HERMITAGE ORTHOPEDICS AND SPORTS MEDICINE, P.C. (NPI# 1679522478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679522478 |
| Entity Type | Organization |
| Organization Name | HERMITAGE ORTHOPEDICS AND SPORTS MEDICINE, P.C. |
| Practice Address |
1005 Campus Cir Hermitage PA 16148-7901 |
| Practice Telephone | 7243462677 |
| Practice Fax Number | 7243462825 |
| Mailing Telephone | 7243462677 |
| Mailing Fax Number | 7243462825 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2012-12-05 |
| Authorized Official Name | DAVID A TONNIES (PRESIDENT) |
| Authorized Official Telephone | 7243462677 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1014698630001 | 05 |
| Street Address |
1005 CAMPUS CIR |
| City | HERMITAGE |
| State | PA |
| Zip Code | 16148-7901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003810961 | Michael Damian Marshall | Physician Assistant | 1005 Campus Cir, Hermitage, PA 16148-7901 | 2005-06-09 |
| 1427575521 | Susan Kathleen Miller | Physical Therapist | 1005 Campus Cir, Hermitage, PA 16148-7901 | 2017-08-29 |
| 1497083455 | Dustin D Henegan | Physician Assistant | 1005 Campus Cir, Hermitage, PA 16148-7901 | 2009-12-02 |
| 1316136526 | Gizelle A Dean | Physical Therapist | 1005 Campus Cir, Hermitage, PA 16148-7901 | 2007-10-24 |
| 1952597502 | Mary P Honard | Physician Assistant | 1005 Campus Cir, Hermitage, PA 16148-7901 | 2007-09-18 |
| 1326006669 | Julie K Burrelli | Physical Therapist | 1005 Campus Cir, Hermitage, PA 16148-7901 | 2006-05-03 |
| 1679542906 | Dennis C Javens | Physical Therapist | 1005 Campus Cir, Hermitage, PA 16148-7901 | 2006-03-17 |
| 1275534372 | Jennifer Renee Fertig | Physical Therapist | 1005 Campus Cir, Hermitage, PA 16148-7901 | 2005-08-10 |
| 1083618946 | David Alan Tonnies | Orthopaedic Surgery | 1005 Campus Cir, Hermitage, PA 16148-7901 | 2005-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571165 | Cassandra L Holder | Physical Therapist | 1559 N. Hermitage Rd, Hermitage, PA 16148 | 2020-09-01 |
| 1750927190 | Hermitage Endoscopy Center Inc | Clinic/Center | 949 N Hermitage Road, Hermitage, PA 16148 | 2019-11-20 |
| 1336791318 | Catlyn Marie Joseph | Pharmacist | 1851 East State St, Rite Aid Store #10995, Hermitage, PA 16148 | 2019-07-10 |
| 1386203107 | Kaitlyn Mostard-smith | Physical Therapist | 1599 N. Hermitage Rd., Hermitage, PA 16148 | 2019-06-06 |
| 1770001513 | Lee Ann Hougelman | Licensed Practical Nurse | 5454 E. State St., Hermitage, PA 16148 | 2017-08-31 |
| 1194245001 | Samantha C Kilar | Audiologist | 1623 Dutch Lane, Hermitage, PA 16148 | 2017-06-21 |
| 1538419197 | Sharon Lynn Taylor | Physician Assistant | 480 N Kerrwood Dr Ste 103, Hermitage, PA 16148 | 2012-09-11 |
| 1912289638 | Amanda Jo Kline | Physical Therapy Assistant | 260 S Buhl Farm Drive, Whispering Oaks Suite 326, Hermitage, PA 16148 | 2011-09-20 |
| 1447548573 | Robert Joseph Jackson | Licensed Practical Nurse | 5454 East State St, Hermitage, PA 16148 | 2011-07-11 |
| 1386974673 | Susan Dawn Mehallick | Specialist/Technologist | 1005 Campus Circle, Hermitage, PA 16148 | 2010-01-08 |
| Find all providers in zip 16148 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003940768 | Erin Ruth Wojtanoski | Specialist | 1020 Carroll Ln, Hermitage, PA 16148-2464 | 2007-03-15 |
| 1730224320 | Maurice C. Barnes, M.d. | Specialist | 5651 Frist Blvd Ste 610, Hermitage, TN 37076-2060 | 2007-02-21 |
| 1104832450 | Aaron M Esbenshade Jr. | Specialist | 3810 Central Pike, Suite 202, Hermitage, TN 37076-3494 | 2006-07-31 |
| 1073567764 | Ronnie J Mignella | Specialist | 2999 Presidential Blvd, Hermitage, PA 16148-3689 | 2006-05-19 |
| 1568426120 | Diana Cantellops | Specialist | 480. N. Kerrwood Dr., Suite 103, Hermitage, PA 16121 | 2006-04-12 |
| 1821083973 | William Travis Cain | Specialist | 5045 Old Hickory Blvd, Suite 201, Hermitage, TN 37076-2582 | 2005-09-14 |
| 1336141969 | Momentum Therapeutics | Specialist | 2500 Highland Rd, Suite 101, Hermitage, PA 16148-4601 | 2005-08-12 |
| 1043217854 | George W. James | Specialist | 5653 First Blvd, Suite 530, Hermitage, TN 37076 | 2005-07-07 |
| 1083876338 | Allergy Associates Pa | Specialist | 5045 Old Hickory Blvd, Suite 201, Hermitage, TN 37076-2582 | 2008-06-27 |
| 1720246812 | Chauvin Internal Medicine | Specialist | 5653 Frist Blvd, Suite 739, Hermitage, TN 37076-2062 | 2008-05-27 |
| Find all providers in HERMITAGE | ||||
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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.