AMANDA LYNNE HATALSKI


Address: 3400 Spruce Street, 4 Silverstein, Philadelphia, PA 19104-4206
Phone: 2156622626

AMANDA LYNNE HATALSKI (NPI# 1780985630) 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) 1780985630
Entity Type Individual
Full Name AMANDA LYNNE HATALSKI
Other Name AMANDA WALKER
Credential PA-C
Practice Address 3400 Spruce Street
4 Silverstein
Philadelphia
PA 19104-4206
Practice Telephone 2156622626
Practice Fax Number 2153498195
Mailing Telephone 2156622626
Mailing Fax Number 2153498195
Enumeration Date 2010-11-09
Last Update Date 2019-08-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist 		MA053418 PA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA MAIN LINE HEALTHCARE TAX ID 23-2359401 01

Office Location

Street Address 3400 SPRUCE STREET
4 SILVERSTEIN
City PHILADELPHIA
State PA
Zip Code 19104-4206

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184620296 Anne M Foley Nurse Practitioner 3400 Spruce Street, 4 Silverstein, Philadelphia, PA 19104-4206 2005-06-23
1063023349 Judith Christina Rivera Nurse Practitioner 3400 Spruce Street, Cicu F11, Philadelphia, PA 19104-4238 2020-08-11
1457970451 Tyler J York Student in an Organized Health Care Education/Training Program 3400 Spruce Street, 4 Maloney - Surgery Education Office, Philadelphia, PA 19104 2020-04-10
1811532088 Madeleine Liu Rutledge Nurse Practitioner 3400 Spruce Street, Dulles 6, Philadelphia, PA 19104 2019-11-12
1497397160 Brittany Nichol Moses Physician Assistant 3400 Spruce Street, Rhoads 5, Philadelphia, PA 19104 2019-10-14
1477106011 Courtney Condit Genetic Counselor, MS 3400 Spruce Street, 5 Silverstein, Suite 5100, Philadelphia, PA 19104 2019-07-23
1275096745 Dallas Argueso Student in an Organized Health Care Education/Training Program 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 2019-04-10
1720548837 Alisha Jamil Student in an Organized Health Care Education/Training Program 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 2019-03-24
1023578507 Erin Killingsworth Mcminn Student in an Organized Health Care Education/Training Program 3400 Spruce Street, 1 West Gates, Philadelphia, PA 19104 2019-03-21
1932669694 Rosa Speranza Student in an Organized Health Care Education/Training Program 3400 Spruce Street, 1 W. Gates, Philadelphia, PA 19104 2019-03-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639770829 Michelle Morris Student in an Organized Health Care Education/Training Program Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 2020-11-04
1346853041 Spectrum Health Services, Inc. Clinic/Center 1415 South University Ave, Philadelphia, PA 19104 2020-08-24
1770104259 Fatimah Sorefan-mangou Student in an Organized Health Care Education/Training Program 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1114548690 Rebecca Blaguski Registered Nurse The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1952944175 Rebecca Miriam Barmherzig Psychiatry & Neurology 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 2019-10-21
1891257101 James Paul Byrne Surgery Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 2019-04-04
1093276453 Lauren Shreve Student in an Organized Health Care Education/Training Program Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 2019-03-28
1285194282 Lauren M Christie Student in an Organized Health Care Education/Training Program Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 2019-03-25
1114487683 Sabrina Layne Student in an Organized Health Care Education/Training Program 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 2019-03-21
1811457310 Kia Lor Student in an Organized Health Care Education/Training Program Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 2019-03-21
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992963391 Meredith Alley Physician Assistant 34th St & Civic Center Blvd 3rd Floor Wood Building, Childrens Hospital of Philadelphia Division of Urology, Philadelphia, PA 19104 2008-06-02
1477738524 Jennifer L Spicer Physician Assistant 8834 Germantown Ave, Chestnut Hill Hospital, Philadelphia, PA 19118-4399 2008-01-08
1366653503 Gary Alan Cook Physician Assistant 1025 Walnut St Ste 607, Philadelphia, PA 19107-5001 2007-05-26
1063516110 Mitchell Charles Staska Physician Assistant Philadelpia Veterans Hospital, University and Woodland Avenue, Philadelphia, PA 19104 2006-09-11
1932755071 Jessica Lauren Dell'aquila Physician Assistant 3400 Civic Center Blvd Fl 4, Philadelphia, PA 19104-5127 2019-08-14
1598224420 Dana Beth Krimker Physician Assistant 10800 Knights Rd, Philadelphia, PA 19114 2019-03-19
1124582259 Tiffany Si-ya Sun Physician Assistant 3400 Spruce St, 10 Silverstein, Philadelphia, PA 19104-4238 2019-01-23
1649744178 Madison Ann Vitelli Physician Assistant 800 Spruce St, Philadelphia, PA 19107 2019-01-17
1861964439 Mary Katherine Tonetti Physician Assistant 3400 Spruce St, 2 Dulles, Philadelphia, PA 19104-4238 2018-12-20
1770054702 Laura Elizabeth Ayd Physician Assistant 3998 Red Lion Rd Ste 213, Philadelphia, PA 19114-1440 2018-12-17
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Competitor

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City PHILADELPHIA
Zip Code 19104

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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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