JENNIFER JO CHESTNUT (NPI# 1538610696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538610696 |
| Entity Type | Individual |
| Full Name | JENNIFER JO CHESTNUT |
| Credential | PA-C |
| Practice Address |
145 Shaffer St South Williamsport PA 17702-6727 |
| Mailing Address |
2688 Bottle Run Rd Williamsport PA 17701-9293 |
| Practice Telephone | 5703262447 |
| Practice Fax Number | 5703261247 |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2020-02-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
MA058618 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2688 Bottle Run Rd, Williamsport, PA 177019293 | 5702202821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427209089 | Jennifer L. Chestnut | Speech-Language Pathologist | Rr 1 Box 5, Green Bank, WV 24944-9703 | 2008-10-01 |
| Street Address |
145 SHAFFER ST |
| City | SOUTH WILLIAMSPORT |
| State | PA |
| Zip Code | 17702-6727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023082351 | Michelle Lynne Cavanaugh | Family Medicine | 145 Shaffer St, South Williamsport, PA 17702-6727 | 2006-02-14 |
| 1154830305 | Stephanie Spangler Paulhamus | Physician Assistant | 145 Shaffer St, South Williamsport, PA 17702-6727 | 2017-09-20 |
| 1437518362 | Kellie Lynn Karschner | Nurse Practitioner | 145 Shaffer St, South Williamsport, PA 17702-6727 | 2016-02-20 |
| 1942597281 | Sara E Swain | Family Medicine | 145 Shaffer St, South Williamsport, PA 17702-6727 | 2011-07-07 |
| 1649567975 | Jenna Ann Brown | Family Medicine | 145 Shaffer St, South Williamsport, PA 17702-6727 | 2011-07-07 |
| 1588899736 | Susquehanna Physician Services | Nurse Practitioner | 145 Shaffer St, South Williamsport, PA 17702-6799 | 2009-05-18 |
| 1780631226 | Susquehanna Physician Services | Nurse Practitioner | 145 Shaffer St, South Williamsport, PA 17702-6727 | 2006-05-30 |
| 1487617155 | David James Lopatofsky | Family Medicine | 145 Shaffer St, South Williamsport, PA 17702-6727 | 2006-04-11 |
| 1457314122 | Terry Alan Belles | Family Medicine | 145 Shaffer St, South Williamsport, PA 17702-6727 | 2006-04-11 |
| 1619939550 | Glen Theodore Hofstrom | Family Medicine | 145 Shaffer St, South Williamsport, PA 17702-6727 | 2006-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245794981 | Mary Sue Seyler | Home Health Aide | 11 East Mountain Ave, South Williamsport, PA 17702 | 2019-01-28 |
| 1346628732 | Tina M Ashton | Home Health | 1235 West Southern Avenue, South Williamsport, PA 17702 | 2015-05-18 |
| 1417071705 | John P Czap | Dentist | 701 Hastings Street, South Williamsport, PA 17702 | 2007-03-19 |
| 1841398583 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 518 Southern Ave, S. Williamsport, PA 17702 | 2006-09-20 |
| 1063708030 | Abagail Kathryn Vanaskie | Nurse Practitioner | 6 E Mountain Ave, South Williamsport, PA 17702 | 2011-06-28 |
| 1477752707 | Lori Ann Rinker | Family Medicine | 699 Hastings St, S Williamsport, PA 17702 | 2007-07-17 |
| 1619180239 | Colin R. Branton | Dentist | 2687 Euclid Ave, Williamsport, PA 17702-6754 | 2007-05-08 |
| 1598740003 | Duboistown Ambulance Service | Ambulance | 2661 Euclid Ave, Williamsport, PA 17702-6754 | 2005-12-08 |
| 1912393232 | I-fang Chen | Dentist | 2687 Euclid Ave, South Williamsport, PA 17702-6754 | 2015-04-14 |
| 1538585740 | Kristopher Doersam | Dentist | 2687 Euclid Ave, S Williamsport, PA 17702-6754 | 2014-03-12 |
| Find all providers in zip 17702 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467566844 | Melinda Marie Stoetzel | Physician Assistant | 96 Shady Brook Ln, South Williamsport, PA 17702-8113 | 2006-08-19 |
| 1154830305 | Stephanie Spangler Paulhamus | Physician Assistant | 145 Shaffer St, South Williamsport, PA 17702-6727 | 2017-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316762 | Alyssa Ann Mikes | Physician Assistant | 6 New Countryside Dr, West Chester, PA 19382-6456 | 2020-11-08 |
| 1720689011 | Marissa Dawn Lamary | Physician Assistant | 1500 Fifth Ave Bldg Leveld, Mckeesport, PA 15132-2422 | 2020-11-04 |
| 1013517796 | Kifany M Gower | Physician Assistant | 1158 Wyoming Ave, Exeter, PA 18643-1815 | 2020-10-30 |
| 1922608645 | Meghan Michelle Allen | Physician Assistant | 4800 Friendship Ave Ste 439, Pittsburgh, PA 15224-1722 | 2020-10-30 |
| 1912507807 | Rachel Nye | Physician Assistant | 124 Home Depot Dr Ste D, Franklin, PA 16323-8030 | 2020-10-29 |
| 1487254306 | Zane T Mcguire | Physician Assistant | 378 W Chestnut St Ste 103, Washington, PA 15301-4661 | 2020-10-29 |
| 1740889443 | Tricia Harenza | Physician Assistant | 27 Sandy Ln Ste 250, Lewistown, PA 17044-1372 | 2020-10-22 |
| 1336748425 | Alexis Marie Ivosevic | Physician Assistant | 98 Deer Park Ln, Hawley, PA 18428-8223 | 2020-10-20 |
| 1780283986 | Margaret Ann Malloy | Physician Assistant | 3223 N Broad St Fl 1, Philadelphia, PA 19140-5007 | 2020-10-20 |
| 1851990170 | Jessica Marie Giordano | Physician Assistant | 201 Penn Valley Ter, Yardley, PA 19067-1028 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH WILLIAMSPORT |
| Zip Code | 17702 |
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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.