JAMIE L CANTAFIO (NPI# 1750641825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750641825 |
| Entity Type | Individual |
| Full Name | JAMIE L CANTAFIO |
| Credential | PA-C |
| Practice Address |
5125 Jonestown Rd Ste 105 Harrisburg PA 17112-2987 |
| Mailing Address |
5000 Cox Rd Glen Allen VA 23060-9263 |
| Practice Telephone | 7179431566 |
| Mailing Telephone | 8049685700 |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2018-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA055496 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
MA055496 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5125 Jonestown Rd Ste 105, Harrisburg, PA 171122987 | 7179431566 |
| Street Address |
5125 JONESTOWN RD STE 105 |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17112-2987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144284654 | Andrea Marie Requa | Family Medicine | 5125 Jonestown Rd Ste 105, Harrisburg, PA 17112-2987 | 2006-04-12 |
| 1720215700 | Rebekah Renee Wickenheiser | Physician Assistant | 5125 Jonestown Rd Ste 105, Harrisburg, PA 17112-2987 | 2009-06-17 |
| 1568583722 | David Philip Frank | Family Medicine | 5125 Jonestown Rd Ste 105, Harrisburg, PA 17112-2987 | 2007-04-03 |
| 1174621809 | Olatokunbo Madupe Adeniyi | Internal Medicine | 5125 Jonestown Rd Ste 105, Harrisburg, PA 17112-2987 | 2006-09-20 |
| 1558378299 | Jose Arcadio Biboso | Family Medicine | 5125 Jonestown Rd Ste 105, Harrisburg, PA 17112-2987 | 2006-08-02 |
| 1932145190 | Patricia Logan Farley | Family Medicine | 5125 Jonestown Rd Ste 105, Harrisburg, PA 17112-2987 | 2006-06-22 |
| 1023074937 | Melissa Denham | Family Medicine | 5125 Jonestown Rd Ste 105, Harrisburg, PA 17112-2987 | 2006-04-21 |
| 1780649772 | Esmeralda Maldia Del Rosario | Family Medicine | 5125 Jonestown Rd Ste 105, Harrisburg, PA 17112-2987 | 2006-04-20 |
| 1477518215 | Ellen Marie Crimmel | Family Medicine | 5125 Jonestown Rd Ste 105, Harrisburg, PA 17112-2987 | 2006-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629549928 | Purposefully Soaring Counseling Services LLC | Counselor | 1537 Devonshire Rd, Suite G, Harrisburg, PA 17112 | 2018-12-12 |
| 1558839175 | Blue Diamond Homecare LLC | In Home Supportive Care | 2799 Monticello Ln, Harrisburg, PA 17112 | 2018-11-13 |
| 1326539057 | Erin Elizabeth Jones | Student in an Organized Health Care Education/Training Program | 121 Nyes Road Suite A, Hp09, Harrisburg, PA 17112 | 2018-05-29 |
| 1003307067 | Michael Timothy Partin | Family Medicine | 121 Nyes Road, Suite A, Hp09, Harrisburg, PA 17112 | 2018-05-25 |
| 1427576024 | Lauren Rittle | Specialist/Technologist | 4426 Greenridge Lane, Harrisburg, PA 17112 | 2017-09-03 |
| 1255856233 | Jan Eiko Ikeda | Physical Therapist | 5425 Jonestown Road, Suite 100, Harrisburg, PA 17112 | 2017-08-10 |
| 1417471574 | Luke Borden Berguson | Physical Therapist | 5425 Jonestown Rd Ste 100, Harrisburg, PA 17112 | 2017-07-31 |
| 1578931374 | Kelsey Janelle Wallen | Physical Therapist | 5425 Jonestown Road Ste. 100, Harrisburg, PA 17112 | 2015-09-10 |
| 1609276195 | Matthew Edward Conroy | Physical Therapist | 5425 Jonestown Road, Ste. 100, Outpatient Physical Therapy Network, LLC D/b/a Madden P, Harrisburg, PA 17112 | 2014-09-03 |
| 1144665399 | William Schuler Pierce | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1201 Saradana Road, Harrisburg, PA 17112 | 2013-05-01 |
| Find all providers in zip 17112 | ||||
| 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 |
|---|---|---|---|---|
| 1821613589 | Jessica Ann Hoffman | Physician Assistant | 675 Gregs Dr Apt 78, Harrisburg, PA 17111-5545 | 2020-06-09 |
| 1881253912 | Jacob Moses Doan | Physician Assistant | 815 Sir Thomas Ct, Harrisburg, PA 17109-4839 | 2019-06-12 |
| 1376058594 | Cara Kraus | Physician Assistant | 129 Curvin Dr, Harrisburg, PA 17112-2964 | 2017-12-11 |
| 1497150288 | Ronald Wayne Jones | Physician Assistant | 3827 Over Dr, Harrisburg, PA 17109-1230 | 2014-10-23 |
| 1831447960 | Heather Lynn Mychak | Physician Assistant | 2201 Forest Hills Dr Ste 7, Harrisburg, PA 17112-1089 | 2012-08-21 |
| 1659696714 | Daniel J Church | Physician Assistant | 20 Capital Dr, Harrisburg, PA 17110-9446 | 2010-04-01 |
| 1932269701 | Leanne H Deneal | Physician Assistant | 28 Veteran's Drive, Harrisburg, IL 62946 | 2006-12-11 |
| 1619990603 | Sanford Clinic | Physician Assistant | 410 N Cliff Ave, Harrisburg, SD 57032-2253 | 2006-07-25 |
| 1326009812 | Thomas W. Ladley | Physician Assistant | 6301 Grayson Rd, Harrisburg, PA 17111-3331 | 2006-04-01 |
| 1770580185 | Kimberly Anne Walker | Physician Assistant | 1199 Colonial Rd, Harrisburg, PA 17112-1900 | 2005-06-30 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 17112 |
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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.