Todd A. Staub (NPI# 1144505975, PAC ID# 0446426795) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1144505975 |
| PAC ID by PECOS | 0446426795 |
| Professional Enrollment ID | I20120109000215 |
| Full Name | Todd A. Staub |
| Organization Legal Name | READING DERMATOLOGY ASSOCIATES PC |
| Address |
3317 Penn Ave West Lawn PA 19609-1436 |
| Phone Number | 6106448225 |
| Gender | M |
| Medical School | PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6901955442 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390044 | READING HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3317 Penn Ave, West Lawn, PA 19609-1436 | 6106448225 | READING DERMATOLOGY ASSOCIATES PC |
| Organization Legal Name | READING DERMATOLOGY ASSOCIATES PC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dean E Burget Jr. | Plastic and Reconstructive Surgery | Reading Dermatology Associates PC | 3317 Penn Ave, West Lawn, PA 19609-1436 |
| Jamie Ann Laporte | Physician Assistant | Reading Dermatology Associates PC | 3317 Penn Ave, West Lawn, PA 19609-1436 |
| Amy L Hendrix | Nurse Practitioner | Reading Dermatology Associates PC | 3317 Penn Ave, West Lawn, PA 19609-1436 |
| Jason E Hendrix | Dermatology | Reading Dermatology Associates PC | 3317 Penn Ave, West Lawn, PA 19609-1436 |
| Street Address |
3317 PENN AVE |
| City | WEST LAWN |
| State | PA |
| Zip | 19609-1436 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dean E Burget Jr. | Plastic and Reconstructive Surgery | Reading Dermatology Associates PC | 3317 Penn Ave, West Lawn, PA 19609-1436 |
| Jamie Ann Laporte | Physician Assistant | Reading Dermatology Associates PC | 3317 Penn Ave, West Lawn, PA 19609-1436 |
| Amy L Hendrix | Nurse Practitioner | Reading Dermatology Associates PC | 3317 Penn Ave, West Lawn, PA 19609-1436 |
| Jason E Hendrix | Dermatology | Reading Dermatology Associates PC | 3317 Penn Ave, West Lawn, PA 19609-1436 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stuart M Clark | Optometry | 2209 Quarry Dr, Suite A13, West Lawn, PA 19609-1153 | |
| Suzanne E Hart | Occupational Therapy | Hands On Physical Therapy LLC | 2209 Quarry Dr, Suite B23, Reading, PA 19609-1153 |
| Richard Dean Gahman | Physical Therapy | Hands On Physical Therapy LLC | 2209 Quarry Dr, Suite B23, Reading, PA 19609-1153 |
| Jess R Drezner | Podiatry | 2209 Quarry Dr, Suite B24, West Lawn, PA 19609-1153 | |
| Holly E Mays | Physical Therapy | Hands On Physical Therapy LLC | 2209 Quarry Dr, Reading, PA 19609-1153 |
| Julie Gabriel | Clinical Social Worker | Leslie M Chaundy Psyd LLC | 2208 Quarry Dr, Suite 200, Reading, PA 19609-1158 |
| Leslie M Chaundy | Psychologist, Clinical | Leslie M Chaundy Psyd LLC | 2208 Quarry Dr, Suite 200, Reading, PA 19609-1158 |
| Justine A Liptock | Clinical Social Worker | Leslie M Chaundy Psyd LLC | 2208 Quarry Dr, Suite 200, Reading, PA 19609-1158 |
| Craig Kimmel | Otolaryngology | Kimmel Nasal and Sinus Center | 2211 Quarry Dr, Suite E58c, West Lawn, PA 19609-1161 |
| Kristen E Shimp | Nurse Practitioner | Kimmel Nasal and Sinus Center | 2211 Quarry Dr, Suite E58c, West Lawn, PA 19609-1161 |
| Find all physicians in zip 19609 | |||
| City | WEST LAWN |
| Zip Code | 19609 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WEST LAWN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Todd A. Staub.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.