DYLAN THOMAS SANTROCK


Address: 700 E Norwegian St, Pottsville, PA 17901-2710
Phone: 5706214000

DYLAN THOMAS SANTROCK (NPI# 1548818602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548818602
Entity Type Individual
Full Name DYLAN THOMAS SANTROCK
Credential PA-C
Practice Address 700 E Norwegian St
Pottsville
PA 17901-2710
Mailing Address 417 E Center St
Nesquehoning
PA 18240-1709
Practice Telephone 5706214000
Mailing Telephone 9087632928
Enumeration Date 2019-08-30
Last Update Date 2019-08-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 700 E NORWEGIAN ST
City POTTSVILLE
State PA
Zip Code 17901-2710

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427050376 Schuylkill Medical Center - East Norweigan Street General Acute Care Hospital 700 E Norwegian St, Pottsville, PA 17901-2710 2005-08-11
1497377501 Lehigh Valley Hospital Pharmacy 700 E Norwegian St, Pottsville, PA 17901-2710 2020-05-12
1801436456 Jessica Lynn Stives Psychiatry & Neurology 700 E Norwegian St, Pottsville, PA 17901-2710 2020-01-12
1790323087 Sarah A Monger Dietitian, Registered 700 E Norwegian St, Pottsville, PA 17901-2710 2019-12-17
1447729165 Kimberly Maasz Physician Assistant 700 E Norwegian St, Pottsville, PA 17901-2710 2018-11-26
1245714328 Emily Elizabeth Soubik Speech-Language Pathologist 700 E Norwegian St, Pottsville, PA 17901-2710 2018-09-24
1255823845 Schuylkill Medical Center - South Jackson Street Rehabilitation Unit 700 E Norwegian St, Pottsville, PA 17901-2710 2018-05-31
1184116774 Schuylkill Medical Center - South Jackson Street Psychiatric Unit 700 E Norwegian St, Pottsville, PA 17901-2710 2018-05-31
1871099150 Keandra Alea Koons Dietitian, Registered 700 E Norwegian St, Pottsville, PA 17901-2710 2018-04-04
1487155750 Justine Constance Weiss Dietitian, Registered 700 E Norwegian St, Pottsville, PA 17901-2710 2018-02-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013409762 Culture2culture, Inc. Community/Behavioral Health 110 E Arch St Fl 1, Pottsville, PA 17901 2018-05-30
1376059444 Stacie Marie Herring Registered Nurse 1400 Laurel Boulevard, Pottsville, PA 17901 2017-12-27
1477092567 Dr. Scott Rosenthal, P.C. Pain Medicine 48 Tunnel Rd Ste 202, Pottsville, PA 17901 2017-02-22
1932573268 Allied Health Care Services Community/Behavioral Health 320 N Second St, Pottsville, PA 17901 2015-11-24
1417344862 Megan Heffron-foose Behavioral Analyst 221 Mahantongo Street, Pottsville, PA 17901 2015-04-23
1326443417 Richard Adam Haycock Psychiatry & Neurology 16 South Centre St, Pottsville, PA 17901 2014-10-31
1245647296 Maria Gustis Counselor 100 Greenbriar Road, Pottsville, PA 17901 2014-07-22
1790198398 Michelle Chilinskas Pharmacist 500 N Claude Lord Blvd, Pottsville, PA 17901 2014-06-11
1952720153 Darcie Nan Roeder Physical Therapy Assistant 700 E Norwegian St., Pottsville, PA 17901 2014-04-15
1205180858 Rocky Mountain Holdings LLC Ambulance 1394 Cedar St, Pottsville, PA 17901 2012-11-05
Find all providers in zip 17901

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164836144 Abby Marie Zimmerman Physician Assistant 700 E Norwegian St Fl 3, Pottsville, PA 17901-2710 2014-06-17
1417508425 Brianna Malia Gaylets Physician Assistant 200 Schuylkill Medical Plz, Pottsville, PA 17901-3660 2019-09-23
1760949705 Daria Verdonik Physician Assistant 26 S Centre St, Pottsville, PA 17901-3001 2019-02-26
1942772405 Kimberly Michelle Kalovcak Physician Assistant 26 S. Centre St., Pottsville, PA 17901 2018-12-21
1760804512 Colleen Margaret Lizewski Physician Assistant 420 S Jackson St, Pottsville, PA 17901-3625 2014-01-14
1548527245 Bradley Jay Boyer Physician Assistant 420 S Jackson St, Pottsville, PA 17901-3625 2012-04-19
1306942099 Kelly A Gergely Physician Assistant 700 E Norwegian St, Pottsville, PA 17901-2710 2006-09-16
1811093503 Bernadette M Trostle Physician Assistant 48 Tunnel Rd, Suite 203, Pottsville, PA 17901-3875 2006-09-16
1215033006 Karen B Bohenek Physician Assistant 700 E Norwegian St, Pottsville, PA 17901-2710 2006-09-16
1114988714 Colby Allan Powell Physician Assistant 48 Tunnel Rd, Suite 101, Pottsville, PA 17901-3875 2006-03-31
Find all providers in POTTSVILLE

Competitor

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City POTTSVILLE
Zip Code 17901

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Dataset Information

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.

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