STEPHANIE EBERSOLE (NPI# 1861984072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861984072 |
| Entity Type | Individual |
| Full Name | STEPHANIE EBERSOLE |
| Credential | PA-C |
| Practice Address |
1400 S Forge Rd Palmyra PA 17078-9519 |
| Mailing Address |
932 Thistle Rd Elizabethtown PA 17022-9015 |
| Practice Telephone | 7178381301 |
| Mailing Telephone | 7175571032 |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2018-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1400 S FORGE RD |
| City | PALMYRA |
| State | PA |
| Zip Code | 17078-9519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326003849 | Lorri Kercher | Nurse Practitioner | 1400 S Forge Rd, Palmyra, PA 17078-9519 | 2006-04-18 |
| 1902195654 | Amy Schreiber | Family Medicine | 1400 S Forge Rd, Suite 1, Palmyra, PA 17078-9513 | 2011-04-04 |
| 1639369804 | Lebanon Valley Family Medicine Inc | Non-Pharmacy Dispensing Site | 1400 S Forge Rd, Suite 1, Palmyra, PA 17078-9519 | 2007-07-25 |
| 1740245042 | Ronica Montagna | Nurse Practitioner | 1400 S Forge Rd, Palmyra, PA 17078-9519 | 2006-04-19 |
| 1619932936 | Mark W Leach | Family Medicine | 1400 S Forge Rd, Palmyra, PA 17078-9519 | 2006-04-19 |
| 1508821836 | Jenny S Lee | Family Medicine | 1400 S Forge Rd, Palmyra, PA 17078-9519 | 2006-04-19 |
| 1184689648 | J Kent L Wagner | Family Medicine | 1400 S Forge Rd, Palmyra, PA 17078-9519 | 2006-04-19 |
| 1982669289 | Samuel F Rashid | Family Medicine | 1400 S Forge Rd, Palmyra, PA 17078-9519 | 2006-04-19 |
| 1467417733 | David A Keller | Family Medicine | 1400 S Forge Rd, Palmyra, PA 17078-9519 | 2006-04-19 |
| 1588629042 | John Patrick Welch | Family Medicine | 1400 S Forge Rd, Palmyra, PA 17078-9519 | 2006-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558916239 | Lolita Feld | Family Medicine | 941 Park Drive, Palmyra, PA 17078 | 2019-08-08 |
| 1508384736 | Kelly Renee Black | Specialist/Technologist | 503 North Chestnut Street, Palmyra, PA 17078 | 2017-09-08 |
| 1174857643 | Jason John Castro | Occupational Therapist | 1273 South Forge Road, Palmyra, PA 17078 | 2009-09-30 |
| 1962694174 | Timothy Ryan Corl | Optometrist | 2901 Horseshoe Pike, Palmyra, PA 17078 | 2007-08-11 |
| 1740349216 | Ck Kc Inc | Pharmacy | 22 East Main Street, Palmyra Pharmacy & Gift Shop, Palmyra, PA 17078 | 2006-12-08 |
| 1396839742 | Khanh T. Bui | Pharmacist | 30 W. Main Street, Palmyra, PA 17078 | 2006-10-02 |
| 1548369028 | Ck-kc Ltc, Inc | Pharmacy | 1200 Grubb Street, Palmyra, PA 17078 | 2006-09-21 |
| 1669846507 | Kelly Christine Morris | Occupational Therapist | 2880 Horseshoe Pike, Palmyra, PA 17078 | 2015-11-16 |
| 1003287558 | Corl Eyecare, LLC | Optometrist | 2901 Horseshoe Pike, Palmyra, PA 17078 | 2015-10-09 |
| 1972727238 | Philhaven Residential | Psychiatric Residential Treatment Facility | 231 E Main St, Palmyra, PA 17078 | 2007-04-11 |
| Find all providers in zip 17078 | ||||
| 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 |
|---|---|---|---|---|
| 1578115994 | Arvin Lie | Physician Assistant | 941 Park Dr, Palmyra, PA 17078-3445 | 2019-07-16 |
| 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 |
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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.