KELCI FLORENCE TKACH (NPI# 1538595541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538595541 |
| Entity Type | Individual |
| Full Name | KELCI FLORENCE TKACH |
| Credential | PA-C |
| Practice Address |
204 State Rd Lehighton PA 18235-2827 |
| Mailing Address |
525 N 8th St Lehighton PA 18235-1214 |
| Practice Telephone | 6108266255 |
| Mailing Telephone | 4484645144 |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2015-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA056388 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
204 STATE RD |
| City | LEHIGHTON |
| State | PA |
| Zip Code | 18235-2827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619961018 | Lehigh Gastroenterology Associates | Internal Medicine | 204 State Rd, Lehighton, PA 18235-2827 | 2005-08-31 |
| 1629372198 | Rafael Cruz Md Family Practice Limited Liability Company | Family Medicine | 204 State Rd, Lehighton, PA 18235-2827 | 2010-12-27 |
| 1184899841 | Gnaden Huetten Memorial Hospital | Clinic/Center | 204 State Rd, Lehighton, PA 18235-2827 | 2008-04-24 |
| 1861597213 | St. Luke's Physician Group, Inc. | Internal Medicine | 204 State Rd, Lehighton, PA 18235-2827 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689274375 | Susan Mary Featro | Counselor | Nickischer and Associates, 1738 Blakeslee Blvd. W., Lehighton, PA 18235 | 2020-10-30 |
| 1215452461 | Lehighton Family Dentistry LLC | Dentist | 233 S 3rd Street, Lehighton, PA 18235 | 2017-08-09 |
| 1093262727 | Gina Provisiero | Social Worker | 777 Blakeslee Blvd Dr E, Suite 3, Lehighton, PA 18235 | 2016-09-11 |
| 1487023156 | Joanne Trotman | General Acute Care Hospital | 6 Second Avenue, Lehighton, PA 18235 | 2015-09-23 |
| 1740698000 | Wendy Ann Hauser | Behavioral Analyst | 2112 Long Run Road, Lehighton, PA 18235 | 2014-07-30 |
| 1356778542 | Decosy Hercules | Family Medicine | 575 S 9th St Ste 5, Lehighton, PA 18235 | 2013-10-02 |
| 1891046348 | Chaya Shuchat | Nurse Practitioner | 281 N 12th St Ste E, Lehighton, PA 18235 | 2012-09-24 |
| 1316297096 | Evelyn Mccullian | Speech-Language Pathologist | 428 South 7 Street, Lehighton, PA 18235 | 2012-09-11 |
| 1639487242 | Wal-mart Stores East Lp | Technician/Technologist | 1731 Blakeslee Blvd Dr E, Lehighton, PA 18235 | 2010-09-16 |
| 1912132762 | Wendy S. Lawson | Psychologist | 811 Blakeslee Boulevard Drive East, Suite 80, Lehighton, PA 18235 | 2009-05-22 |
| Find all providers in zip 18235 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093330169 | Elizabeth Schatzman | Physician Assistant | 428 S 7th St, Lehighton, PA 18235-1818 | 2020-06-14 |
| 1073164828 | Dallas Seltzer | Physician Assistant | 363 N 1st St, Lehighton, PA 18235-1450 | 2019-09-24 |
| 1952870115 | Christie Esquivel | Physician Assistant | 1241 Blakeslee Boulevard Dr E, Lehighton, PA 18235-2401 | 2018-11-17 |
| 1124548003 | Jocelyn Mathew | Physician Assistant | 281 N 12th St Ste E, Lehighton, PA 18235-1101 | 2017-06-22 |
| 1669852505 | Marnie Cunningham | Physician Assistant | 428 S 7th St, Lehighton, PA 18235-1818 | 2015-06-05 |
| 1174861116 | Krystle M Wood | Physician Assistant | 211 N 12th St, Lehighton, PA 18235-1138 | 2013-01-25 |
| 1992099410 | Emily Mcsparin | Physician Assistant | 281 N 12th St, Lehighton, PA 18235-1101 | 2011-06-01 |
| 1144452590 | Meghan E. Astorino | Physician Assistant | 1001 Mahoning St, Lehighton, PA 18235-1123 | 2009-08-19 |
| 1790836716 | Lillian B Gattone | Physician Assistant | 1241 Blakeslee Boulevard Dr E, Lehighton, PA 18235-2401 | 2007-01-16 |
| 1396847406 | Rebecca M Geiger | Physician Assistant | 1638 Blakeslee Boulevard Dr E, Lehighton, PA 18235-9623 | 2006-09-01 |
| Find all providers in LEHIGHTON | ||||
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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.