KERRI ANN PORTANOVA (NPI# 1881095297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881095297 |
| Entity Type | Individual |
| Full Name | KERRI ANN PORTANOVA |
| Credential | PA-C |
| Practice Address |
100 Hospital Dr Montrose PA 18801-6402 |
| Practice Telephone | 5702783801 |
| Practice Fax Number | 5702784381 |
| Mailing Telephone | 5702783801 |
| Mailing Fax Number | 5702784381 |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2020-06-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 024997 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | MA057083 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
100 HOSPITAL DR |
| City | MONTROSE |
| State | PA |
| Zip Code | 18801-6402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538599758 | Kristi Lynn Albright | Pharmacist | 100 Hospital Dr, Montrose, PA 18801 | 2013-11-25 |
| 1982747390 | Endless Mountains Health Systems, Inc. | General Acute Care Hospital | 100 Hospital Dr, Montrose, PA 18801-6402 | 2007-02-15 |
| 1356407373 | Endless Mountains Health Systems | General Acute Care Hospital | 100 Hospital Dr, Montrose, PA 18801-6402 | 2006-12-28 |
| 1336217983 | Carl A Zukus | Nurse Anesthetist, Certified Registered | 100 Hospital Dr, Montrose, PA 18801-6402 | 2006-12-01 |
| 1023189818 | Shashank Bhatt | Internal Medicine | 100 Hospital Dr, Montrose, PA 18801 | 2006-11-13 |
| 1962449280 | Michael John Haraschak Iv | Surgery | 100 Hospital Dr, Montrose, PA 18801-6402 | 2006-06-02 |
| 1932188778 | Louis V Gabaldoni | Obstetrics & Gynecology | 100 Hospital Dr, Montrose, PA 18801 | 2006-01-11 |
| 1023090297 | Hassan Y Khalil | Internal Medicine | 100 Hospital Dr, Montrose, PA 18801 | 2005-11-15 |
| 1124009410 | Ihab Amine Dana | Internal Medicine | 100 Hospital Dr, Montrose, PA 18801 | 2005-11-14 |
| 1528049822 | Joseph Michael Speicher | Internal Medicine | 100 Hospital Dr, Montrose, PA 18801 | 2005-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225588437 | Judith Ann Ochse | Nurse Practitioner | 273 Meteor Way, Montrose, PA 18801 | 2016-10-12 |
| 1164726196 | Beth Parrish | Speech-Language Pathologist | 11292 Sr 29, Montrose, PA 18801 | 2011-01-05 |
| 1588996839 | Eric Brandon Rood | Chiropractor | 337 High School Rd, Suites 1&3, Montrose, PA 18801 | 2010-02-10 |
| 1245416171 | Bruce C Rossman | Counselor | Rr3 Valley View Rd, Franklin Forks, PA 18801 | 2008-01-10 |
| 1386837409 | Tri County Human Services Center Inc | Case Management | Rt 706 E, Lake Plaza 2, Montrose, PA 18801 | 2007-08-22 |
| 1184790511 | Monica L Marta | Dentist | 12 Ridge Street, Montrose, PA 18801 | 2006-11-28 |
| 1710057864 | Carey Marie Williams | Nurse Practitioner | 50 Meteor Way, Montrose, PA 18801 | 2006-11-08 |
| 1447348610 | Binghamton Optical Inc | Eyewear Supplier (Equipment, not the service) | 13 Public Ave, Montrose, PA 18801 | 2006-10-11 |
| 1013017474 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 801 Grow Avenue, Montrose, PA 18801 | 2006-09-25 |
| 1811996283 | Montrose Minute Men Inc | Ambulance | 23 Hollister Dr., Montrose, PA 18801 | 2005-07-19 |
| Find all providers in zip 18801 | ||||
| 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 |
|---|---|---|---|---|
| 1629515606 | Kirk Miller | Physician Assistant | 16985 N 2400th St, Montrose, IL 62445-5004 | 2017-01-27 |
| 1124344080 | Chris K Polsley | Physician Assistant | 836 S. Townsend, Suite A, Montrose, CO 81401 | 2010-04-15 |
| 1689891491 | Elizabeth Ashley Singleton | Physician Assistant | 836 S Townsend Ave Ste C, Montrose, CO 81401-4360 | 2007-04-20 |
| 1598786865 | Norman Lee Dockins | Physician Assistant | 1550 E. Niagara Road, Peak Family Medicine, Montrose, CO 81401-5027 | 2006-07-22 |
| 1902876246 | Marla D Beavers | Physician Assistant | 1563 Ogden Rd, Montrose, CO 81401-5683 | 2006-01-26 |
| 1245854579 | Sidney Carol Wallin | Physician Assistant | 2094 Albany Post Road, Montrose, NY 10548 | 2020-06-02 |
| 1306460076 | Theresa Marie Pickell | Physician Assistant | 190 E State St, Montrose, MI 48457-9144 | 2020-05-29 |
| 1356989768 | Tiffany Joy Bermudez | Physician Assistant | 1550 E Niagara Rd, Montrose, CO 81401-5027 | 2019-12-16 |
| 1467912089 | Greta Mae Hoffman | Physician Assistant | 87 Merchant Dr, Montrose, CO 81401-3015 | 2019-03-20 |
| 1831507805 | Integrated Dermatology of Montrose, LLC | Physician Assistant | 3480 Wolverine Dr, Suite F, Montrose, CO 81401-4965 | 2014-07-23 |
| Find all providers in MONTROSE | ||||
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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.