MICHELLE L HARTFORD (NPI# 1437308343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437308343 |
| Entity Type | Individual |
| Full Name | MICHELLE L HARTFORD |
| Credential | PAC |
| Practice Address |
1201 Grampian Blvd Ste 2f Williamsport PA 17701-1965 |
| Mailing Address |
571 Saint Josephs Blvd Fl 2 Elmira NY 14901-3230 |
| Practice Telephone | 5703212020 |
| Practice Fax Number | 5703207455 |
| Mailing Telephone | 6072712050 |
| Mailing Fax Number | 6072712099 |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2019-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | MA053628 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA053628 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK BLUE SHIELD | 2109983 | 01 |
| Street Address |
1201 GRAMPIAN BLVD STE 2F |
| City | WILLIAMSPORT |
| State | PA |
| Zip Code | 17701-1965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801357678 | Ashlynn Nicole Rice | Physician Assistant | 1201 Grampian Blvd Ste 2f, Williamsport, PA 17701-1965 | 2019-03-26 |
| 1184022931 | Ryan Byers | Physician Assistant | 1201 Grampian Blvd Ste 2f, Williamsport, PA 17701-1965 | 2014-12-10 |
| 1922329614 | Ronald Anthony Campbell | Orthopaedic Surgery | 1201 Grampian Blvd Ste 2f, Williamsport, PA 17701-1965 | 2010-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
| 1396395299 | Susan E Fetzer | Occupational Therapy Assistant | Upmc Susquehanna,625 West Edwin Street, Williamsport, PA 17701 | 2019-09-13 |
| 1184280984 | Craig Andrew Tuller | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 | 2019-05-16 |
| 1760048045 | Michael Harvey | Student in an Organized Health Care Education/Training Program | 740 High St. Suite 4001, Williamsport, PA 17701 | 2019-05-13 |
| 1275196008 | Olivia Fladmark | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 | 2019-04-17 |
| 1528551231 | Mark Hampton Chiropractic Inc. | Durable Medical Equipment & Medical Supplies | 1111 East 3rd Street, Williamsport, PA 17701 | 2018-06-08 |
| 1548710882 | Central Pennsylvania Rehabilitation Medicine, Inc | Physical Medicine & Rehabilitation | 460 River Ave Ste 1, Williamsport, PA 17701 | 2016-10-11 |
| 1376096784 | Christine Kessler | Physician Assistant | One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 | 2016-08-02 |
| 1629440276 | Matthew Ray Rebuck | Specialist/Technologist | 220 N Reach Rd, Williamsport, PA 17701 | 2015-10-22 |
| 1508237223 | Neihl Williamson | Physician Assistant | 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 | 2015-10-08 |
| Find all providers in zip 17701 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376096784 | Christine Kessler | Physician Assistant | One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 | 2016-08-02 |
| 1669428132 | Theresa Anne Tarquinio | Physician Assistant | 701 Northway Rd, Williamsport, PA 17701-3813 | 2006-05-26 |
| 1336103688 | West Branch Neurology Associates, PC | Physician Assistant | 425 Market Street, First Floor, Williamsport, PA 17701-6345 | 2006-04-13 |
| 1588650857 | Kirsten Lynn Eldred | Physician Assistant | 130 Alexis Dr, Williamsport, PA 17701-9720 | 2005-09-22 |
| 1376052498 | Kristi Lee Freezer | Physician Assistant | 700 High St, Williamsport, PA 17701-3198 | 2017-09-20 |
| 1205379310 | Sean Vincent O'brien | Physician Assistant | 740 High St, Ste 1003, Williamsport, PA 17701-3100 | 2016-11-21 |
| 1629528385 | Brian Kramer Jr. | Physician Assistant | 1201 Grampian Blvd, Suite 1a, Williamsport, PA 17701-1900 | 2016-10-06 |
| 1770953861 | Molly Jean Horner | Physician Assistant | 700 High St, Williamsport, PA 17701-3100 | 2015-10-01 |
| 1396134532 | Ashley Imrisek | Physician Assistant | 700 High St, Williamsport, PA 17701-3198 | 2015-01-12 |
| 1326457623 | Megan Elizabeth Colvin | Physician Assistant | 700 High St, Williamsport, PA 17701-3198 | 2014-08-12 |
| Find all providers in WILLIAMSPORT | ||||
| City | WILLIAMSPORT |
| Zip Code | 17701 |
Please comment or provide details below to improve the information on MICHELLE L HARTFORD.
| 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.