EMMYLU ABBIE JOHNSON (NPI# 1891125662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891125662 |
| Entity Type | Individual |
| Full Name | EMMYLU ABBIE JOHNSON |
| Other Name | EMMYLU ABBIE O'DONNELL |
| Credential | PA-C |
| Practice Address |
2861 W 26th St Erie PA 16506-3064 |
| Practice Telephone | 8148356695 |
| Practice Fax Number | 8148356699 |
| Mailing Telephone | 8148356695 |
| Mailing Fax Number | 8148356699 |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2020-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2525 Chicago Ave, Minneapolis, MN 554044518 | 9529925316 | |
| 7200 Peach St Unit 16, Erie, PA 165094756 | 8148603301 | 8148603302 |
| Street Address |
2861 W 26TH ST |
| City | ERIE |
| State | PA |
| Zip Code | 16506-3064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053380071 | Melodie F Miller-chludzinski | Family Medicine | 2861 W 26th St, Erie, PA 16506-3064 | 2006-03-14 |
| 1942814108 | Cassandra Lynn Shaffer | Nurse Practitioner | 2861 W 26th St, Erie, PA 16506-3064 | 2020-09-04 |
| 1104446285 | Kenzie M Delp | Nurse Practitioner | 2861 W 26th St, Erie, PA 16506-3064 | 2020-04-20 |
| 1467941849 | Rachael Marie Kosar | Physician Assistant | 2861 W 26th St, Erie, PA 16506-3064 | 2018-05-01 |
| 1336699438 | Emily Dahlstrand | Physician Assistant | 2861 W 26th St, Erie, PA 16506 | 2016-10-12 |
| 1588028054 | Lindsay M Paterniti | Physician Assistant | 2861 W 26th St, Erie, PA 16506-3064 | 2016-04-11 |
| 1053717165 | Stephanie Moore | Physician Assistant | 2861 W 26th St, Erie, PA 16506-3064 | 2014-11-17 |
| 1528489119 | Epn Hamot Urgent Care Centers LLC | Emergency Medicine | 2861 W 26th St, Erie, PA 16506-3064 | 2013-12-27 |
| 1548699218 | Ryan Drabina | Physician Assistant | 2861 W 26th St, Erie, PA 16506-3064 | 2013-11-04 |
| 1003251620 | Matthew S Heitzenrater | Family Medicine | 2861 W 26th St, Erie, PA 16506-3064 | 2013-05-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215582838 | Casey Smith | Behavioral Analyst | 4950 W 23rd Street, Suite 1, Erie, PA 16506 | 2019-08-09 |
| 1962916155 | Joseph Michael Moon | Chiropractor | 2921 W 26th St, Erie, PA 16506 | 2017-11-27 |
| 1053851550 | Lake Erie Music Therapy LLC | Music Therapist | 5672 Culpepper Dr., Erie, PA 16506 | 2017-03-02 |
| 1295152700 | Gabrielle Carr | Counselor | 2420 West 23rd St, Erie, PA 16506 | 2014-03-21 |
| 1407296973 | Carolyn Danner-bliss Pediatric Dietitian Services, LLC | Dietitian, Registered | 5105 Coventry Drive, Erie, PA 16506 | 2013-06-28 |
| 1962847772 | Philip J Dunn | Internal Medicine | 3615 Woodhaven Dr, Erie, PA 16506 | 2013-05-07 |
| 1619236684 | Joseph S. Serafini | Hearing Instrument Specialist | 2930 Mckee Rd, Erie, PA 16506 | 2012-05-11 |
| 1063788313 | Tatiana V Khochay | Registered Nurse | 2801 Burgundy Dr., Erie, PA 16506 | 2012-03-30 |
| 1699051318 | Krystyna Teresa Wozniak | Licensed Practical Nurse | 3912 East Boardwalk Place, Erie, PA 16506 | 2011-10-26 |
| 1033436324 | Alexis Jean Mustin | Social Worker | 3210 West 32nd Street, Erie, PA 16506 | 2010-04-26 |
| Find all providers in zip 16506 | ||||
| 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 |
|---|---|---|---|---|
| 1932710944 | Anthony Joseph Daurora Jr. | Physician Assistant | 2701 Auburn St, Erie, PA 16508-1311 | 2020-08-12 |
| 1093217762 | Asl Precision Assist, LLC | Physician Assistant | 2501 W 12th St # 621, Erie, PA 16505-4527 | 2018-03-08 |
| 1316223183 | Aaron H Kleps | Physician Assistant | 201 State St Fl 8, Erie, PA 16550-0002 | 2011-10-25 |
| 1245423920 | Victoria Renee Piggott | Physician Assistant | 3720 West 26th St, Erie, PA 16506 | 2007-08-25 |
| 1740378793 | Kelly C Amenta | Physician Assistant | 2315 Myrtle St Ste 120, Erie, PA 16502-4602 | 2006-10-11 |
| 1386742971 | Michael Paul Fitzgerald | Physician Assistant | 135 East 38 Th, Erie, PA 16504 | 2006-09-20 |
| 1518924208 | Heather L Szymczak | Physician Assistant | 2374 Village Common Dr Ste 100, Erie, PA 16506-7201 | 2006-04-27 |
| 1033170469 | Marcie L Fitzgerald | Physician Assistant | 1645 West 8th Street, Shriners Hospitals for Children Erie, Erie, PA 16505-5097 | 2006-03-28 |
| 1871571000 | Pamela Jane Yuskovic | Physician Assistant | 3822 Schaper Avenue, Erie, PA 16508-3360 | 2006-01-06 |
| 1164420519 | Heather P Adams | Physician Assistant | 2315 Myrtle St, Suite220, Erie, PA 16502-4602 | 2005-07-11 |
| Find all providers in ERIE | ||||
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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.