LEE TERESA DIRIENZO (NPI# 1700150133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700150133 |
| Entity Type | Individual |
| Full Name | LEE TERESA DIRIENZO |
| Credential | PA-C |
| Practice Address |
4324 Glades Pike Somerset PA 15501-1143 |
| Mailing Address |
1086 Franklin St Johnstown PA 15905-4305 |
| Practice Telephone | 8144454585 |
| Practice Fax Number | 8144432642 |
| Mailing Telephone | 8144108300 |
| Mailing Fax Number | 8144108331 |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2016-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA055442 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4324 GLADES PIKE |
| City | SOMERSET |
| State | PA |
| Zip Code | 15501-1143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306840178 | John Thomas Brennan | Family Medicine | 4324 Glades Pike, Somerset, PA 15501-1143 | 2005-06-09 |
| 1134671720 | Tanya Jean Sargent | Nurse Practitioner | 4324 Glades Pike, Somerset, PA 15501 | 2016-10-29 |
| 1215385067 | Christopher Ciccarelli | Family Medicine | 4324 Glades Pike, Somerset, PA 15501-1143 | 2016-06-01 |
| 1114069820 | Conemaugh Health Initiatives | Non-Pharmacy Dispensing Site | 4324 Glades Pike, Somerset, PA 15501-1143 | 2007-02-12 |
| 1558431668 | Conemaugh Health Initiatives | Family Medicine | 4324 Glades Pike, Somerset, PA 15501-1143 | 2006-11-08 |
| 1770513509 | Conemaugh Health Initiatives | Family Medicine | 4324 Glades Pike, Somerset, PA 15501-1143 | 2006-07-04 |
| 1225029960 | Robert E Kramer | Internal Medicine | 4324 Glades Pike, Somerset, PA 15501-1143 | 2005-11-02 |
| 1134126584 | Cheryl Spangler | Nurse Practitioner | 4324 Glades Pike, Somerset, PA 15501-1143 | 2005-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083108559 | Jeffrey G. Carberry, Dmd, PC | Dentist | 203 E. Patriot St., Suite 200, Somerset, PA 15501 | 2018-06-19 |
| 1437666062 | Area Agency On Aging of Somerset County | Home Delivered Meals | 1338 South Edgewood Avenue, Somerset, PA 15501 | 2018-01-04 |
| 1982131157 | Zachary James Ankney | Family Medicine | 329 S. Pleasant Ave., Somerset, PA 15501 | 2017-05-17 |
| 1013382142 | Susan Kimmel | Counselor | Georgian Place, Suite 309, Somerset, PA 15501 | 2015-12-01 |
| 1659759850 | Mohammed Abuzar Khan | Internal Medicine | 225 S Center Avenue Somerset Hospital, Somerset, PA 15501 | 2015-05-08 |
| 1649586991 | Kathryn Relampagos Trinidad | Family Medicine | 329 S. Pleasant Avenue, Somerset, PA 15501 | 2010-08-25 |
| 1063643856 | Jacob Wayne Shipley | Anesthesiology | 126 E Church St Ste 2400, Somerset, PA 15501 | 2009-07-28 |
| 1811141823 | Orthopedic & Sports Physical Therapy Associates, Inc. | Durable Medical Equipment & Medical Supplies | 223 S. Pleasant Ave, Suite 301, Somerset, PA 15501 | 2008-11-05 |
| 1720256480 | Antoinette L Botti Od | Optometrist | 134 West Main St, Somerset, PA 15501 | 2008-02-15 |
| 1558561654 | Bedford-somerset Developmental and Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 668 Rear East Main Street, Somerset, PA 15501 | 2007-07-18 |
| Find all providers in zip 15501 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740609650 | Roxanne Playso | Physician Assistant | 1590 Walters Mill Rd, Somerset, PA 15510-0004 | 2014-04-08 |
| 1275950545 | Jenny Patel | Physician Assistant | 537 Riverside Ave, Somerset, MA 02725-2843 | 2014-03-25 |
| 1619118551 | Renal Care Consultants, PC | Physician Assistant | 211 Georgian Pl, Somerset, PA 15501-1610 | 2009-03-23 |
| 1457342438 | Robert T Picard | Physician Assistant | 104 Hardin Ln, Ste # A, Somerset, KY 42503-3800 | 2005-10-31 |
| 1295217453 | Dakota Lynn Testa | Physician Assistant | 1590 Walters Mill Rd, Somerset, PA 15510-0004 | 2018-09-04 |
| 1366957466 | Afreen Quraishi | Physician Assistant | 51 Veronica Ave, Somerset, NJ 08873-3448 | 2017-12-11 |
| 1578017141 | Paul Kemmler | Physician Assistant | 225 S Center Ave, Somerset, PA 15501-2033 | 2016-08-11 |
| 1700039427 | Elizabeth Marie Tekulve Strini | Physician Assistant | 225 S Center Ave, Somerset, PA 15501-2033 | 2008-10-25 |
| 1063660983 | Nicole Frim | Physician Assistant | 75 Veronica Ave, Suite 101, Somerset, NJ 08873-5002 | 2008-09-04 |
| 1881855153 | Angel L Jenkins | Physician Assistant | 75 Hail Knob Rd, Somerset, KY 42503-3434 | 2008-06-19 |
| Find all providers in SOMERSET | ||||
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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.