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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA054075 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PROMISE GROUP # | 1007288440031 | 01 |
| Street Address |
93 N MORGANTOWN ST |
| City | FAIRCHANCE |
| State | PA |
| Zip Code | 15436-1039 |
| 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 |
| 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 |
| Find all providers in zip 15436 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
| City | FAIRCHANCE |
| Zip Code | 15436 |
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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.