MR. MATTHEW THOMAS HENDELL (NPI# 1538196902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538196902 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW THOMAS HENDELL |
| Credential | CRNP |
| Practice Address |
212 Rosedale Dr Manchester PA 17345-1023 |
| Mailing Address |
3421 Concord Rd York PA 17402-9001 |
| Practice Telephone | 7178515503 |
| Practice Fax Number | 7178511905 |
| Mailing Telephone | 7178515503 |
| Mailing Fax Number | 7178515507 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
SP005277D | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | GATEWAY-WMG | 1555995 | 01 |
| PA | JOHNS HOPKINS | 205114 | 01 |
| PA | CAPITAL BLUE CROSS-WMG | 50062488 | 01 |
| PA | HIGHMARK BLUE SHIELD | 1933959 | 01 |
| MD | CAREFIRST MARYLAND BCBS | 889996 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 228 Saint Charles Way Ste 200, York, PA 174024661 | 7178515503 | 7178515507 |
| Street Address |
212 ROSEDALE DR |
| City | MANCHESTER |
| State | PA |
| Zip Code | 17345-1023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417908518 | Cynthia A Martin | Nurse Practitioner | 212 Rosedale Dr, Manchester, PA 17345-1023 | 2006-05-13 |
| 1093272411 | Holly Janelle Michaels | Dietitian, Registered | 212 Rosedale Dr, Manchester, PA 17345-1023 | 2019-02-21 |
| 1588864433 | Jena R. Khera | Psychiatry & Neurology | 212 Rosedale Dr, Manchester, PA 17345-1023 | 2007-07-19 |
| 1114120953 | Jeremy Scott Timothy | Psychiatry & Neurology | 212 Rosedale Dr, Manchester, PA 17345-1023 | 2007-06-08 |
| 1215967518 | Todd Franklin Barron | Pediatrics | 212 Rosedale Dr, Manchester, PA 17345-1023 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447798426 | Mainline Urgent Care Medical Group | Clinic/Center | 4050 North George Street Ext, Manchester, PA 17345 | 2017-02-09 |
| 1710395751 | Nicole Curtis | Hearing Instrument Specialist | 4316 N George S Suit 8, Manchester, PA 17345 | 2014-07-22 |
| 1629077474 | Manchester Ambulance Club | Ambulance | 10 Devco Drive, Manchester, PA 17345 | 2005-07-14 |
| 1891922506 | Danielle Nicole Campbell | Family Medicine | 235 Rosedale Dr, Manchester, PA 17345 | 2009-06-19 |
| 1295793123 | Thomas G Roth | Family Medicine | 235 Rosedale Dr, Manchester, PA 17345-1022 | 2006-05-02 |
| 1902405194 | Jennifer Lyn Small | Occupational Therapist | 235 Rosedale Dr, Manchester, PA 17345-1022 | 2020-10-20 |
| 1790304392 | Michelle Benton | Physical Therapy Assistant | 235 Rosedale Dr, Manchester, PA 17345-1022 | 2020-04-14 |
| 1558980755 | Corissa Borrell | Occupational Therapy Assistant | 235 Rosedale Dr, Manchester, PA 17345-1022 | 2020-04-09 |
| 1568091734 | Rachael Miller | Physical Therapy Assistant | 235 Rosedale Dr, Manchester, PA 17345-1022 | 2020-04-08 |
| 1326677493 | Heather Barr | Speech-Language Pathologist | 235 Rosedale Dr, Manchester, PA 17345-1022 | 2020-04-02 |
| Find all providers in zip 17345 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326111295 | Susan M Mckeown | Nurse Practitioner | 1245 Elm Street, Manchester, NH 03101-1308 | 2006-11-16 |
| 1508834508 | Barbara Renshaw | Nurse Practitioner | 210 Main Street, Manchester, CT 06040 | 2006-03-08 |
| 1285073213 | Kristin Evans Logan | Nurse Practitioner | 1245 Elm St, Manchester, NH 03101-1308 | 2013-06-24 |
| 1891054490 | Suzanne Marie Vance | Nurse Practitioner | 275 Mammoth Rd, Suite 1, Manchester, NH 03109-4133 | 2012-05-16 |
| 1942451646 | Kristen Elizabeth Stevens | Nurse Practitioner | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2008-10-01 |
| 1417153677 | Kids Station Pediatrics | Nurse Practitioner | 191 Main St, Manchester, CT 06042-3556 | 2007-06-25 |
| 1396814612 | Elda Cordero-goodman | Nurse Practitioner | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2006-11-08 |
| 1235219320 | Cornelia Gonsalves | Nurse Practitioner | 100 Hitchcock Way, Capp, Manchester, NH 03104-4125 | 2006-10-16 |
| 1205921996 | Eileen Mccarthy | Nurse Practitioner | 4 Elliot Way, Suite105, Manchester, NH 03103 | 2006-10-04 |
| 1568490225 | Debra Ann Ritrovato | Nurse Practitioner | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2006-06-29 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 17345 |
Please comment or provide details below to improve the information on MR. MATTHEW THOMAS HENDELL.
| 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.