PROF. ROBEN L EGOLF (NPI# 1467425504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467425504 |
| Entity Type | Individual |
| Full Name | PROF. ROBEN L EGOLF |
| Credential | ASSISTANT |
| Practice Address |
Route 56 Box 123 Fishertown PA 15539 |
| Practice Telephone | 8148394152 |
| Mailing Telephone | 8148394152 |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA002235L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
ROUTE 56 BOX 123 |
| City | FISHERTOWN |
| State | PA |
| Zip Code | 15539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740256973 | Eric R Weaverling | Specialist | Route 56, Box 123, Fishertown, PA 15539 | 2006-02-27 |
| 1427022029 | Beth A Clark | Specialist | Route 56, Fishertown, PA 15539 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184787889 | Chestnut Ridge Pharmacy LLC | Pharmacy | 2262 Quaker Valley Rd, Fishertown, PA 15539 | 2006-12-18 |
| 1851475313 | David R Bowser IIi | Dentist | 114 Ridgewood Drive, Fishertown, PA 15539 | 2006-10-24 |
| 1104081785 | Upmc Community Medicine, Inc. | Non-Pharmacy Dispensing Site | 2040 Quaker Valley Rd, Fishertown, PA 15539-9723 | 2008-07-23 |
| 1336145648 | Karen M Leppert | Physical Therapist | 3029 Valley Rd, Fishertown, PA 15539-9840 | 2005-06-22 |
| 1922406073 | Milestone Physical Therapy, LLC | Physical Therapist | 3029 Valley Rd, Fishertown, PA 15539-9840 | 2014-12-05 |
| 1568428597 | Chestnut Ridge School District | Local Education Agency (LEA) | 3281 Valley Rd, Fishertown, PA 15539-9843 | 2006-04-26 |
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
| City | FISHERTOWN |
| Zip Code | 15539 |
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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.