Kathleen A Kreider (NPI# 1578504577, PAC ID# 4981747896) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1578504577 |
| PAC ID by PECOS | 4981747896 |
| Professional Enrollment ID | I20100201000352 |
| Full Name | Kathleen A Kreider |
| Organization Legal Name | PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC |
| Address |
29 Eastbrook Rd Penn State Med Grp Eastbrook Ronks PA 17572-9769 |
| Phone Number | 7172995711 |
| Gender | F |
| Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 1978 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8729351077 |
| Number of Group Practice Members | 159 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390100 | LANCASTER GENERAL HOSPITAL |
| 390225 | WELLSPAN EPHRATA COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 29 Eastbrook Rd, Penn State Med Grp Eastbrook, Ronks, PA 17572-9769 | 7172995711 | PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC |
| Organization Legal Name | PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC |
| Physicians | 143 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julian K Derr | Nurse Practitioner | Penn State Health Community Medical Group, LLC | 2605 Willow St Pike, Penn State Med Grp South Lancaster, Willow Street, PA 17584-9510 |
| 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 |
| Street Address |
29 EASTBROOK RD PENN STATE MED GRP EASTBROOK |
| City | RONKS |
| State | PA |
| Zip | 17572-9769 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren A Myer | Nurse Practitioner | Penn State Health Community Medical Group, LLC | 29 Eastbrook Rd, Penn State Med Grp Eastbrook, Ronks, PA 17572-9769 |
| John Clair Hess | Family Medicine | Penn State Health Community Medical Group, LLC | 29 Eastbrook Rd, Penn State Med Grp Eastbrook, Ronks, PA 17572-9769 |
| Vera N Guertler | Family Medicine | Penn State Health Community Medical Group, LLC | 29 Eastbrook Rd, Penn State Med Grp Eastbrook, Ronks, PA 17572-9769 |
| James Duprey | Family Practice | Penn State Health Community Medical Group, LLC | 29 Eastbrook Rd, Penn State Med Grp Eastbrook, Ronks, PA 17572-9769 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ira Edward Cudala Manalo | Physical Therapy | Pivot Physical Therapy of Pennsylvania LLC | 340 Hartman Bridge Rd, Ronks, PA 17572-9508 |
| Christopher Bell | Physical Therapy | Pivot Physical Therapy of Pennsylvania LLC | 340 Hartman Bridge Rd, Ronks, PA 17572-9508 |
| Matthew M Williams | Physical Therapy | Pivot Physical Therapy of Pennsylvania LLC | 340 Hartman Bridge Rd, Ronks, PA 17572-9508 |
| Nicholas Dorazio | Physical Medicine and Rehabilitation | 181 Hartman Bridge Rd, Ronks, PA 17572-9700 |
| City | RONKS |
| Zip Code | 17572 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | RONKS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kathleen A Kreider.
| 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.