MRS. ELIZABETH ANNE HEVERLY (NPI# 1508996828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508996828 |
| Entity Type | Individual |
| Full Name | MRS. ELIZABETH ANNE HEVERLY |
| Credential | PA-C, MPAS |
| Practice Address |
501 Howard Ave Ste F3 Altoona PA 16601-4818 |
| Mailing Address |
501 Howard Ave Ste E1 Altoona PA 16601-4817 |
| Practice Telephone | 8149469150 |
| Practice Fax Number | 8149461397 |
| Mailing Telephone | 8149469150 |
| Mailing Fax Number | 8149461397 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
MA052176 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | STATE LICENSE NUMBER | MA052176 | 01 |
| Street Address |
501 HOWARD AVE STE F3 |
| City | ALTOONA |
| State | PA |
| Zip Code | 16601-4818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609849132 | Ufuk Fusun Cardakli | Ophthalmology | 501 Howard Ave Ste F3, Altoona, PA 16601-4818 | 2006-02-07 |
| 1609016302 | Eyedoc Associates, LLC | Ophthalmology | 501 Howard Ave Ste F3, Altoona, PA 16601-4818 | 2009-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205456498 | Divya Venkata Tumuluru | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue-suite F2 Altoona Family Physicians, Altoona, PA 16601 | 2020-04-17 |
| 1114574787 | Neil Pietrolungo | Counselor | 1216 11th Avenue, St. 215, Altoona, PA 16601 | 2019-08-19 |
| 1326509621 | Lucas L Warton | Student in an Organized Health Care Education/Training Program | Altoona Family Physicians, 501 Howard Ave, Ste F2, Altoona, PA 16601 | 2019-03-28 |
| 1669932141 | Edmiston Physical Therapy Co | Physical Therapist | 2927 Beale Ave. Suite E101, Altoona, PA 16601 | 2019-03-21 |
| 1871052407 | Ji Won Lee | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue Altoona Family Physicians, Suite F2, Altoona, PA 16601 | 2019-03-13 |
| 1982199774 | Shikha Salhotra | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue Altoona Family Physicians, Suite F2, Altoona, PA 16601 | 2018-06-25 |
| 1679063655 | Sarah Ann Bier | Registered Nurse | 2900 Plank Rd, Altoona, PA 16601 | 2018-05-15 |
| 1306334073 | Mohammad Omar Bukhari | Student in an Organized Health Care Education/Training Program | Altoona Family Physicians 501 Howard Avenue, Suite F2, Altoona, PA 16601 | 2018-04-27 |
| 1730676164 | Kathleen Elizabeth Woods | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue Suite F2, Altoona Family Physicians, Altoona, PA 16601 | 2018-04-20 |
| 1386082485 | Zachary Charles Haulman | Physical Medicine & Rehabilitation | 2900 Beale Ave Ste 110, Altoona, PA 16601 | 2013-06-11 |
| Find all providers in zip 16601 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295182491 | Emily Tercek | Physician Assistant | 620 Howard Ave Fl 7, Altoona, PA 16601-4804 | 2016-05-17 |
| 1356303358 | Gilbert H Johnson | Physician Assistant | 1304 Lake Rd, Altoona, WI 54720-1849 | 2006-04-05 |
| 1346200995 | Stephen F Pyo | Physician Assistant | 1505 9th Ave, Altoona, PA 16602-2416 | 2006-03-27 |
| 1841801651 | Kristin Mathiowetz | Physician Assistant | 3119 Woodman Dr, Altoona, WI 54720-2668 | 2020-08-14 |
| 1700432358 | Rebecca Gorba | Physician Assistant | 620 Howard Ave, Altoona, PA 16601-4804 | 2019-08-09 |
| 1003474198 | Sean Allen Yeckley | Physician Assistant | 620 Howard Ave, Altoona, PA 16601-4804 | 2019-06-03 |
| 1669986246 | Kaylee Kowalczyk | Physician Assistant | 620 Howard Ave, Altoona, PA 16601-4804 | 2017-11-19 |
| 1528300241 | Vanessa R Colquhoun | Physician Assistant | 3000 Fairway Dr, Altoona, PA 16602-4472 | 2013-03-20 |
| 1700140753 | David S Claar | Physician Assistant | 3000 Fairway Dr, Altoona, PA 16602-4472 | 2012-06-25 |
| 1942598842 | Anthony C Damin | Physician Assistant | 3000 Fairway Dr, Altoona, PA 16602-4472 | 2011-07-13 |
| Find all providers in ALTOONA | ||||
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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.