AUTUMN REJOICE BRIDGER (NPI# 1609003656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609003656 |
| Entity Type | Individual |
| Full Name | AUTUMN REJOICE BRIDGER |
| Other Name | AUTUMN REJOICE HUBBARD |
| Credential | D.O. |
| Practice Address |
505 Poplar St 209 Meadville PA 16335-3057 |
| Mailing Address |
1034 Grove St Meadville PA 16335-2945 |
| Practice Telephone | 8143732156 |
| Practice Fax Number | 8143732159 |
| Mailing Telephone | 8143732156 |
| Mailing Fax Number | 8143732159 |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2016-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | OS016885 | PA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 102944294 | 05 |
| Street Address |
505 POPLAR ST 209 |
| City | MEADVILLE |
| State | PA |
| Zip Code | 16335-3057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376546705 | Peter R. Pless | Dermatology | 505 Poplar St, Meadville, PA 16335-3057 | 2005-05-31 |
| 1447752431 | Melanie Shaffer | Audiologist | 505 Poplar St, Meadville, PA 16335-3057 | 2018-03-06 |
| 1487021630 | Peter F White | Audiologist-Hearing Aid Fitter | 505 Poplar St, Meadville, PA 16335-3057 | 2015-08-24 |
| 1922294693 | Jason C. Fowler | Physician Assistant | 505 Poplar St, Meadville, PA 16335-3057 | 2007-09-17 |
| 1730392697 | Mandeep Singh | Urology | 505 Poplar St, Suite 209, Meadville, PA 16335-3057 | 2007-05-08 |
| 1730223801 | Peter F White | Otolaryngology | 505 Poplar St, Meadville, PA 16335-3057 | 2007-02-20 |
| 1033259536 | Paul E Peirsel | Family Medicine | 505 Poplar St, Meadville, PA 16335-3057 | 2007-02-07 |
| 1093851131 | Primary Care Services of Crawford County | Urology | 505 Poplar St, Suite 209, Meadville, PA 16335-3057 | 2007-01-29 |
| 1093766156 | Luis L Gomez | Family Medicine | 505 Poplar St, Meadville, PA 16335-3057 | 2006-05-13 |
| 1568438356 | John Alexander Hlaudy | Dentist | 505 Poplar St, Meadville, PA 16335-3057 | 2006-02-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811533508 | Stacey Lynette Lantz | Physical Therapy Assistant | 11277 Vernon Place Road, Meadville, PA 16335 | 2019-11-18 |
| 1952874794 | Amy Lynn Weaver | Social Worker | Parkside Psychological Associates, 435 Chestnut Street, Meadville, PA 16335 | 2019-01-04 |
| 1013437789 | Raymond Walter Keller Jr. | Family Medicine | 735 Liberty St, Meadville, PA 16335 | 2017-06-23 |
| 1750735742 | Nicole Fies | Counselor | 201 Chestnut Street, Floor 2, Meadville, PA 16335 | 2016-04-16 |
| 1760894422 | Amie S Coffman | Psychiatry & Neurology | 765 Liberty St Ste 303, Meadville, PA 16335 | 2014-05-28 |
| 1649609710 | Gina Marie Michalak | Pharmacist | 379 North Street, Meadville, PA 16335 | 2013-11-08 |
| 1518396704 | Cassandra Lynn Ketler | Physician Assistant | 847 North Main Street, Meadville, PA 16335 | 2013-11-07 |
| 1194159913 | Judy Mcelwain | Speech-Language Pathologist | 31 N Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1649604463 | Jonelle Elizabeth Taylor | Occupational Therapist | 31 North Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1699046961 | James Richard Mclamb | Orthopaedic Surgery | 6060 Ehrgott Rd, Meadville, PA 16335 | 2012-01-19 |
| Find all providers in zip 16335 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255691572 | Meadville Physician Services | Urology | 765 Liberty St Ste 207, Meadville, PA 16335-2568 | 2012-05-21 |
| 1841782869 | Meadville Medical Center | Urology | 765 Liberty St Ste 207a, Meadville, PA 16335 | 2018-06-05 |
| 1013177179 | Danilo L Guanzon M D Inc | Urology | 764 Kennedy St, Meadville, PA 16335-2209 | 2008-06-12 |
| 1730392697 | Mandeep Singh | Urology | 505 Poplar St, Suite 209, Meadville, PA 16335-3057 | 2007-05-08 |
| 1093851131 | Primary Care Services of Crawford County | Urology | 505 Poplar St, Suite 209, Meadville, PA 16335-3057 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230468 | St Clair Medical Services, Inc. | Urology | 2000 Oxford Dr Ste 410, Bethel Park, PA 15102-1841 | 2020-09-22 |
| 1326673690 | Glade Run Medical Associates, Inc. | Urology | 500 Medical Arts Bldg Ste 520, Kittanning, PA 16201-7137 | 2020-03-07 |
| 1235779943 | Stacey Oberhauser | Urology | Center for Urologic Care of Berks County, 1320 Broadcasting Road, Suite 200, Wyomissing, PA 19610 | 2020-01-10 |
| 1558859645 | East Freedom Surgical Associates, LLC | Urology | 15721 Dunnings Hwy, Duncansville, PA 16635 | 2018-04-25 |
| 1528560943 | Lancaster Urology PC | Urology | 175 Martin Ave Ste 300, Ephrata, PA 17522-1761 | 2018-03-01 |
| 1841706561 | Urology of Central Pennsylvania, Inc | Urology | 815 Sir Thomas Ct Ste 100, Harrisburg, PA 17109-4839 | 2017-12-18 |
| 1003326869 | St Luke's Physician Group Inc | Urology | 5325 Northgate Dr Ste 203, Bethlehem, PA 18017-9413 | 2017-10-06 |
| 1952829350 | Centers for Advanced Urology, LLC | Urology | 140 W Germantown Pike Ste 250, Plymouth Meeting, PA 19462-1421 | 2017-09-06 |
| 1346767944 | Nazareth Physician Services | Urology | 2701 Holme Ave Ste 101, Phila, PA 19152-2029 | 2017-08-24 |
| 1710403191 | Mercy Management of Sepa | Urology | 501 S 54th St Ste 227, Phila, PA 19143-1900 | 2017-08-17 |
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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.