DR. CAROLYN DIANE MCILREE (NPI# 1720374150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720374150 |
| Entity Type | Individual |
| Full Name | DR. CAROLYN DIANE MCILREE |
| Credential | MD, MPH |
| Practice Address |
Pennsylvania Adult & Teen Challenge 33 Teen Challenge Rd Rehrersberg PA 19550-1955 |
| Mailing Address |
3012 Gold Mine Rd Brookeville MD 20833-2642 |
| Practice Telephone | 7179334181 |
| Mailing Telephone | 8607093334 |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2020-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
D0087899 | MD | Allopathic & Osteopathic Physicians |
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
MD464459 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 103683924-000 | 05 |
| Street Address |
PENNSYLVANIA ADULT & TEEN CHALLENGE 33 TEEN CHALLENGE RD |
| City | REHRERSBERG |
| State | PA |
| Zip Code | 19550-1955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265891477 | Teen Challenge Training Center, Inc | Substance Abuse Rehabilitation Facility | 33 Teen Challenge Rd, Rehrersburg, PA 19550-5000 | 2016-02-16 |
| 1881212017 | Nathan Travis Scheffler | Social Worker | 33 Teen Challenge Rd, Rehrersburg, PA 19550-5000 | 2020-07-14 |
| 1346885092 | Sarah Weaver | Nurse Practitioner | 33 Teen Challenge Rd, Rehrersburg, PA 19550-5000 | 2019-11-16 |
| 1982182507 | Teen Challenge Training Center, Inc | Clinic/Center | 33 Teen Challenge Rd, Rehrersburg, PA 19550-5000 | 2018-08-06 |
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144851478 | St. Luke's Physician Group, Inc. | Preventive Medicine | 2200 St Lukes Blvd Ste 100, Easton, PA 18045-5665 | 2020-01-27 |
| 1134771181 | Meadville Ymca | Preventive Medicine | 356 Chestnut St, Meadville, PA 16335-3211 | 2019-07-10 |
| 1821500620 | City of York Bureau of Health | Preventive Medicine | 435 W Philadelphia St, York, PA 17401-3340 | 2017-11-02 |
| 1023567088 | Appleheart Community Development Corporation | Preventive Medicine | 25 N Felton St, Philadelphia, PA 19139-2221 | 2016-09-30 |
| 1316204712 | Randall N. Hyer | Preventive Medicine | 1503 Valley View Dr, Lower Gwynedd, PA 19002-1905 | 2012-04-23 |
| 1871851238 | Nancy Ann Provan | Preventive Medicine | 49 N Richardson Ave, Lansdale, PA 19446-2125 | 2012-04-23 |
| 1467723619 | Kohl Medical Consulting, LLC | Preventive Medicine | 116 Alyson Dr, Mc Murray, PA 15317-3664 | 2012-01-19 |
| 1205121647 | Rebekah Brown | Preventive Medicine | 301 E Pleasant Valley Blvd., Altoona, PA 16602 | 2011-06-14 |
| 1073807210 | Wendy P Stephenson | Preventive Medicine | 1816 Carmel Pl, Maple Glen, PA 19002-3131 | 2011-06-06 |
| 1356662431 | Ramy Aly Mahmoud | Preventive Medicine | 1020 Stony Hill Rd Ste 300, Yardley, PA 19067-5539 | 2010-06-12 |
| Find all providers with the same taxonomy | ||||
| City | REHRERSBERG |
| Zip Code | 19550 |
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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.