KAITLYN MARIE ECKELBERRY (NPI# 1710518279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710518279 |
| Entity Type | Individual |
| Full Name | KAITLYN MARIE ECKELBERRY |
| Credential | PA-C |
| Practice Address |
145 Hospital Ave Du Bois PA 15801-1462 |
| Mailing Address |
100 Hospital Ave Du Bois PA 15801-1440 |
| Practice Telephone | 8143756200 |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2020-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA061253 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | OSTEOPATHIC PHYSICIAN ASSISTANT | OA005168 | 01 |
| PA | MEDICAL PHYSICIAN ASSISTANT | MA061253 | 01 |
| Street Address |
145 HOSPITAL AVE |
| City | DU BOIS |
| State | PA |
| Zip Code | 15801-1462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780688366 | Michael M Hall | Family Medicine | 145 Hospital Ave, Ste 104, Du Bois, PA 15801-1463 | 2005-06-10 |
| 1912546193 | Jamie Sue Miller | Registered Nurse | 145 Hospital Ave, Du Bois, PA 15801-1462 | 2020-01-05 |
| 1780125062 | Dubois Regional Medical Center | Clinical Neuropsychologist | 145 Hospital Ave, Suite 312, Du Bois, PA 15801-1462 | 2017-03-20 |
| 1215470679 | Melissa Allio | Nurse Practitioner | 145 Hospital Ave, Suite 315, Du Bois, PA 15801-1462 | 2016-12-02 |
| 1740645480 | Michele Harris | Nurse Practitioner | 145 Hospital Ave, Suite 212, Du Bois, PA 15801-1462 | 2015-12-23 |
| 1861868143 | Dubois Regional Medical Center - Penn Highlands Dubois Medical Arts | Surgery | 145 Hospital Ave, Du Bois, PA 15801-1462 | 2015-08-20 |
| 1841675469 | Dubois Regional Medical Center - Penn Highlands Family Medicine | Internal Medicine | 145 Hospital Ave, Suite 205, Du Bois, PA 15801-1462 | 2015-07-24 |
| 1205211265 | Cierra Sechman | Physician Assistant | 145 Hospital Ave, Suite 300, Du Bois, PA 15801-1462 | 2015-07-20 |
| 1912303223 | University Orthopedics Center, Ltd | Durable Medical Equipment & Medical Supplies | 145 Hospital Ave, Suite 311, Du Bois, PA 15801-1462 | 2014-11-13 |
| 1548664881 | Melissa Wingard Miller | Nurse Practitioner | 145 Hospital Ave, Medical Arts Building, Suite 101, Du Bois, PA 15801-1462 | 2014-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215551452 | Grace Polohonki | Counselor | 490 Jefers Street, Dubois, PA 15801 | 2020-06-03 |
| 1144869231 | Richard Lee Kerstetter II | Hearing Instrument Specialist | 124 San Juan Rd, Du Bois, PA 15801 | 2020-01-06 |
| 1700368487 | Holly Noel Knoll | Counselor | 490 Jeffers Street, Dubois, PA 15801 | 2018-08-30 |
| 1992298160 | Dubois Regional Medical Center | Family Medicine | 145 Hospital Ave Ste 315, Du Bois, PA 15801 | 2018-06-12 |
| 1154814846 | Sara Beth Stone | Dietitian, Registered | 16288 Treasure Lk, Du Bois, PA 15801 | 2018-06-07 |
| 1942790779 | Wendi Dawn Wenzel | Counselor | 490 Jeffers St., Dubois, PA 15801 | 2018-05-17 |
| 1144748443 | Nancy Foradora | Massage Therapist | 200 Narrows Creek Park Road, Dubois, PA 15801 | 2017-09-07 |
| 1679098891 | Deborah Jean Mitchell | Hearing Instrument Specialist | 900 Beaver Drive, Dubois, PA 15801 | 2017-08-09 |
| 1861937757 | Shaun M Kanouff | Counselor | 100 Caldwell Dr., Dubois, PA 15801 | 2016-12-30 |
| 1164897740 | Drayer Physical Therapy Institute LLC | Physical Therapist | 873 Beaver Drive, Dubois, PA 15801 | 2015-12-08 |
| Find all providers in zip 15801 | ||||
| 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 |
|---|---|---|---|---|
| 1194107045 | Amy M Powell | Physician Assistant | 135 Midway Dr, Du Bois, PA 15801-3857 | 2015-06-26 |
| 1760786834 | Dubois Regional Medical Group, PC | Physician Assistant | 135 Midway Drive, Suite B, Du Bois, PA 15801-3857 | 2011-01-05 |
| 1457580193 | Ashley M Kentoski | Physician Assistant | 90 Beaver Dr Ste 215d, Du Bois, PA 15801-2442 | 2009-07-02 |
| 1922607431 | Holly Marie Bianchino | Physician Assistant | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-10-26 |
| 1700483104 | Joshua Logan Gates | Physician Assistant | 145 Hospital Ave Ste 311, Du Bois, PA 15801-1465 | 2020-10-08 |
| 1932710704 | Kylee Breanne Leckey | Physician Assistant | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-08-13 |
| 1255955209 | Jessica Lynn Neill | Physician Assistant | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-06-05 |
| 1235759796 | Madalyn Hoke | Physician Assistant | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-04-24 |
| 1134777584 | Luke Michael Haskins | Physician Assistant | 535 Sunflower Dr, Du Bois, PA 15801-2350 | 2019-08-29 |
| 1851945554 | Shelbie Wood | Physician Assistant | 535 Sunflower Dr, Du Bois, PA 15801-2350 | 2019-07-31 |
| Find all providers in DU BOIS | ||||
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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.