MASONIC HOMES AT ELIZABETHTOWN GD LDG OF FREE & ACCPTD MASONS PA (NPI# 1477511442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477511442 |
| Entity Type | Organization |
| Organization Name | MASONIC HOMES AT ELIZABETHTOWN GD LDG OF FREE & ACCPTD MASONS PA |
| Other Organization Name | MASONIC VILLAGE AT ELIZABETHTOWN |
| Practice Address |
1 Masonic Dr Elizabethtown PA 17022-2199 |
| Mailing Address |
581 Freemason Dr Elizabethtown PA 17022-3187 |
| Practice Telephone | 7173671121 |
| Practice Fax Number | 7173675813 |
| Mailing Telephone | 7173671121 |
| Mailing Fax Number | 7173675813 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2009-03-18 |
| Authorized Official Name | MR. WILLIAM J. PRAZENICA (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7173671121 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Masonic Village at Elizabethtown | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811978398 | Masonic Homes At Elizabethtown Gd Ldg of Free & Accptd Masons Pa | Skilled Nursing Facility | 1000 Masonic Dr, Sewickley, PA 15143-2328 | 2005-11-10 |
| 1285615773 | Masonic Homes At Elizabethtown Gd Ldg of Free & Accptd Masons Pa | Skilled Nursing Facility | 850 Norristown Rd, Warminster, PA 18974-2628 | 2005-11-10 |
| 1760474472 | Masonic Homes At Elizabethtown Gd Ldg of Free & Accptd Masons Pa | Assisted Living Facility | 801 Ridge Pike, Lafayette Hill, PA 19444-1723 | 2005-08-18 |
| 1285865345 | Masonic Homes At Elizabethtown Gd Ldg of Free & Accptd Masons Pa | Hospice, Inpatient | 581 Freemason Dr, Elizabethtown, PA 17022-3187 | 2009-08-06 |
| 1982745899 | Masonic Homes At Elizabethtown Gd Ldg of Free & Accptd Masons Pa | Dentist | 1 Masonic Dr, Elizabethtown, PA 17022-2199 | 2007-02-12 |
| 1235197187 | Masonic Homes At Elizabethtown Gd Ldg of Free & Accptd Masons Pa | Clinical Medical Laboratory | 1 Masonic Dr, Elizabethtown, PA 17022-2199 | 2006-05-02 |
| 1740261221 | Masonic Homes At Elizabethtown Gd Ldg of Free & Accptd Masons Pa | Skilled Nursing Facility | 1 Masonic Dr, Elizabethtown, PA 17022-2199 | 2005-11-10 |
| Street Address |
1 MASONIC DR |
| City | ELIZABETHTOWN |
| State | PA |
| Zip Code | 17022-2199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841287992 | Beth E Wray | Nurse Practitioner | 1 Masonic Dr, Elizabethtown, PA 17022-2199 | 2005-10-04 |
| 1619476728 | Deborah Wilson Deck | Occupational Therapist | 1 Masonic Dr, Elizabethtown, PA 17022-2199 | 2018-02-04 |
| 1457869869 | Gail Redding Yurkovic | Occupational Therapist | 1 Masonic Dr, Elizabethtown, PA 17022-2199 | 2018-01-19 |
| 1538677992 | Susan Lynn Knowlton | Physical Therapist | 1 Masonic Dr, Elizabethtown, PA 17022-2199 | 2018-01-18 |
| 1154839520 | Jennifer Fry | Occupational Therapist | 1 Masonic Dr, Elizabethtown, PA 17022-2199 | 2018-01-18 |
| 1104334671 | Lori Ann Gerhart | Physical Therapist | 1 Masonic Dr, Elizabethtown, PA 17022-2199 | 2018-01-17 |
| 1497280788 | Ashlar Home Health and Hospice Services, LLC | Hospice Care, Community Based | 1 Masonic Dr, Elizabethtown, PA 17022-2199 | 2017-04-25 |
| 1689105165 | Dr.charles Yeager LLC | Durable Medical Equipment & Medical Supplies | 1 Masonic Dr, Elizabethtown, PA 17022-2199 | 2017-03-25 |
| 1992257042 | Ashlar Home Health and Hospice Services LLC | Home Health | 1 Masonic Dr, Elizabethtown, PA 17022-2199 | 2016-10-25 |
| 1659625580 | Masonic Villages of The Grand Lodge of Pennsylvania | Pharmacy | 1 Masonic Dr, Elizabethtown, PA 17022-2199 | 2012-10-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669967162 | William Joseph Borowski | Dentist | 100 Continental Drive, Elizabethtown, PA 17022 | 2018-06-27 |
| 1477042422 | Sarah Marie Altman-kopko | Speech-Language Pathologist | 928 Hedgewyck Ln, Elizabethtown, PA 17022 | 2018-05-05 |
| 1013421676 | Michele Marie Heffner | Counselor | 222 S. Market Street, Suite 104, Elizabethtown, PA 17022 | 2017-11-18 |
| 1003325184 | Caroline Elizabeth Weisser | Physician Assistant | 432 Cloverleaf Road, Elizathebtown, PA 17022 | 2017-09-21 |
| 1710359146 | Carissa Ressler LLC | Massage Therapist | 8 East High Street, Elizabethtown, PA 17022 | 2015-10-26 |
| 1386013092 | Matthew Jacob Hoover | Physical Therapist | 19 Silver Drive, Elizabethtown, PA 17022 | 2015-09-23 |
| 1275913584 | White Family Dental - Masonic Village Pllc | Dentist | 83 North Freemason Dr, Elizabethtown, PA 17022 | 2015-06-02 |
| 1851781801 | Central Pa Therapy Connections, LLC | Speech-Language Pathologist | 36 Creekside Dr., Elizabethtown, PA 17022 | 2015-01-29 |
| 1053719120 | Corrine Mcgrail | Occupational Therapist | 138 Raven Place, Elizabethtown, PA 17022 | 2014-12-05 |
| 1639506843 | Bouquet Mulligan Demaio Eye Professionals | Optometrist | 600 Free Mason Drive, Elizabethtown, PA 17022 | 2013-10-02 |
| Find all providers in zip 17022 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053972877 | Professional Eye Care Optometry, Pa | Optometrist | 432 W Broad St, Elizabethtown, NC 28337 | 2019-06-24 |
| 1982263174 | Borders Eyecare Specialists Pllc | Optometrist | 611 W Poplar St Ste C4a, Elizabethtown, KY 42701-2464 | 2019-06-11 |
| 1891281994 | Sara Rene' Borders | Optometrist | 1609 N Dixie Ave, Elizabethtown, KY 42701-6473 | 2018-07-02 |
| 1467948588 | Britt Austin Borders | Optometrist | 1609 N Dixie Ave Ste 100, Elizabethtown, KY 42701-7494 | 2018-07-02 |
| 1053793281 | Christian Scott Zechman | Optometrist | 282 Maytown Rd Ste 100, Elizabethtown, PA 17022-9302 | 2015-06-24 |
| 1639506843 | Bouquet Mulligan Demaio Eye Professionals | Optometrist | 600 Free Mason Drive, Elizabethtown, PA 17022 | 2013-10-02 |
| 1598976581 | Bouquet Mulligan Demaio Eye Professionals | Optometrist | 1676 S Market St, Elizabethtown, PA 17022-2853 | 2007-05-24 |
| 1336299684 | Bladen Eye Center, O.d., P.a. | Optometrist | 409 East Broad Street, Elizabethtown, NC 28337-2589 | 2007-01-11 |
| 1114076288 | Teresa Ann Wise | Optometrist | 2904 Dolphin Dr, Elizabethtown, KY 42701-7102 | 2007-01-09 |
| 1194818971 | Rebman Eyecare, P.C. | Optometrist | 282 Maytown Rd, Ste 100, Elizabethtown, PA 17022-9313 | 2006-10-02 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 17022 |
Please comment or provide details below to improve the information on MASONIC HOMES AT ELIZABETHTOWN GD LDG OF FREE & ACCPTD MASONS PA.
| 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.