NICOLE MARIE GRUNTHANER (NPI# 1952686784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952686784 |
| Entity Type | Individual |
| Full Name | NICOLE MARIE GRUNTHANER |
| Other Name | NICOLE MARIE WHALEN |
| Credential | PA-C |
| Practice Address |
529 Sunflower Dr Du Bois PA 15801-2378 |
| Mailing Address |
300 E Main St Reynoldsville PA 15851-1282 |
| Practice Telephone | 8143711510 |
| Practice Fax Number | 8143712922 |
| Mailing Telephone | 8143711510 |
| Mailing Fax Number | 8143712922 |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2013-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA055234 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
529 SUNFLOWER DR |
| City | DU BOIS |
| State | PA |
| Zip Code | 15801-2378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336129220 | Desiree M. Webb | Pediatrics | 529 Sunflower Dr, Du Bois, PA 15801-2378 | 2006-01-18 |
| 1720646649 | Dubois Regional Medical Center | Optometrist | 529 Sunflower Dr, Du Bois, PA 15801-2378 | 2019-06-05 |
| 1679139091 | Jessica Gruver | Optometrist | 529 Sunflower Dr, 2nd Floor, Du Bois, PA 15801-2378 | 2019-05-10 |
| 1245747120 | Kristie Lynn Kline | Nurse Practitioner | 529 Sunflower Dr, Du Bois, PA 15801-2378 | 2018-01-02 |
| 1184167090 | Lori Schaffer | Nurse Practitioner | 529 Sunflower Dr, Du Bois, PA 15801-2378 | 2016-11-25 |
| 1053714642 | Ashley Nicole Bertram | Physician Assistant | 529 Sunflower Dr, Du Bois, PA 15801-2378 | 2014-09-26 |
| 1356676233 | Emily Rae Bish | Physician Assistant | 529 Sunflower Dr, Du Bois, PA 15801-2378 | 2009-10-09 |
| 1427282706 | Michael D. Kacsmar | Nurse Practitioner | 529 Sunflower Dr, Du Bois, PA 15801-2378 | 2009-05-14 |
| 1508017286 | Dubois Regional Medical Center | Optometrist | 529 Sunflower Dr, Du Bois, PA 15801-2378 | 2008-10-01 |
| 1669621363 | Fatima Nadia Malik | Pediatrics | 529 Sunflower Dr, Du Bois, PA 15801-2378 | 2008-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215551452 | Grace Polohonki | Counselor | 490 Jefers Street, Dubois, PA 15801 | 2020-06-03 |
| 1144869231 | Richard Lee Kerstetter II | Hearing Instrument Specialist | 124 San Juan Rd, Du Bois, PA 15801 | 2020-01-06 |
| 1700368487 | Holly Noel Knoll | Counselor | 490 Jeffers Street, Dubois, PA 15801 | 2018-08-30 |
| 1992298160 | Dubois Regional Medical Center | Family Medicine | 145 Hospital Ave Ste 315, Du Bois, PA 15801 | 2018-06-12 |
| 1154814846 | Sara Beth Stone | Dietitian, Registered | 16288 Treasure Lk, Du Bois, PA 15801 | 2018-06-07 |
| 1942790779 | Wendi Dawn Wenzel | Counselor | 490 Jeffers St., Dubois, PA 15801 | 2018-05-17 |
| 1144748443 | Nancy Foradora | Massage Therapist | 200 Narrows Creek Park Road, Dubois, PA 15801 | 2017-09-07 |
| 1679098891 | Deborah Jean Mitchell | Hearing Instrument Specialist | 900 Beaver Drive, Dubois, PA 15801 | 2017-08-09 |
| 1861937757 | Shaun M Kanouff | Counselor | 100 Caldwell Dr., Dubois, PA 15801 | 2016-12-30 |
| 1164897740 | Drayer Physical Therapy Institute LLC | Physical Therapist | 873 Beaver Drive, Dubois, PA 15801 | 2015-12-08 |
| Find all providers in zip 15801 | ||||
| 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 |
|---|---|---|---|---|
| 1194107045 | Amy M Powell | Physician Assistant | 135 Midway Dr, Du Bois, PA 15801-3857 | 2015-06-26 |
| 1760786834 | Dubois Regional Medical Group, PC | Physician Assistant | 135 Midway Drive, Suite B, Du Bois, PA 15801-3857 | 2011-01-05 |
| 1457580193 | Ashley M Kentoski | Physician Assistant | 90 Beaver Dr Ste 215d, Du Bois, PA 15801-2442 | 2009-07-02 |
| 1922607431 | Holly Marie Bianchino | Physician Assistant | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-10-26 |
| 1700483104 | Joshua Logan Gates | Physician Assistant | 145 Hospital Ave Ste 311, Du Bois, PA 15801-1465 | 2020-10-08 |
| 1932710704 | Kylee Breanne Leckey | Physician Assistant | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-08-13 |
| 1255955209 | Jessica Lynn Neill | Physician Assistant | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-06-05 |
| 1235759796 | Madalyn Hoke | Physician Assistant | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-04-24 |
| 1710518279 | Kaitlyn Marie Eckelberry | Physician Assistant | 145 Hospital Ave, Du Bois, PA 15801-1462 | 2020-02-03 |
| 1134777584 | Luke Michael Haskins | Physician Assistant | 535 Sunflower Dr, Du Bois, PA 15801-2350 | 2019-08-29 |
| Find all providers in DU BOIS | ||||
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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.