 1841798121 | Coordinated Health of Penn, LLC | Internal Medicine | 1700 Market St Ste 1005a104, Philadelphia, PA 19103-3913 | 2018-01-31 |
| 1124409826 | Sanjog Kalra | Internal Medicine | 5501 Old York Road, 3rd Floor Levy Building, Albert Einstein Medical Center-division of Cardiology, Philadelphia, PA 19141 | 2015-06-18 |
| 1588905095 | Harvard Cardiovascular Inc | Internal Medicine | 362 Sprague Rd, Penn Valley, PA 19072-1124 | 2013-03-07 |
| 1669784880 | Paul Lewis Hermany II | Internal Medicine | 2649 Schoenersville Rd Ste 301, Bethlehem, PA 18017 | 2010-07-02 |
| 1063651123 | Deepika Rao Kalisetti | Internal Medicine | 743 Jefferson Ave Ste 305, Scranton, PA 18510-1639 | 2009-02-13 |
| 1679591374 | Subrahmanyam Chivukula | Internal Medicine | 245 Mill Street, Bristol, PA 19007 | 2006-07-18 |
| 1710913736 | Stafford Michael Smith | Internal Medicine | 102 N Abington Rd, Suite #103, Clarks Green, PA 18411-2300 | 2006-06-23 |
| 1891732541 | Gregory D Cox | Internal Medicine | 2135 Noll Dr Ste D, Lancaster, PA 17603-7602 | 2006-06-01 |
| 1811934565 | Scott T. Riebel | Internal Medicine | 1600 6th Ave Ste 108, York, PA 17403-2626 | 2006-06-01 |
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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.