JOHNATHAN RICHARD DODSON (NPI# 1548771751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548771751 |
| Entity Type | Individual |
| Full Name | JOHNATHAN RICHARD DODSON |
| Credential | CRNP |
| Practice Address |
620 Howard Ave Altoona PA 16601-4804 |
| Mailing Address |
1429 Ski Gap Rd Claysburg PA 16625-8018 |
| Practice Telephone | 8148892011 |
| Mailing Telephone | 8143123120 |
| Enumeration Date | 2017-10-14 |
| Last Update Date | 2017-12-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
RN606961 | PA | Nursing Service Providers |
| Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
SP018285 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
620 HOWARD AVE |
| City | ALTOONA |
| State | PA |
| Zip Code | 16601-4804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174521124 | Altoona Regional Health System | Rehabilitation Hospital | 620 Howard Ave, Altoona, PA 16601-4804 | 2005-07-13 |
| 1700484946 | Keri Rose Fulton | Nurse Practitioner | 620 Howard Ave, Altoona, PA 16601-4804 | 2020-10-10 |
| 1295332609 | Abigail Printz | Physician Assistant | 620 Howard Ave, Altoona, PA 16601-4804 | 2020-10-08 |
| 1194335091 | Ashley Shaheen | Physician Assistant | 620 Howard Ave, Altoona, PA 16601-4804 | 2020-08-05 |
| 1316555899 | Nicole Allen | Physician Assistant | 620 Howard Ave, Altoona, PA 16601-4804 | 2020-07-21 |
| 1053939900 | Elizabeth Lantznester | Nurse Practitioner | 620 Howard Ave, Altoona, PA 16601-4804 | 2020-07-08 |
| 1841817616 | Taylor Nicole Young | Physician Assistant | 620 Howard Ave, Altoona, PA 16601-4804 | 2020-06-28 |
| 1891310447 | Nicole Elizabeth Taylor | Physician Assistant | 620 Howard Ave, Altoona, PA 16601-4804 | 2020-06-10 |
| 1184256919 | Alyson Strapple | Nurse Practitioner | 620 Howard Ave, Altoona, PA 16601-4804 | 2020-02-10 |
| 1679113567 | Matthew Bogdanski | Physician Assistant | 620 Howard Ave, Altoona, PA 16601-4804 | 2020-01-09 |
| Find all providers in the same location | ||||
| 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 | 363LC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295393213 | Eunhwa Hong | Nurse Practitioner | 1167 Canterbury Dr, Lansdale, PA 19446-5359 | 2019-06-04 |
| 1093276289 | William J Ravert Jr. | Nurse Practitioner | 4713 E Trindle Rd, Mechanicsburg, PA 17050-3616 | 2019-03-29 |
| 1720534068 | Jacob R Corbin | Nurse Practitioner | 200 Lothrop Street (upmc Presby- Ccm Office), 6 Floor Scaife Hall, Pittsburgh, PA 15232 | 2016-08-28 |
| 1063663854 | Michelle D Keibler | Nurse Practitioner | 200 Delafield Rd Ste 2040, Pittsburgh, PA 15215-3234 | 2008-10-10 |
| 1386894939 | Patricia Anne Kroekel | Nurse Practitioner | 423 N Pennsylvania, Morrisville, PA 19067 | 2008-09-19 |
| 1205937182 | Carol S Hasse-jungkurth | Nurse Practitioner | 974 Wind Song Rd, West Chester, PA 19382-2055 | 2006-09-26 |
| 1174514152 | Stephanie Cristoaica | Nurse Practitioner | 1697 Crown Avenue, Lancaster, PA 17601-6310 | 2005-10-31 |
| 1174123079 | Kelli Lynn Martin | Nurse Practitioner | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-10-29 |
| 1457951345 | Christopher Bauer | Nurse Practitioner | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-10-29 |
| 1710594262 | Kate Nikorak | Nurse Practitioner | 801 Ostrum St, Fountain Hill, PA 18015-1000 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JOHNATHAN RICHARD DODSON.
| 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.