KYRENE M ZACK (NPI# 1578966008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578966008 |
| Entity Type | Individual |
| Full Name | KYRENE M ZACK |
| Other Name | KYRENE M HAYNES |
| Credential | PA-C |
| Practice Address |
22 St Paul Drive Suite 202 Chambersburg PA 17201-4221 |
| Mailing Address |
785 5th Ave Suite 3 Chambersburg PA 17201-4232 |
| Practice Telephone | 7172176870 |
| Practice Fax Number | 7172176945 |
| Mailing Telephone | 7172639555 |
| Mailing Fax Number | 7172674806 |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2020-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
MA057195 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 103157918 0001 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 354 Alexander Spring Road Suite 3, Carlisle, PA 170157451 | 7172176870 | 7172176945 |
| 24 Antrim Commons Drive, Greencastle, PA 172251623 | 7172176870 | 7172176945 |
| 601 East Main Street, Waynesboro, PA 172682332 | 7172176870 | 7172176945 |
| 112 N 7th St, Chambersburg, PA 172011720 | 7172174300 | 7172174217 |
| 501 E Main St, Waynesboro, PA 172682353 | 7177654000 | 7177653669 |
| Street Address |
22 ST PAUL DRIVE SUITE 202 |
| City | CHAMBERSBURG |
| State | PA |
| Zip Code | 17201-4221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952504169 | Anna Grigoryeva | Otolaryngology | 22 St Paul Drive, Suite 202, Chambersburg, PA 17201-1036 | 2007-06-06 |
| 1255589776 | Joshua Lynn Dunklebarger | Otolaryngology | 22 St Paul Drive, Suite 202, Chambersburg, PA 17201-4221 | 2008-09-09 |
| 1104019264 | Rebecca L. Hissong | Physician Assistant | 22 St Paul Drive, Suite 202, Chambersburg, PA 17201-1036 | 2007-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902496 | Kerin Bielecki | Pharmacist | 1730 Lincoln Way West, Chambersburg, PA 17201 | 2020-11-02 |
| 1750995833 | Emily Suzanne Benfer | Occupational Therapist | 32 Parkwood Drive, Chambersburg, PA 17201 | 2020-09-04 |
| 1225688559 | Oneskin Dermatology LLC | Clinic/Center | 211 Grant Street, Chambersburg, PA 17201 | 2019-09-18 |
| 1679033963 | Hospice of Washington County, Inc. | Hospice Care, Community Based | 209 Grant Street, Chambersburg, PA 17201 | 2019-03-22 |
| 1659837540 | Dialysis Care Center Chambersburg LLC | Clinic/Center | 20 Parkwood Drive, Suite 1, Chambersburg, PA 17201 | 2019-02-15 |
| 1518423623 | Wolter Advanced Dental Care | Durable Medical Equipment & Medical Supplies | 20 Parkwood Dr., Ste 3, Chambersburg, PA 17201 | 2019-02-13 |
| 1972059202 | Lindsey Rae Hyatt | Physician Assistant | 761 Park Fifth Avenue, Chambersburg, PA 17201 | 2016-08-28 |
| 1093176943 | Marcia Rebert | Counselor | 1212 Progress Road, Chambersburg, PA 17201 | 2016-03-18 |
| 1669833471 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 968 Norland Avenue, Chambersburg, PA 17201 | 2016-03-08 |
| 1104283324 | Meagen Louise Stouffer | Acupuncturist | 394 Floral Ave, Chambersburg, PA 17201 | 2016-01-19 |
| Find all providers in zip 17201 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194730978 | Lara L Rife | Physician Assistant | 120 N 7th St Ste 101, Chambersburg, PA 17201-1795 | 2006-07-30 |
| 1316961303 | Sarah Reed | Physician Assistant | 12 St Paul Dr Ste 208, Chambersburg, PA 17201-1035 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450087 | Mary Baich | Physician Assistant | 1050 Bower Hill Rd Ste 208, Pittsburgh, PA 15243-1868 | 2020-06-08 |
| 1972145134 | Emilie A Simone | Physician Assistant | 1050 Bower Hill Rd Ste 309, Pittsburgh, PA 15243-1870 | 2019-10-09 |
| 1518524339 | Nicholas Vernoy Smith | Physician Assistant | 510 South Aiken Avenue, Suite Eg-01 East Wing Shadyside Hospital, Pittsburgh, PA 15232-1505 | 2019-05-28 |
| 1689131757 | Amanda Furst | Physician Assistant | 9100 Babcock Blvd Ste 4828, Pittsburgh, PA 15237-5815 | 2019-02-26 |
| 1659845295 | Alexis Kimes | Physician Assistant | 200 Lothrop St Fl 4, Pittsburgh, PA 15213-2536 | 2019-01-16 |
| 1427530831 | Jordan L Ball | Physician Assistant | 30 Hope Dr # 1200, Hershey, PA 17033-2036 | 2018-08-31 |
| 1740707298 | Robyn Mcnamee | Physician Assistant | 142 Clearview Cir Ste 110, Butler, PA 16001-1565 | 2017-08-25 |
| 1831648336 | Hollie Anne Ramaley | Physician Assistant | 624 E End Ave, Pittsburgh, PA 15221-3424 | 2016-09-25 |
| 1083169890 | Ellen Cannon | Physician Assistant | 1023 Marlin Dr, West Chester, PA 19382-2360 | 2016-08-22 |
| 1295182491 | Emily Tercek | Physician Assistant | 620 Howard Ave Fl 7, Altoona, PA 16601-4804 | 2016-05-17 |
| Find all providers with the same taxonomy | ||||
| City | CHAMBERSBURG |
| Zip Code | 17201 |
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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.