ELIZABETH A PETCOV (NPI# 1720504152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720504152 |
| Entity Type | Individual |
| Full Name | ELIZABETH A PETCOV |
| Other Name | ELIZABETH A CAREY |
| Credential | CRNP |
| Practice Address |
252 S 4th St Lebanon PA 17042-6111 |
| Mailing Address |
3421 Concord Rd York PA 17402-9001 |
| Practice Telephone | 7172704876 |
| Mailing Telephone | 7178511405 |
| Mailing Fax Number | 7178516798 |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2020-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208M00000X | Hospitalist | SP017652 | PA | Allopathic & Osteopathic Physicians |
| Y | 363L00000X | Nurse Practitioner | SP017652 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2401 Park Dr Ste 101, Harrisburg, PA 171109303 | 7176869842 |
| Street Address |
252 S 4TH ST |
| City | LEBANON |
| State | PA |
| Zip Code | 17042-6111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053309609 | Stephen R. Longo | Anesthesiology | 252 S 4th St, Lebanon, PA 17042-6111 | 2005-10-07 |
| 1104423219 | Adaelsy M Sanchez | Nurse's Aide | 252 S 4th St, Lebanon, PA 17042-6123 | 2020-10-02 |
| 1306464847 | Catherine Waselkov | Nurse Practitioner | 252 S 4th St, Lebanon, PA 17042-6111 | 2020-07-10 |
| 1689291122 | Margo Renee Keller | Physician Assistant | 252 S 4th St, Lebanon, PA 17042-6111 | 2020-07-01 |
| 1932738150 | Kathleen Glenn | Pediatrics | 252 S 4th St, Lebanon, PA 17042-6111 | 2020-04-08 |
| 1336777507 | Lindsey Donat | Speech-Language Pathologist | 252 S 4th St, Lebanon, PA 17042-6111 | 2020-04-01 |
| 1801435714 | Kathryn Ann Ertel | Physician Assistant | 252 S 4th St, Lebanon, PA 17042-6111 | 2019-12-26 |
| 1629622204 | Kelly Ann Wheeler | Nurse Practitioner | 252 S 4th St, Lebanon, PA 17042-6111 | 2019-07-31 |
| 1083105696 | Ashlee Wheeler | Nurse Anesthetist, Certified Registered | 252 S 4th St, Lebanon, PA 17042-6111 | 2018-05-21 |
| 1073001319 | Devin Knisely | Registered Nurse | 252 S 4th St, Lebanon, PA 17042 | 2018-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
| 1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
| 1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
| 1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
| 1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
| Find all providers in zip 17042 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010338 | Lauren Crook | Nurse Practitioner | 1381 Fox Fire Ct, Lebanon, OH 45036-4032 | 2020-10-09 |
| 1417505058 | Tanya Dawn Viars | Nurse Practitioner | 754 East Main St, Lebanon, VA 24266-2426 | 2019-08-27 |
| 1053823377 | Allison Ickes | Nurse Practitioner | 900 Tuck Street; Mchs Lebanon / Heartland Care Partners, Lebanon, PA 17042-7446 | 2017-10-26 |
| 1124412879 | Samantha Meyer | Nurse Practitioner | 842 Carson Dr, Lebanon, OH 45036-1316 | 2015-03-20 |
| 1366687261 | Pamela S Lippitt | Nurse Practitioner | 944 Riley Wills Rd, Lebanon, OH 45036-9037 | 2008-12-05 |
| 1295950061 | Judith Ann Barberio | Nurse Practitioner | 7 Haytown Rd, Lebanon, NJ 08833-4009 | 2007-04-16 |
| 1437249372 | Anna Marie Dryer | Nurse Practitioner | 510 E. Hwy 32, Lebanon, MO 65536-5303 | 2006-10-13 |
| 1588755268 | Katherine A Tuthill | Nurse Practitioner | 18 Old Etna Road, Sleep Medicine, Lebanon, NH 03766 | 2006-09-27 |
| 1538101068 | Joy Bender Mcmurry | Nurse Practitioner | 1423 W. Baddour Parkway, Lebanon, TN 37088-1165 | 2006-06-11 |
| 1881672137 | Melynda Kaye Wallace | Nurse Practitioner | 252 Mechanic St, Lebanon, NH 03766-2613 | 2006-01-06 |
| Find all providers in LEBANON | ||||
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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.