MS. ALYSSA N. PECK (NPI# 1790150324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790150324 |
| Entity Type | Individual |
| Full Name | MS. ALYSSA N. PECK |
| Credential | PA-C |
| Practice Address |
111 S Front St Harrisburg PA 17101-2010 |
| Mailing Address |
409 S 2nd St Suite 2f Harrisburg PA 17104-1612 |
| Practice Telephone | 7179880000 |
| Practice Fax Number | 7177825716 |
| Mailing Telephone | 7179880000 |
| Mailing Fax Number | 7177825716 |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2019-05-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA058044 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 103156035 | 05 |
| Street Address |
111 S FRONT ST |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17101-2010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932104551 | Donald Carl Durbeck | Internal Medicine | 111 S Front St, Harrisburg, PA 17101-2010 | 2005-06-20 |
| 1609474469 | Alexandra Maria Bachinsky | Physician Assistant | 111 S Front St, Harrisburg, PA 17101-2010 | 2020-10-14 |
| 1578179248 | Katelynn Margaret Maronic | Physician Assistant | 111 S Front St, Harrisburg, PA 17101-2010 | 2020-09-18 |
| 1124638937 | Jennifer Lynn Kane | Nurse Practitioner | 111 S Front St, Harrisburg, PA 17101-2010 | 2020-08-06 |
| 1265050744 | Tyler Burns | Physician Assistant | 111 S Front St, Harrisburg, PA 17101-2010 | 2020-07-10 |
| 1841818796 | Olivia Catherine Gross | Physician Assistant | 111 S Front St, Harrisburg, PA 17101-2010 | 2020-07-08 |
| 1023635646 | Sushila Lynn Kabadi | Podiatrist | 111 S Front St, Harrisburg, PA 17101-2010 | 2020-06-30 |
| 1831716695 | Amanda Marie Agrela Pires | Podiatrist | 111 S Front St, Harrisburg, PA 17101-2010 | 2020-06-28 |
| 1992320295 | Kimbery Dunn | Licensed Practical Nurse | 111 S Front St, Harrisburg, PA 17101-2010 | 2020-06-11 |
| 1821613415 | Zachary Vasold | Registered Nurse | 111 S Front St, Harrisburg, PA 17101-2010 | 2020-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689169906 | Seth Lascurain | Genetic Counselor, MS | 100 S. Second St., Suite 4b, Harrisburg, PA 17101 | 2018-06-28 |
| 1912347774 | Esther Chinedu Enu | Internal Medicine | 205 S. Front St, Harrisburg, PA 17101 | 2013-06-26 |
| 1881922599 | Abha Yadav | Pediatrics | Lpaharr Pinnacle Health-harrisbrg, Harrisbrg, PA 17101 | 2009-11-19 |
| 1467665158 | Kara Lynn Foulds | Pharmacist | 100-103 Market St, Harrisburg, PA 17101 | 2007-05-08 |
| 1588767339 | Pennsylvania Cvs Pharmacy LLC | Pharmacy | 221 223 E Market, Harrisburg, PA 17101 | 2006-09-07 |
| 1902853070 | Structural Disorders of The Spine | Chiropractor | 21 North 4th Street, Harrisburg, PA 17101 | 2006-05-27 |
| 1467415364 | Ndlovu Women's Health | Specialist | 100 South Second St, Medical Sciences Bldg Suite 4a, Harrisburg, PA 17101 | 2006-04-11 |
| 1710976899 | Michael Muench | Obstetrics & Gynecology | 100 S 2nd St Ste 4b, Harrisburg, PA 17101 | 2005-10-20 |
| 1053312371 | Linda Brooks Uchal | Pharmacist | 111 S. Front St., Pinnacle Health System, Harrisburg, PA 17101 | 2005-08-09 |
| 1487659355 | Elizabeth S. Klinke | Pediatrics | Harrisburg Hospital, Pediatrics Dept-nicu, 111 S Front St., Harrisburg, PA 17101 | 2005-06-16 |
| Find all providers in zip 17101 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932591260 | Denise Ann Mesaros | Physician Assistant | 5071 Bass Lake Dr Apt 2003, Harrisburg, PA 17111-5918 | 2015-02-24 |
| 1003128547 | Maegan E Greenwade | Physician Assistant | 4200 Union Deposit Rd, Harrisburg, PA 17111-2801 | 2010-07-13 |
| 1356472799 | Jeffrey John Hollenbach | Physician Assistant | 4605 Locust Ln, Harrisburg, PA 17109-4424 | 2007-03-08 |
| 1598730483 | Joan Nerviano | Physician Assistant | 3601 N Progress Ave, Harrisburg, PA 17110-9100 | 2006-02-22 |
| 1649264268 | Marnie Irene Odonnell | Physician Assistant | 121 Nyes Rd, Harrisburg, PA 17112-3247 | 2005-09-09 |
| 1538791728 | Samantha Larsen | Physician Assistant | 111 S Front St, Harrisburg, PA 17101-2010 | 2020-02-06 |
| 1730721523 | Michalia Amony Humphrey | Physician Assistant | 2200 Dover Rd, Harrisburg, PA 17112-1002 | 2019-10-13 |
| 1619438926 | Justin Lanni | Physician Assistant | 111 S Front St, Harrisburg, PA 17101-2010 | 2019-03-28 |
| 1578017851 | Gretchen Moore | Physician Assistant | 4300 Londonderry Rd, Harrisburg, PA 17109-5317 | 2016-08-04 |
| 1134672660 | Anthony J Manney | Physician Assistant | 4300 Londonderry Rd Ste 302, Harrisburg, PA 17109 | 2016-08-02 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 17101 |
Please comment or provide details below to improve the information on MS. ALYSSA N. PECK.
| 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.