MR. JOSHUA K ENEVOLDSON (NPI# 1669734455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669734455 |
| Entity Type | Individual |
| Full Name | MR. JOSHUA K ENEVOLDSON |
| Credential | PA-C |
| Practice Address |
431 N 21st St Camp Hill PA 17011 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-4903 |
| Practice Telephone | 7177633730 |
| Practice Fax Number | 7177633734 |
| Mailing Telephone | 5702716144 |
| Mailing Fax Number | 5702716578 |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2020-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA060552 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 5149 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 707901 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 431 N 21st St, Camp Hill, PA 17011 | 7177633730 | 7177633734 |
| Street Address |
431 N 21ST ST |
| City | CAMP HILL |
| State | PA |
| Zip Code | 17011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013992478 | Teresa A Williams | Nurse Practitioner | 431 N 21st St, Camp Hill, PA 17011-2202 | 2005-12-08 |
| 1902459951 | Jennie Elizabeth Martini | Nurse Practitioner | 431 N 21st St, Camp Hill, PA 17011-2202 | 2019-07-18 |
| 1366994709 | Renee Mcclain | Nurse Practitioner | 431 N 21st St, Camp Hill, PA 17011-2202 | 2016-11-02 |
| 1699104331 | Kimberly Renea Artley | Registered Nurse | 431 N 21st St, Camp Hill, PA 17011-2202 | 2013-11-04 |
| 1659626224 | Spirit Physician Services, Inc. | Family Medicine | 431 N 21st St, Camp Hill, PA 17011-2202 | 2012-07-19 |
| 1497037329 | Salina Bari | Family Medicine | 431 N 21st St, Camp Hill, PA 17011-2202 | 2011-09-16 |
| 1750552931 | Olubusayo Aifesehi | Nurse Practitioner | 431 N 21st St, Camp Hill, PA 17011-2202 | 2008-03-17 |
| 1528115730 | Daniel Gary Megivern | Family Medicine | 431 N 21st St, Camp Hill, PA 17011-2202 | 2007-01-03 |
| 1639198559 | Andrew R Walker | Internal Medicine | 431 N 21st St, Camp Hill, PA 17011-2202 | 2006-07-19 |
| 1467480608 | Johnson Graham Coyle | Emergency Medicine | 431 N 21st St, Camp Hill, PA 17011-2202 | 2006-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790241628 | Harrisburg Home Care | Home Health | 1713 Hammel Road, R2, Harrisburg, PA 17011 | 2019-02-15 |
| 1427540269 | Eldercare Solutions LLC | Adult Companion | 1926 Market Street, Camp Hill, PA 17011 | 2018-06-06 |
| 1538680244 | Edward Joseph Hilton | Dentist | 3412 Trindle Road, Camp Hill, PA 17011 | 2017-07-03 |
| 1639609696 | Alicia Taylor Brustein | Physician Assistant | 425 North 21st Street, Suite 405, Camp Hill, PA 17011 | 2017-06-13 |
| 1285166843 | Betsy Earnest, Lpc, LLC | Counselor | 1509 Cedar Cliff Drive, Suite 4, Camp Hill, PA 17011 | 2017-03-31 |
| 1962852368 | Angela Antonia Debo | Family Medicine | 3025 Market Street, Entrance B, Camp Hill, PA 17011 | 2016-06-16 |
| 1033567839 | Timothy Zack Day | Physician Assistant | 897 Poplar Rd, Camp Hill, PA 17011 | 2016-06-02 |
| 1962864892 | Tracy Byra | Registered Nurse | 15 Scarsdale Drive, Camp Hill, PA 17011 | 2016-03-21 |
| 1245634138 | Charlotte Diane Hain | Psychologist | 781 Poplar Church Road, Camp Hill, PA 17011 | 2014-10-21 |
| 1205276805 | Isaac S Chiang | Optometrist | South 32nd Street & Trindle Rd, Camp Hill, PA 17011 | 2013-06-27 |
| Find all providers in zip 17011 | ||||
| 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 |
|---|---|---|---|---|
| 1821555251 | Alexander James Taylor | Physician Assistant | 890 Poplar Church Rd Ste 210, Camp Hill, PA 17011-2250 | 2019-02-21 |
| 1639609696 | Alicia Taylor Brustein | Physician Assistant | 425 North 21st Street, Suite 405, Camp Hill, PA 17011 | 2017-06-13 |
| 1033567839 | Timothy Zack Day | Physician Assistant | 897 Poplar Rd, Camp Hill, PA 17011 | 2016-06-02 |
| 1104874114 | Leroy Karl Rung | Physician Assistant | 423 North 21st St., Ste. 300, Camp Hill, PA 17011 | 2006-05-04 |
| 1952900896 | Bridget Bowman | Physician Assistant | 3399 Trindle Rd, Camp Hill, PA 17011-4407 | 2020-10-21 |
| 1649894932 | Arne Sunyavivat Kotte | Physician Assistant | 503 N 21st St, Camp Hill, PA 17011-2288 | 2020-06-02 |
| 1538792031 | Brooke R Thompson | Physician Assistant | 3399 Trindle Rd, Camp Hill, PA 17011-4407 | 2020-02-13 |
| 1598301087 | Giovanni V Brancaleone | Physician Assistant | 503 N 21st St, Camp Hill, PA 17011-2204 | 2019-11-20 |
| 1417592932 | Valerie Lynn Kubalak | Physician Assistant | 503 N 21st St, Camp Hill, PA 17011-2204 | 2019-11-07 |
| 1952943334 | Candice Marie Bobolsky | Physician Assistant | 423 N 21st St Ste 100, Camp Hill, PA 17011-2207 | 2019-10-17 |
| Find all providers in CAMP HILL | ||||
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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.