JODI RAE REGULSKI (NPI# 1710975768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710975768 |
| Entity Type | Individual |
| Full Name | JODI RAE REGULSKI |
| Credential | P.A.-C |
| Practice Address |
90 E 2nd St Emporium PA 15834-1302 |
| Mailing Address |
100 Hospital Ave Du Bois PA 15801-1440 |
| Practice Telephone | 8144861115 |
| Mailing Telephone | 8143756560 |
| Mailing Fax Number | 8143722848 |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2020-10-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA001743L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
90 E 2ND ST |
| City | EMPORIUM |
| State | PA |
| Zip Code | 15834-1302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174173595 | Renee Mostyn | Dental Hygienist | 90 E 2nd St, Emporium, PA 15834-1302 | 2019-09-17 |
| 1285150227 | Savanah Marie Krivonyak | Dental Hygienist | 90 E 2nd St, Emporium, PA 15834-1302 | 2017-08-22 |
| 1215451927 | Kane Dental Center | Dentist | 90 E 2nd St, Emporium, PA 15834-1302 | 2017-08-03 |
| 1801338462 | Bryton Dybowski | Physician Assistant | 90 E 2nd St, Emporium, PA 15834-1302 | 2016-11-14 |
| 1902259419 | Tyler Vonberge | Dentist | 90 E 2nd St, Emporium, PA 15834-1302 | 2016-07-20 |
| 1659638393 | Youna Han | Dentist | 90 E 2nd St, Emporium, PA 15834-1302 | 2012-04-19 |
| 1962773606 | Lauren Yetzer Shaver | Physician Assistant | 90 E 2nd St, Emporium, PA 15834-1302 | 2012-01-25 |
| 1285849919 | Victor Lahnovych | Family Medicine | 90 E 2nd St, Emporium, PA 15834-1302 | 2007-05-14 |
| 1194805275 | Cameron County Dental Center | Clinic/Center | 90 E 2nd St, Emporium, PA 15834-1302 | 2006-10-16 |
| 1861580045 | Patricia A Rupert | Social Worker | 90 E 2nd St, Emporium, PA 15834-1302 | 2006-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396940771 | Donna Mckimm | Registered Nurse | 3225 Rich Valley Rd, Emporium, PA 15834 | 2007-06-18 |
| 1346207925 | A Blair Lundberg | Pharmacist | 34 East 4th St, Emporium, PA 15834 | 2006-04-27 |
| 1225487895 | Robin Hammersley | Nurse Practitioner | 416 N Broad St, Emporium, PA 15834 | 2016-06-06 |
| 1740334549 | Joel & June Caldwell Inc | Durable Medical Equipment & Medical Supplies | 105 4th St, Emporium, PA 15834 | 2007-01-22 |
| 1518167584 | Charles A. Blumle D.d.s., P.C. | Dentist | 404 N Maple St, Emporium, PA 15834-1225 | 2007-07-18 |
| 1669634572 | Charles A Blumle | Dentist | 404 N Maple St, Emporium, PA 15834-1225 | 2008-07-01 |
| 1659484285 | Cameron County Ambulance Service Inc. | Ambulance | 299 East 2nd Street, Emporium, PA 15834-1339 | 2006-08-17 |
| 1801853064 | William F Wittman | Nurse Practitioner | 416 N Broad St, Emporium, PA 15834-1402 | 2006-04-28 |
| 1245858109 | Elk Regional Health Center | Family Medicine | 416 N Broad St, Emporium, PA 15834-1402 | 2020-07-08 |
| 1386008720 | Dubois Regional Medical Center | Family Medicine | 416 N Broad St, Emporium, PA 15834-1402 | 2016-04-12 |
| Find all providers in zip 15834 | ||||
| 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 |
|---|---|---|---|---|
| 1801338462 | Bryton Dybowski | Physician Assistant | 90 E 2nd St, Emporium, PA 15834-1302 | 2016-11-14 |
| 1972988780 | Dubois Regional Med Ctr - Penn Highlands Q-care/family Med Emporium | Physician Assistant | 416 N Broad St, Emporium, PA 15834-1402 | 2015-07-22 |
| 1093190902 | Dubois Regional Medical Center - Penn Highlands Family Med Emporium | Physician Assistant | 275 E 4th St, Emporium, PA 15834-1411 | 2015-07-22 |
| 1962773606 | Lauren Yetzer Shaver | Physician Assistant | 90 E 2nd St, Emporium, PA 15834-1302 | 2012-01-25 |
| 1083991814 | Mary C Schimp | Physician Assistant | 416 N Broad St, Emporium, PA 15834-1402 | 2011-11-08 |
| 1720128143 | Kathy Fragale | Physician Assistant | 288 Sizerville Rd, Emporium, PA 15834-3944 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316762 | Alyssa Ann Mikes | Physician Assistant | 6 New Countryside Dr, West Chester, PA 19382-6456 | 2020-11-08 |
| 1720689011 | Marissa Dawn Lamary | Physician Assistant | 1500 Fifth Ave Bldg Leveld, Mckeesport, PA 15132-2422 | 2020-11-04 |
| 1013517796 | Kifany M Gower | Physician Assistant | 1158 Wyoming Ave, Exeter, PA 18643-1815 | 2020-10-30 |
| 1922608645 | Meghan Michelle Allen | Physician Assistant | 4800 Friendship Ave Ste 439, Pittsburgh, PA 15224-1722 | 2020-10-30 |
| 1912507807 | Rachel Nye | Physician Assistant | 124 Home Depot Dr Ste D, Franklin, PA 16323-8030 | 2020-10-29 |
| 1487254306 | Zane T Mcguire | Physician Assistant | 378 W Chestnut St Ste 103, Washington, PA 15301-4661 | 2020-10-29 |
| 1740889443 | Tricia Harenza | Physician Assistant | 27 Sandy Ln Ste 250, Lewistown, PA 17044-1372 | 2020-10-22 |
| 1336748425 | Alexis Marie Ivosevic | Physician Assistant | 98 Deer Park Ln, Hawley, PA 18428-8223 | 2020-10-20 |
| 1780283986 | Margaret Ann Malloy | Physician Assistant | 3223 N Broad St Fl 1, Philadelphia, PA 19140-5007 | 2020-10-20 |
| 1851990170 | Jessica Marie Giordano | Physician Assistant | 201 Penn Valley Ter, Yardley, PA 19067-1028 | 2020-10-19 |
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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.