MRS. JENNA ANN PICCOLOMINI


Address: 93 N Morgantown St, Fairchance, PA 15436-1039
Phone: 7245640900

MRS. JENNA ANN PICCOLOMINI (NPI# 1760717144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760717144
Entity Type Individual
Full Name MRS. JENNA ANN PICCOLOMINI
Credential P.A.
Practice Address 93 N Morgantown St
Fairchance
PA 15436-1039
Mailing Address 1070 Old National Pike
Fredericktown
PA 15333-2114
Practice Telephone 7245640900
Practice Fax Number 7245649835
Mailing Telephone 7246326801
Mailing Fax Number 7246326312
Enumeration Date 2009-10-02
Last Update Date 2011-03-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant MA054075 PA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA PROMISE GROUP # 1007288440031 01

Office Location

Street Address 93 N MORGANTOWN ST
City FAIRCHANCE
State PA
Zip Code 15436-1039

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760473367 Brian T Taylor Family Medicine 93 N Morgantown St, Fairchance, PA 15436-1039 2005-11-02
1003037201 Centerville Clinics, Inc. Clinic/Center 93 N Morgantown St, Fairchance, PA 15436-1039 2007-05-02
1710969019 Centerville Clinics Inc Family Medicine 93 N Morgantown St, Fairchance, PA 15436-1039 2005-11-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740348465 Fairchance Firemens Ambulance Ambulance 31 Pittsburgh Street, Fairchance, PA 15436 2006-12-05
1164933891 Pete Michael Zentkovich Registered Nurse 5 Sheldon Ave, Fairchance, PA 15436-1022 2017-10-20
1144289299 Valentine Pharmacy Pharmacy 92 N Morgantown St, Fairchance, PA 15436-1038 2006-03-18
1235217175 Lisa Rae Mollica Pharmacist 92 N Morgantown St, Fairchance, PA 15436-1038 2006-11-01
1821099649 Robin William Beissell Chiropractor 103 N Morgantown St, Fairchance, PA 15436-1039 2005-08-02
1841430857 Second Chance Two Inc Substance Abuse Rehabilitation Facility 304 Sheldon Ave, Fairchance, PA 15436-1072 2009-03-03
1548362031 Fairchance Pharmacy Pharmacist 90 W Church St, Fairchance, PA 15436-1137 2006-09-04
1578043659 Barbara Rura Struhar Pharmacist 90 W Church St, Fairchance, PA 15436-1137 2018-08-17
1235591884 Laura Rhoades Pharmacist 90 W Church St, Fairchance, PA 15436-1137 2016-03-23
1104984426 Wesclare Corporation Pharmacy 90 W Church St, Fairchance, PA 15436-1137 2006-12-06
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and state

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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Competitor

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City FAIRCHANCE
Zip Code 15436

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Dataset Information

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.

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