DR. MATTHEW T EBLING (NPI# 1770534075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770534075 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW T EBLING |
| Credential | MD |
| Practice Address |
250 College Ave Lancaster PA 17603 |
| Mailing Address |
409 S 2nd St Ste 2f Harrisburg PA 17104-1612 |
| Practice Telephone | 7179880000 |
| Practice Fax Number | 7177825716 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2018-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 273809 | NY | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | MD427961 | PA | Allopathic & Osteopathic Physicians |
| Y | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
MD427961 | PA | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | MD427961 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MEDICAL LICENSE | MD427961 | 01 |
| PA | GROUP MEDICARE # | 867633 | 01 |
| PA | DEA | FE0923397 | 01 |
| PA | CAQH | 11663202 | 01 |
| PA | 1017854150005 | 05 | |
| NY | DEA | BE9555484 | 01 |
| PA | 101785415 0002 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962712240 | Matthew James Ebling | Physician Assistant | 401 East Carrillo Street, Santa Barbara, CA 93101 | 2010-10-20 |
| Street Address |
250 COLLEGE AVE |
| City | LANCASTER |
| State | PA |
| Zip Code | 17603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366442022 | Arif Hafiz | Internal Medicine | 250 College Ave, Lancaster, PA 17603-3363 | 2005-07-26 |
| 1487177713 | Melissa Sloden Mcmurtrie | Registered Nurse | 250 College Ave, Lancaster, PA 17603-3363 | 2017-07-18 |
| 1063932234 | Pinnacle Health Regional Physicians | Nurse Anesthetist, Certified Registered | 250 College Ave, Lancaster, PA 17603-3363 | 2017-06-20 |
| 1689194888 | Pinnacle Health Regional Physicians | Psychiatry & Neurology | 250 College Ave, Lancaster, PA 17603-3363 | 2017-06-20 |
| 1235659400 | Pinnacle Health Regional Physicians | Anesthesiology | 250 College Ave, Lancaster, PA 17603-3363 | 2017-06-20 |
| 1336674282 | Upmc Pinnacle Lancaster | Clinic/Center | 250 College Ave, Lancaster, PA 17603-3363 | 2017-04-28 |
| 1659805943 | Upmc Pinnacle Lancaster | Rehabilitation Unit | 250 College Ave, Lancaster, PA 17603-3363 | 2017-04-13 |
| 1578097861 | Upmc Pinnacle Lancaster | Psychiatric Unit | 250 College Ave, Lancaster, PA 17603-3363 | 2017-04-13 |
| 1083147656 | Upmc Pinnacle Lancaster | General Acute Care Hospital | 250 College Ave, Lancaster, PA 17603-3363 | 2017-04-10 |
| 1982077764 | Resolute Emergency Physicians, LLC | Physician Assistant | 250 College Ave, Lancaster, PA 17603-3363 | 2015-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757311 | Meadow Grove Counseling, LLC | Counselor | 822 Marietta Avenue, Lancaster, PA 17603 | 2020-07-06 |
| 1386274355 | Bristeena K Peter | Registered Nurse | 122 Broadstone St, Lancaster, PA 17603 | 2020-01-18 |
| 1164926457 | Kelly Fickett | Registered Nurse | 100 Rohrstown Rd, Suite A, Lancaster, PA 17603 | 2018-03-21 |
| 1063929115 | Lancaster Behavioral Health Hospital LLC | Psychiatric Hospital | 333 Harrisburg Ave, Lancaster, PA 17603 | 2018-01-10 |
| 1659880458 | Young Men's Christian Association of Lancaster County | Health Educator | 265 Harrisburg Ave, Lancaster, PA 17603 | 2017-09-25 |
| 1447779228 | Joshua Michael Saez | Licensed Practical Nurse | 410 N Prince St., Lancaster, PA 17603 | 2017-09-13 |
| 1689190126 | Leeann Koch | Audiologist | 2160 Noll Drive, Suite 100, Lancaster, PA 17603 | 2017-08-16 |
| 1972950327 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 354 N. Prince Street, Suite 120, Lancaster, PA 17603 | 2016-05-16 |
| 1366804833 | Yesenia Colon Rivera | Psychologist | 812 North Prince St., Lancaster, PA 17603 | 2016-03-24 |
| 1073975959 | Laura Morse | Counselor | 48 N Queen St, Lancaster, PA 17603 | 2016-03-22 |
| Find all providers in zip 17603 | ||||
| Taxonomy Code | 207QA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adolescent Medicine |
| A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801444138 | Korah Consulting, Inc | Family Medicine | 11934 Dumont Rd, Philadelphia, PA 19116-2319 | 2019-08-29 |
| 1104026350 | Michelle Eisenhower M.d. | Family Medicine | Michelle Eisenhower M.d., 2301 S. Broad St., M.o.b. Suite 201, Philadelphia, PA 19148 | 2007-07-24 |
| 1578511564 | Joseph Isaac Trompeter | Family Medicine | 813 Washington Ave, Carnegie, PA 15106-3121 | 2006-05-04 |
| 1235125584 | Amy P Hursh | Family Medicine | 2541 E. Carson St., Pittsburgh, PA 15203 | 2005-09-22 |
| 1275532160 | Joan Mureen Addley | Family Medicine | 8125 Stenton Ave, Philadelphia, PA 19150-3530 | 2005-07-21 |
| 1184622524 | The Family Practice of James Martin, Md, P.C. | Family Medicine | 1148 S Cedar Crest Blvd, Allentown, PA 18103-7933 | 2005-07-11 |
| 1235642968 | Pennsylvania Psychiatric Medical Services | Family Medicine | 2501 N 3rd St, Harrisburg, PA 17110-1904 | 2017-11-16 |
| 1467849281 | Monica Rezk | Family Medicine | 250 King of Prussia Rd Ste 2j, Radnor, PA 19087-5227 | 2015-04-20 |
| 1982953592 | Gerard Anthony Margiotti IIi | Family Medicine | 4829 E Street Rd, Trevose, PA 19053-6647 | 2012-08-29 |
| 1760742035 | Nagina Farida | Family Medicine | 2 Sharpe St, Kingston, PA 18704-3715 | 2012-05-21 |
| Find all providers with the same taxonomy | ||||
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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.