ANN R JESICK (NPI# 1487647053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487647053 |
| Entity Type | Individual |
| Full Name | ANN R JESICK |
| Credential | MD |
| Practice Address |
15 S 8th St Indiana PA 15701-2776 |
| Practice Telephone | 7243497388 |
| Practice Fax Number | 7244637072 |
| Mailing Telephone | 7243497388 |
| Mailing Fax Number | 7244637072 |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2010-01-13 |
| NPI Deactivation Date | 03/23/2006 |
| NPI Reactivation Date | 2006-04-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD036779 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1132167 | 05 | |
| AETNA | 7853184 | 01 | |
| BS | 162082 | 01 |
| Street Address |
15 S 8TH ST |
| City | INDIANA |
| State | PA |
| Zip Code | 15701-2776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427507045 | Nichole Rensko | Physician Assistant | 15 S 8th St, Indiana, PA 15701-2776 | 2016-09-23 |
| 1659626786 | Ashley Rae Ingham | Physician Assistant | 15 S 8th St, Indiana, PA 15701-2776 | 2012-07-15 |
| 1063703742 | Pauline D Balkaransingh | Pediatrics | 15 S 8th St, Ste 200, Indiana, PA 15717 | 2011-04-28 |
| 1659682110 | Nervana T. Mahmoud | Internal Medicine | 15 S 8th St, Suite 201, Indiana, PA 15701-2776 | 2010-06-29 |
| 1588994370 | Melissa Lynn Duncan | Physician Assistant | 15 S 8th St, Indiana, PA 15701-2776 | 2009-12-30 |
| 1083816979 | Jennifer May Shobert | Physician Assistant | 15 S 8th St, Suite 200, Indiana, PA 15701-2776 | 2007-06-03 |
| 1467589796 | Indiana Pediatric Associates, PC | Pediatrics | 15 S 8th St, Ste 200, Indiana, PA 15701-2776 | 2007-02-27 |
| 1477563468 | Diane L Metzger | Internal Medicine | 15 S 8th St, Indiana, PA 15701-2776 | 2006-08-09 |
| 1821004342 | Edward P Mcdowell | Internal Medicine | 15 S 8th St, Indiana, PA 15701-2776 | 2006-08-01 |
| 1588686398 | John S Gregg Md | Internal Medicine | 15 S 8th St, Indiana, PA 15701-2776 | 2006-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518508811 | Paula A. Smulik | Pharmacist | 280 Indian Springs Rd Ste 125, Indiana, PA 15701 | 2019-10-08 |
| 1588143713 | William Aden Bendgen IIi | Counselor | 470 N 4th Street, Indiana, PA 15701 | 2018-08-08 |
| 1699266452 | Shiela Ikasilon Otwane | Nurse Practitioner | 1 Regency Square, 1524 Oakland Avenue, Indiana, PA 15701 | 2018-05-28 |
| 1881184745 | Samantha Nichcol Bennett | Social Worker | 793 Old Rte 119 Hwy U, Indiana, PA 15701 | 2018-05-16 |
| 1780193896 | Abbey Mae Hill | Counselor | 793 Old Rotue 119 Hwy N, Indiana, PA 15701 | 2017-09-21 |
| 1568819456 | Karissa Wess Angleson | Physician Assistant | Indiana Regional Medical Center Emergency Department, 835 Hospital Rd, Indiana, PA 15701 | 2016-05-20 |
| 1588020721 | Forefront Dermatology, S.c. | Dermatology | 120 I.r.m.c. Drive, Suite 130, Indiana, PA 15701 | 2016-01-04 |
| 1881069201 | Amanda J Orvosh | Counselor | 1163 Water St, Indiana, PA 15701 | 2015-12-10 |
| 1245602887 | Susan Marie Marchezak | Nurse Practitioner | 2128 Oakland Avenue, Indiana, PA 15701 | 2015-10-22 |
| 1538546353 | Hillary Beth Stitt | Counselor | 793 Old Rt 119 Hwy N, Community Guidance Center, Indiana, PA 15701 | 2015-04-30 |
| Find all providers in zip 15701 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639441868 | Medexpress Urgent Care, PC - Pennsylvania | Family Medicine | 2128 Oakland Ave, Indiana, PA 15701-3384 | 2012-02-03 |
| 1912004177 | Edward M Woodle | Family Medicine | 660 Stutzman Rd, Indiana, PA 15701-3603 | 2006-09-20 |
| 1467428979 | Joseph Lamantia | Family Medicine | 1690 Saltsburg Ave, Indiana, PA 15701-3525 | 2006-02-24 |
| 1396726337 | Brian W Hawthorne | Family Medicine | 50 Merrick St, Indiana, PA 15701-8988 | 2005-11-08 |
| 1528061983 | Wendy A Angelo | Family Medicine | 879 Hospital Rd, Indiana, PA 15701-3629 | 2005-05-31 |
| 1326689290 | Abbey Jane Chi | Family Medicine | 879 Hospital Rd, Indiana, PA 15701-3629 | 2019-10-02 |
| 1982083069 | Amy Lynn Kriger | Family Medicine | 835 Hospital Rd, Indiana, PA 15701 | 2015-05-22 |
| 1366679334 | Geoffrey M Pazder | Family Medicine | 835 Hospital Rd, Indiana, PA 15701-3629 | 2009-06-17 |
| 1578640496 | Joseph Lamantia, Do PC | Family Medicine | 1690 Saltsburg Ave, Indiana, PA 15701-3525 | 2006-11-01 |
| 1700826690 | Eric Sean Bohn | Family Medicine | 120 Irmc Dr, Suite 100, Indiana, PA 15701-3674 | 2006-06-08 |
| Find all providers in INDIANA | ||||
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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.