MEREDITH CLABURN (NPI# 1720235179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720235179 |
| Entity Type | Individual |
| Full Name | MEREDITH CLABURN |
| Credential | PA-C |
| Practice Address |
18201 Conneaut Lake Rd Meadville PA 16335 |
| Mailing Address |
1034 Grove St Meadville PA 16335-2945 |
| Practice Telephone | 8143335061 |
| Practice Fax Number | 8143335067 |
| Mailing Telephone | 8143335061 |
| Mailing Fax Number | 8143335067 |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2020-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA059842 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 406 W Oak St, Titusville, PA 163541499 | 8143335061 | 8143335067 |
| 421 Graham Rd Ste D, Cuyahoga Falls, OH 442211344 | 3306887778 | |
| 461 Pine St, Meadville, PA 163352974 | 8143732204 | 8143732205 |
| 605 N Cleveland Massillon Rd Ste A, Akron, OH 443332200 | 3306686545 | 3306682726 |
| 640 Alden St, Meadville, PA 163352348 | 8143735266 | 8143735269 |
| 747 Terrace St, Meadville, PA 163351737 | 8143733374 | 8143337071 |
| 75 Arch St Ste 401, Akron, OH 443041433 | 3305352689 |
| Street Address |
18201 CONNEAUT LAKE RD |
| City | MEADVILLE |
| State | PA |
| Zip Code | 16335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619955291 | Brian J. Karlovits | Radiology | 18201 Conneaut Lake Rd, Meadville, PA 16335-3757 | 2006-01-04 |
| 1356703193 | Philip Talarico | Psychiatry & Neurology | 18201 Conneaut Lake Rd, Meadville, PA 16335-3757 | 2016-03-22 |
| 1225495997 | Hope M. Thomas | Social Worker | 18201 Conneaut Lake Rd, Meadville, PA 16335-3757 | 2016-01-26 |
| 1972991917 | Alice Blumenstein | Counselor | 18201 Conneaut Lake Rd, Meadville, PA 16335-3757 | 2014-12-29 |
| 1235540188 | Kathryn Wisniewski | Counselor | 18201 Conneaut Lake Rd, Meadville, PA 16335-3757 | 2014-05-14 |
| 1336493477 | Kelly Kae Bidwell | Social Worker | 18201 Conneaut Lake Rd, Meadville, PA 16335-3757 | 2012-10-27 |
| 1497008270 | Kelly Joanna Diley | Social Worker | 18201 Conneaut Lake Rd, Meadville, PA 16335-3757 | 2012-10-18 |
| 1730436601 | Jaquelyn S Kondrot | Counselor | 18201 Conneaut Lake Rd, Meadville, PA 16335 | 2012-08-10 |
| 1932483732 | Evan S. Tucker | Counselor | 18201 Conneaut Lake Rd, Meadville, PA 16335-3757 | 2011-09-29 |
| 1912214750 | Danelle Marie Carrillo Bennett | Counselor | 18201 Conneaut Lake Rd, Meadville, PA 16335-3757 | 2010-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811533508 | Stacey Lynette Lantz | Physical Therapy Assistant | 11277 Vernon Place Road, Meadville, PA 16335 | 2019-11-18 |
| 1952874794 | Amy Lynn Weaver | Social Worker | Parkside Psychological Associates, 435 Chestnut Street, Meadville, PA 16335 | 2019-01-04 |
| 1013437789 | Raymond Walter Keller Jr. | Family Medicine | 735 Liberty St, Meadville, PA 16335 | 2017-06-23 |
| 1750735742 | Nicole Fies | Counselor | 201 Chestnut Street, Floor 2, Meadville, PA 16335 | 2016-04-16 |
| 1760894422 | Amie S Coffman | Psychiatry & Neurology | 765 Liberty St Ste 303, Meadville, PA 16335 | 2014-05-28 |
| 1649609710 | Gina Marie Michalak | Pharmacist | 379 North Street, Meadville, PA 16335 | 2013-11-08 |
| 1518396704 | Cassandra Lynn Ketler | Physician Assistant | 847 North Main Street, Meadville, PA 16335 | 2013-11-07 |
| 1194159913 | Judy Mcelwain | Speech-Language Pathologist | 31 N Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1649604463 | Jonelle Elizabeth Taylor | Occupational Therapist | 31 North Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1699046961 | James Richard Mclamb | Orthopaedic Surgery | 6060 Ehrgott Rd, Meadville, PA 16335 | 2012-01-19 |
| Find all providers in zip 16335 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154874808 | Kelsey M Snyder | Physician Assistant | 765 Liberty St Ste 207a, Meadville, PA 16335-2568 | 2016-07-29 |
| 1629557111 | Cassidi Ann Udy I | Physician Assistant | 765 Liberty St Ste 105, Meadville, PA 16335-2567 | 2018-08-07 |
| 1861985657 | Robert Lee Black IIi | Physician Assistant | 640 Alden St, Meadville, PA 16335-2348 | 2018-06-07 |
| 1497264964 | Shannon Marie Queiser | Physician Assistant | 751 Liberty St, Meadville, PA 16335-2559 | 2017-09-27 |
| 1942719711 | Nichole B Witchey | Physician Assistant | 640 Alden St, Meadville, PA 16335-2348 | 2017-09-25 |
| 1851800627 | Dexter Jordan Witchey | Physician Assistant | 751 Liberty St, Meadville, PA 16335-2559 | 2017-09-25 |
| 1275913907 | Anna E Jeffries | Physician Assistant | 640 Alden St, Meadville, PA 16335-2348 | 2015-06-08 |
| 1063817039 | Kaleigh Nicole Simcoe | Physician Assistant | 1015 Grove St, Meadville, PA 16335-2905 | 2014-11-03 |
| 1336557891 | Karen A Roche | Physician Assistant | 765 Liberty St Ste 105, Meadville, PA 16335-2567 | 2014-07-29 |
| 1811243470 | Alicia Jean Campbell | Physician Assistant | 105 Mead Ave, Suite C, Meadville, PA 16335-3531 | 2012-07-31 |
| Find all providers in MEADVILLE | ||||
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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.