MARY BRADY (NPI# 1922486695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922486695 |
| Entity Type | Individual |
| Full Name | MARY BRADY |
| Credential | M.D. |
| Practice Address |
16 Woodbine Ln Danville PA 17821-8029 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-4903 |
| Practice Telephone | 5702718050 |
| Mailing Telephone | 5702716144 |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MD470851 | PA | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
35.136073 | OH | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Medical Center Blvd, Department of Medcine 3 East, Chester, PA 190133902 | 6108746114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962036111 | Mary Brady | Psychologist | 3159 Sacramento St, San Francisco, CA 94115-2005 | 2020-02-26 |
| 1356719470 | Mary Ellen Brady | Radiologic Technologist | 55 Pleasantdale Rd, West Roxbury, MA 02132-6212 | 2015-09-05 |
| 1871970590 | Mary Brady | Registered Nurse | 12 Tomkins Ridge Rd, Tomkins Cove, NY 10986-1408 | 2015-05-01 |
| 1346377835 | Mary Catherine Brady | Nurse Practitioner | 430 Deanview Dr, Cincinnati, OH 45224-1415 | 2007-02-28 |
| 1134132368 | Mary Therese Brady | Obstetrics & Gynecology | 4 Nowell Ct, Salem, NH 03079-1228 | 2006-08-15 |
| 1043827918 | Mary E Brady | Case Manager/Care Coordinator | 700 Park Ave, Ironton, OH 45638-1502 | 2020-09-25 |
| 1710414065 | Mary Ann Brady | Occupational Therapist | 830 S Gloster St, Tupelo, MS 38801-4934 | 2017-05-17 |
| 1770977969 | Mary Brady | Behavioral Analyst | 848 Executive Dr, Oviedo, FL 32765-7699 | 2015-03-25 |
| 1417385295 | Mary Virginia Brady | Nurse Practitioner | 120 S Zetterower Ave, Statesboro, GA 30458-4816 | 2013-10-14 |
| 1043659758 | Mary E Brady | Licensed Practical Nurse | 1835 Gilmore Ave, Lakeland, FL 33805-3017 | 2013-06-17 |
| Street Address |
16 WOODBINE LN |
| City | DANVILLE |
| State | PA |
| Zip Code | 17821-8029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306849591 | Saralyn Vogel | Pediatrics | 16 Woodbine Ln, Danville, PA 17821-8029 | 2005-05-23 |
| 1922613249 | Rita T Carey-nita | Nurse Practitioner | 16 Woodbine Ln, Danville, PA 17821-8029 | 2020-09-14 |
| 1891303459 | Ashley Marie Welliver | Nurse Practitioner | 16 Woodbine Ln, Danville, PA 17821-8029 | 2020-07-20 |
| 1124640875 | Danielle Lynn Eveland | Nurse Practitioner | 16 Woodbine Ln, Danville, PA 17821-8029 | 2020-05-15 |
| 1366071631 | Geisinger Medical Center | Student in an Organized Health Care Education/Training Program | 16 Woodbine Ln, Danville, PA 17821-8029 | 2020-04-07 |
| 1023669876 | Natasha Singh | Pharmacist | 16 Woodbine Ln, Danville, PA 17821-8029 | 2019-09-24 |
| 1972079259 | Morgan K Gill | Occupational Therapist | 16 Woodbine Ln, Danville, PA 17821-8029 | 2018-10-15 |
| 1790277234 | Laura Ivy Campbell | Specialist/Technologist | 16 Woodbine Ln, Danville, PA 17821-8029 | 2018-05-31 |
| 1669978284 | Michelle Ann Pitch | Student in an Organized Health Care Education/Training Program | 16 Woodbine Ln, Danville, PA 17821-8029 | 2018-04-03 |
| 1497289201 | Darla Lee | Nurse Practitioner | 16 Woodbine Ln, Danville, PA 17821-8029 | 2017-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376163014 | Geisinger Clinic | Medical Genetics | 3 Wesner Lane, 1st Floor, Danville, PA 17821 | 2020-04-23 |
| 1437620853 | Teresa Lynne Hess | Pharmacist | 553-555 Mahoning St, Milton, PA 17821 | 2018-12-11 |
| 1013257393 | Greggory Lewis Anderson | Speech-Language Pathologist | 64 Rehab Lane, Danville, PW 17821 | 2013-02-22 |
| 1487920047 | Eve Marina Santos | Dentist | 444 Pine St, Danville, PA 17821 | 2012-03-28 |
| 1164758371 | Mary Gergis | Physician Assistant | 604 Continental Blvd, Danville, PA 17821 | 2009-10-22 |
| 1568627529 | Tamara T Myers | Surgery | 100 North Academy Avenue, Mc 21-70, Geisinger Medical Center, Department of General Surgery, Danville, PA 17821 | 2008-07-18 |
| 1407999766 | Cmsu Behavioral Health and Developmental Services | Case Management | 507 E Market St, Danville, PA 17821 | 2007-02-15 |
| 1912074261 | John Stephen Foster | Physical Therapist | 11 Northumberland Street, Danville, PA 17821 | 2006-11-30 |
| 1073587796 | Susquehanna Valley Home Health Care | Home Health | 273 Gotschal Rd, Danville, PA 17821 | 2006-02-17 |
| 1306302716 | Lindsay A Hauser | Nurse Practitioner | 175 Northumberland Street, Danville, PA 17821 | 2019-02-11 |
| Find all providers in zip 17821 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174918098 | Samantha Rose Ellis | Dermatology | 600 San Ramon Valley Blvd Ste 102, Danville, CA 94526-4021 | 2015-03-30 |
| 1427488618 | Dermatology & Laser Centre, Inc | Dermatology | 770 San Ramon Valley Blvd, Danville, CA 94526-4077 | 2013-11-25 |
| 1376805812 | Nathan Andrew Merl Jackson | Dermatology | 4545 Riverside Dr Ste D, Danville, VA 24541-5173 | 2012-06-11 |
| 1689863722 | Salli Smith Slone, Md, Psc | Dermatology | 111 Daniel Drive, Danville, KY 40422-2527 | 2007-10-15 |
| 1184635195 | Jerome Potozkin | Dermatology | 600 San Ramon Valley Blvd, Suite 102, Danville, CA 94526-4014 | 2006-08-11 |
| 1457396277 | Gergana Gallacher | Dermatology | 770 San Ramon Blvd, Danville, CA 94526-4407 | 2006-06-17 |
| 1407894074 | Sonia Badreshia | Dermatology | 360 Rose Ave, Danville, CA 94526-3320 | 2006-06-03 |
| 1083618326 | Salli Smith Slone | Dermatology | 111 Daniel Dr, Danville, KY 40422-2527 | 2005-06-01 |
| 1417586363 | Paul Allen Leiphart | Dermatology | 100 N Academy Ave, Danville, PA 17822-0001 | 2020-04-03 |
| 1821521733 | Radhika Rani Trivedi | Dermatology | 16 Woodbine Lane, Danville, PA 17822 | 2017-04-07 |
| Find all providers in DANVILLE | ||||
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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.