MS. MARY ROSE CONKLIN (NPI# 1790169704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790169704 |
| Entity Type | Individual |
| Full Name | MS. MARY ROSE CONKLIN |
| Credential | PA-C, LAT, ATC |
| Practice Address |
1211 Wilmington Ave New Castle PA 16105-2516 |
| Mailing Address |
3600 Forbes At Meyran Ave Pittsburgh PA 15213 |
| Practice Telephone | 7246589001 |
| Mailing Telephone | 4124327400 |
| Mailing Fax Number | 4124327480 |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2019-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
RT006200 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 363A00000X | Physician Assistant | MA060912 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 110 N Main St, Greenville, PA 161251726 | 7245882100 | |
| 128 E Caracas Ave, Hershey, PA 170331413 | 7179191477 | |
| 2200 Memorial Dr, Farrell, PA 161211357 | 7249813500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467569178 | Mary L Conklin | Nutritionist | 12 Clay St, Dansville, NY 14437-1304 | 2006-08-25 |
| 1366526840 | Mary Jack Conklin | Nurse Practitioner | 1425 S Main St, Mob 3rd Floor Surgery Clinic, Walnut Creek, CA 94596-5318 | 2006-10-24 |
| Street Address |
1211 WILMINGTON AVE |
| City | NEW CASTLE |
| State | PA |
| Zip Code | 16105-2516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477538312 | Upmc Jameson | General Acute Care Hospital | 1211 Wilmington Ave, New Castle, PA 16105-2516 | 2005-12-14 |
| 1447723416 | Joelle Marie Houser | Specialist/Technologist | 1211 Wilmington Ave, New Castle, PA 16105-2516 | 2019-01-02 |
| 1053897850 | Amanda Wreggelsworth | Physician Assistant | 1211 Wilmington Ave, New Castle, PA 16105-2516 | 2018-07-15 |
| 1336656370 | University of Pittsburgh Physicians | Pathology | 1211 Wilmington Ave, New Castle, PA 16105-2516 | 2017-12-29 |
| 1467970152 | Antonio Frank Reino | Registered Nurse | 1211 Wilmington Ave, New Castle, PA 16105-2516 | 2017-09-01 |
| 1912439795 | Kamil Skotnicki | Emergency Medicine | 1211 Wilmington Ave, New Castle, PA 16105-2516 | 2017-03-30 |
| 1003260274 | Ankur Panchal | Internal Medicine | 1211 Wilmington Ave, New Castle, PA 16105-2516 | 2016-04-14 |
| 1083077036 | Amy Ault | Pharmacist | 1211 Wilmington Ave, New Castle, PA 16105-2516 | 2016-03-29 |
| 1538574363 | Meghana Gaekwad | Psychiatry & Neurology | 1211 Wilmington Ave, New Castle, PA 16105-2516 | 2014-07-01 |
| 1194144683 | Morina Joseph | Physician Assistant | 1211 Wilmington Ave, Upmc Jameson Hvi, New Castle, PA 16105-2516 | 2014-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215554829 | Adnan Hassoune | Student in an Organized Health Care Education/Training Program | 26 Nesbit Road, Upmc Horizon Surgical Associates, Suite 151, New Castle, PA 16105 | 2020-06-30 |
| 1578114047 | Jorge Lara-gutierrez | Student in an Organized Health Care Education/Training Program | Upmc Horizon Surgical Associates, 26 Nesbit Road, Suite 151, New Castle, PA 16105 | 2019-09-25 |
| 1992298616 | Stephen R. Martin | Family Medicine | Upmc Horizon Surgical Associates, 26 Nesbit Road, Suite 151, New Castle, PA 16105 | 2018-06-07 |
| 1215433461 | Tijani Sheu Amadu Osumah | Surgery | 26 Nesbit Road, Suite 151, Newcastle, PA 16105 | 2018-04-04 |
| 1184155525 | Upmc Community Medicine, Inc. | Internal Medicine | 2602 Wilmington Road, Suite 207, Medical Arts Building, New Castle, PA 16105 | 2017-03-27 |
| 1255682043 | Nicole Lynne Haas | Physician Assistant | 3212 Wilmington Road, New Castle, PA 16105 | 2012-09-20 |
| 1154605442 | Kenneth W. Koscinski | Pharmacist | 1210 Wilmington Avenue, New Castle, PA 16105 | 2011-10-05 |
| 1760771174 | Barbara Ann Graziani | Pharmacist | 1730 Wilmington Rd, New Castle, PA 16105 | 2011-04-06 |
| 1881857589 | John Paul Matta | Dentist | 2623 Wilmington Road, New Castle, PA 16105 | 2008-07-03 |
| 1396917977 | Nicole Carlson Md LLC | Obstetrics & Gynecology | 219 West Fairmont Avenue, New Castle, PA 16105 | 2008-03-24 |
| Find all providers in zip 16105 | ||||
| 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 |
|---|---|---|---|---|
| 1588916225 | Danielle N Rand | Physician Assistant | 2602 Wilmington Road, Suite 200, New Castle, PA 16105-1538 | 2012-10-04 |
| 1063542355 | Wesley R Coffman | Physician Assistant | 2200 Forest Ridge Pkwy Ste 240, New Castle, IN 47362-2943 | 2007-03-06 |
| 1558900274 | Ryan Miles Page | Physician Assistant | 3120 Wilmington Rd, New Castle, PA 16105-1168 | 2019-12-27 |
| 1932742061 | Mackenzie Allison Boles | Physician Assistant | 1000 N 16th St, New Castle, IN 47362-4319 | 2019-10-22 |
| 1780141861 | Molly Anne Cox | Physician Assistant | 2200 Forest Ridge Pkwy Ste 240, New Castle, IN 47362-2943 | 2019-02-26 |
| 1932672151 | Laila Adams | Physician Assistant | 239 Christiana Rd, New Castle, DE 19720-2907 | 2019-01-10 |
| 1760963201 | Paige Tyne Redifer | Physician Assistant | 1000 N 16th St, New Castle, IN 47362-4319 | 2018-08-23 |
| 1811400369 | Alyssa Day German | Physician Assistant | 239 Christiana Rd, New Castle, DE 19720-2907 | 2017-11-07 |
| 1629508577 | Rebecca Jean Hoistad | Physician Assistant | 2200 Forest Ridge Pkwy Ste 240, New Castle, IN 47362-2943 | 2017-06-14 |
| 1558759878 | Barbara Ray Fennick | Physician Assistant | 1750 New Butler Rd, New Castle, PA 16101-3184 | 2015-01-08 |
| Find all providers in NEW CASTLE | ||||
| City | NEW CASTLE |
| Zip Code | 16105 |
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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.