MS. SHANTEL LORRAINE POLCHLOPEK (NPI# 1780928499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780928499 |
| Entity Type | Individual |
| Full Name | MS. SHANTEL LORRAINE POLCHLOPEK |
| Credential | PA-C |
| Practice Address |
500 Cheyney Road Glen Mills PA 19373 |
| Mailing Address |
51 N 39th St Ste W130 Philadelphia PA 19104-2640 |
| Practice Telephone | 6103613307 |
| Mailing Telephone | 2082202091 |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2016-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA056851 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
500 CHEYNEY ROAD |
| City | GLEN MILLS |
| State | PA |
| Zip Code | 19373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104035666 | Raymond A Rogowski | Pathology | 37 Woodridge Road, Thornton, PA 19373 | 2007-05-22 |
| 1497857049 | Lawrence Stewart Barbera Jr. | Psychologist | 373 Glen Mills Rd, Thornton, PA 19373-1044 | 2006-09-03 |
| 1023548047 | Joseph Szurgyjlo IIi | Pharmacist | 1 Twin Creeks Dr, Thornton, PA 19373-1094 | 2017-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821602285 | Meredith Neumaier | Speech-Language Pathologist | 4201 Ellis Dr, Glen Mills, PA 19342-3413 | 2020-09-03 |
| 1689287013 | Meagan Scott | Specialist/Technologist | 968 Smithbridge Rd, Glen Mills, PA 19342-1267 | 2020-08-25 |
| 1457962664 | Aba Consultants | Behavioral Analyst | 1507 Coventry Ln, Glen Mills, PA 19342-9429 | 2020-08-11 |
| 1962010496 | Catherine Hammer | Dietitian, Registered | 9304 Chevers Dr, Glen Mills, PA 19342-2309 | 2020-07-21 |
| 1053936435 | Lynn Green | Social Worker | 637 Georgetown Rd, Glen Mills, PA 19342-8821 | 2020-06-11 |
| 1114541489 | Megan O'donnell | Counselor | 43 Huntingdon Farm Dr, Glen Mills, PA 19342-1478 | 2020-06-03 |
| 1487288304 | Nichole Ashley Dunbar | Occupational Therapist | 49 Green Creek Ln, Glen Mills, PA 19342-1525 | 2020-02-29 |
| 1588296347 | Allison Faust | Behavioral Analyst | 484 Smithbridge Rd, Glen Mills, PA 19342-1540 | 2020-02-10 |
| 1316579709 | Nancy Kaye Server | Music Therapist | 379 Valleybrook Rd, Glen Mills, PA 19342-9408 | 2020-02-04 |
| 1023655776 | Wendy Myers | Counselor | 36 Walters Rd, Glen Mills, PA 19342-1409 | 2019-12-02 |
| Find all providers in GLEN MILLS | ||||
| 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 |
|---|---|---|---|---|
| 1710041975 | Jenny Lucia Depadua | Physician Assistant | 1020 Baltimore Pike Ste 300, Glen Mills, PA 19342 | 2006-12-21 |
| 1780657080 | Erin M Doherty | Physician Assistant | 500 Evergreen Dr, Suite 20, Glen Mills, PA 19342-1032 | 2006-02-08 |
| 1841741287 | Kelly Mullan | Physician Assistant | 500 Cheyney Rd, Glen Mills, PA 19342-1805 | 2016-10-20 |
| 1043649627 | Phyllis E Jackson | Physician Assistant | 300 Evergreen Dr, Suite 150, Glen Mills, PA 19342-1059 | 2013-11-05 |
| 1699101055 | Jaclyn Marie Dematteis | Physician Assistant | 101 Applied Bank Blvd Ste 11, Glen Mills, PA 19342 | 2013-09-17 |
| 1255607677 | Theresa G Kueny | Physician Assistant | 500 Evergreen Dr, Suite 20, Glen Mills, PA 19342-1017 | 2012-03-29 |
| 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 | GLEN MILLS |
| Zip Code | 19373 |
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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.