Julian K Derr (NPI# 1215406293, PAC ID# 4587902937) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1215406293 |
| PAC ID by PECOS | 4587902937 |
| Professional Enrollment ID | I20190211002757 |
| Full Name | Julian K Derr |
| Organization Legal Name | PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC |
| Address |
2605 Willow St Pike Penn State Med Grp South Lancaster Willow Street PA 17584-9510 |
| Phone Number | 7174642838 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8729351077 |
| Number of Group Practice Members | 159 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390096 | ST JOSEPH MEDICAL CENTER |
| 390044 | READING HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| One Norwegian Plaza, 302 Penn State Health Medical Group Berks Cardiology, Pottsville, PA 17901 | 6106858500 | PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC |
| 2605 Willow St Pike, Penn State Med Grp South Lancaster, Willow Street, PA 17584-9510 | 7174642838 | PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC |
| Organization Legal Name | PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC |
| Physicians | 143 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alison Anna Platt | Gastroenterology | Penn State Health Community Medical Group, LLC | 1421 Fishburn Rd, Hershey, PA 17033-9795 |
| Julie C Machado | Internal Medicine | Penn State Health Community Medical Group, LLC | 320 S Market St, Manor Htlcare and Rehabilit, Elizabethtown, PA 17022-2422 |
| Lauren A Myer | Nurse Practitioner | Penn State Health Community Medical Group, LLC | 29 Eastbrook Rd, Penn State Med Grp Eastbrook, Ronks, PA 17572-9769 |
| Kathleen E Yesavage | Nurse Practitioner | Penn State Health Community Medical Group, LLC | 3912 Trindle Rd, Camp Hill, PA 17011-4246 |
| Robert Martin | Interventional Pain Management | Penn State Health Community Medical Group, LLC | 2301 Columbia Ave, Lancaster, PA 17603-4154 |
| Danielle J Miller | Family Medicine | Penn State Health Community Medical Group, LLC | 1120 Cocoa Ave, Hershey, PA 17033-1712 |
| Scott R Mann | Family Medicine | Penn State Health Community Medical Group, LLC | 80 Wyntre Brooke Dr, Penn State Med Grp White Rose, York, PA 17403-4535 |
| Frank E Politzer | Interventional Cardiology | Penn State Health Community Medical Group, LLC | One Norwegian Plaza, 302 Penn State Health Medical Group Berks Cardiology, Pottsville, PA 17901 |
| Sarah R White | Nurse Practitioner | Penn State Health Community Medical Group, LLC | 2221 Noll Dr, Suite 2000, Lancaster, PA 17603-7610 |
| Brenda Kauffman Kozak | Nurse Practitioner | Penn State Health Community Medical Group, LLC | 2605 Keiser Blvd, Wyomissing, PA 19610-3338 |
| Street Address |
2605 WILLOW ST PIKE PENN STATE MED GRP SOUTH LANCASTER |
| City | WILLOW STREET |
| State | PA |
| Zip | 17584-9510 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert K Aichele Jr. | Family Medicine | Penn State Health Community Medical Group, LLC | 2605 Willow St Pike, Penn State Med Grp South Lancaster, Willow Street, PA 17584-9510 |
| Daniel Lee Diehl | Family Medicine | Penn State Health Community Medical Group, LLC | 2605 Willow St Pike, Penn State Med Grp South Lancaster, Willow Street, PA 17584-9510 |
| Richard P Frey | Family Medicine | Penn State Health Community Medical Group, LLC | 2605 Willow St Pike, Penn State Med Grp South Lancaster, Willow Street, PA 17584-9510 |
| Robert S Pratt | Family Medicine | Penn State Health Community Medical Group, LLC | 2605 Willow St Pike, Penn State Med Grp South Lancaster, Willow Street, PA 17584-9510 |
| Corey Ray Smith | Family Medicine | Penn State Health Community Medical Group, LLC | 2605 Willow St Pike, Penn State Med Grp South Lancaster, Willow Street, PA 17584-9510 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kent V Flinchbaugh | Podiatry | 2600 Willow St Pike S, Willow Street, PA 17584-0216 | |
| John J Schmitt | Family Medicine | Lancaster Family Medicine Associates, P.C. | 2850 Willow St Pike, Suite A, Willow Street, PA 17584-9200 |
| Victoria L. Weaver | Nurse Practitioner | Lancaster Family Medicine Associates, P.C. | 2850 Willow St Pike, Suite A, Willow Street, PA 17584-9200 |
| Winfried G Wieland | Family Medicine | Lancaster Family Medicine Associates, P.C. | 2850 Willow St Pike, Suite A, Willow Street, PA 17584-9200 |
| Ann M King | Family Practice | Lancaster Family Medicine Associates, P.C. | 2850 Willow St Pike, Willow Street, PA 17584-9200 |
| John B Rex | Clinical Social Worker | 2421 Willow St Pike N, Suite B, Willow Street, PA 17584-9225 | |
| Scott A Crawshaw | Optometry | Willow Street Eye Care, LLC | 2904 Willow St Pike N, Willow Street, PA 17584-9227 |
| David J Warshawsky | Optometry | 2904 Willow St Pike, Willow Street, PA 17584-9227 | |
| Maura D Crawshaw | Ophthalmology | Willow Street Eye Care, LLC | 2904 Willow St Pike N, Willow Street, PA 17584-9227 |
| Barry Daniel Hazen | Chiropractic | 4 Mylin Ave, Willow Street, PA 17584-9305 | |
| Find all physicians in zip 17584 | |||
| City | WILLOW STREET |
| Zip Code | 17584 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WILLOW STREET + NURSE PRACTITIONER |
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| 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.