ERICA LONGSTREET (NPI# 1588036743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588036743 |
| Entity Type | Individual |
| Full Name | ERICA LONGSTREET |
| Practice Address |
1100 Meade St Dunmore PA 18512-3169 |
| Practice Telephone | 5703423675 |
| Practice Fax Number | 5703423316 |
| Mailing Telephone | 5703423675 |
| Mailing Fax Number | 5703423316 |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2015-10-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA057976 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730693961 | Erica Longstreet | Social Worker | 527 Cobb St, Cadillac, MI 49601-2540 | 2017-11-27 |
| Street Address |
1100 MEADE ST |
| City | DUNMORE |
| State | PA |
| Zip Code | 18512-3169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841286309 | Salvatore J Scialla | Internal Medicine | 1100 Meade St, Dunmore, PA 18512-3169 | 2005-09-21 |
| 1477003341 | Hematology and Oncology Associates of Nepa | Physician Assistant | 1100 Meade St, Dunmore, PA 18512-3169 | 2016-10-04 |
| 1679028013 | Annie Kavulich | Physician Assistant | 1100 Meade St, Dunmore, PA 18512-3169 | 2016-08-15 |
| 1710227137 | Jacqueline Kobal | Nurse Practitioner | 1100 Meade St, Dunmore, PA 18512-3169 | 2013-02-21 |
| 1275824781 | Kishori Veerabhadrappa | Internal Medicine | 1100 Meade St, Dunmore, PA 18512-3169 | 2011-05-02 |
| 1528212404 | Hematology & Oncology Associates of Northeastern Pa, PC | Clinical Medical Laboratory | 1100 Meade St, Dunmore, PA 18512-3169 | 2008-11-05 |
| 1790949576 | Padmaja Reddy Bojanapally | Internal Medicine | 1100 Meade St, Dunmore, PA 18512-3169 | 2008-07-11 |
| 1104027770 | Heather Walters | Physician Assistant | 1100 Meade St, Dunmore, PA 18512-3169 | 2007-05-30 |
| 1144421736 | Michelle Gazzillo | Physician Assistant | 1100 Meade St, Dunmore, PA 18512-3169 | 2007-05-30 |
| 1689712259 | Matthew Joseph Maida | Physician Assistant | 1100 Meade St, Dunmore, PA 18512-3169 | 2007-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730715822 | Suzette Jones | Nurse Practitioner | Mid-state Occupational Health Services, Inc., 1000 Meade Street, Dunmore, PA 18512 | 2020-03-20 |
| 1588175814 | Young Men's Christian Association of Greater Scranton | Health Educator | 706 North Blakely Street, Dunmore, PA 18512 | 2017-10-13 |
| 1033633763 | Kaitlyn Elizabeth Sledzinski | Occupational Therapist | 1000 Mill St., Dunmore, PA 18512 | 2017-08-03 |
| 1417366170 | Kristen Marie Miller | Social Worker | 502 North Blakely Street, Dunmore, PA 18512 | 2014-08-07 |
| 1689923799 | John Charles White | Social Worker | 502 Blakely St., Dunmore, PA 18512 | 2012-09-05 |
| 1043465594 | Anthony Harry Funaro | Radiology | 201 S. Blakely Street, Pmb - 197, Dunmore, PA 18512 | 2008-11-25 |
| 1932387602 | Maureen Judith Rebar | Social Worker | 32 Emerald Dr, Throop, PA 18512 | 2008-02-05 |
| 1316006398 | Frank Richard Padula | Dentist | 320 W Drinker St, Dunmore, PA 18512 | 2006-12-06 |
| 1366516163 | Peter W Shorten | Chiropractor | 115 W Drinker St, Dunmore, PA 18512 | 2006-11-20 |
| 1164592853 | Patricia Sweeney | Nurse Practitioner | 1208 O'neil Highway, Dunmore, PA 18512 | 2006-11-09 |
| Find all providers in zip 18512 | ||||
| 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 |
|---|---|---|---|---|
| 1063554525 | Charles E Lubash | Physician Assistant | 1100 Meade Street, Dunmore, PA 18512-3169 | 2007-02-13 |
| 1477003341 | Hematology and Oncology Associates of Nepa | Physician Assistant | 1100 Meade St, Dunmore, PA 18512-3169 | 2016-10-04 |
| 1679028013 | Annie Kavulich | Physician Assistant | 1100 Meade St, Dunmore, PA 18512-3169 | 2016-08-15 |
| 1760715304 | Sheldon Jason Ferrette | Physician Assistant | 1416 Monroe Ave, Suite 303, Dunmore, PA 18509-2477 | 2009-09-15 |
| 1861635336 | Heather E Okun Demuth | Physician Assistant | 1208 Oneill Hwy, Dunmore, PA 18512-1709 | 2009-04-14 |
| 1104027770 | Heather Walters | Physician Assistant | 1100 Meade St, Dunmore, PA 18512-3169 | 2007-05-30 |
| 1144421736 | Michelle Gazzillo | Physician Assistant | 1100 Meade St, Dunmore, PA 18512-3169 | 2007-05-30 |
| 1689712259 | Matthew Joseph Maida | Physician Assistant | 1100 Meade St, Dunmore, PA 18512-3169 | 2007-02-03 |
| 1255443933 | Ellen L Shiffer | Physician Assistant | 1208 Oneill Hwy, Dunmore, PA 18512-1709 | 2006-08-31 |
| 1699798181 | Jennifer Edna Pierce | Physician Assistant | 1100 Meade St, Dunmore, PA 18512-3169 | 2006-07-25 |
| Find all providers in DUNMORE | ||||
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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.