AMY R OLAYIWOLA (NPI# 1093072670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093072670 |
| Entity Type | Individual |
| Full Name | AMY R OLAYIWOLA |
| Other Name | AMY R ZABROSKY (Former Name) |
| Gender | Female |
| Credential | PA-C |
| Other Credential | PAC |
| Practice Address | 51 Business Campus Way Ste 200 Duncannon PA 17020-9596 |
| Practice Telephone | 7178343108 |
| Practice Fax Number | 7178346911 |
| Mailing Address | 100 N Academy Ave Danville PA 17822-4903 |
| Mailing Telephone | 5702716144 |
| Mailing Fax Number | 5702716578 |
| Certification Date | 2020-08-31 |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2020-08-31 |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA055791 | PA | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363AM0700X | Physician Assistant Specialization: Medical | MA055791 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Endpoint Type | Endpoint | Affiliation | Affiliation Address | Use | Content |
|---|---|---|---|---|---|
| Direct Messaging Address | aolayiwola177316@direct.geisinger.edu | 51 Business Campus Way Ste 200, Duncannon, PA 170209596 | Direct |
| PECOS Associate Control (PAC) ID | 2769645928 by Medicare Provider Enrollment and Chain/Ownership System (PECOS) |
| Professional Enrollment ID | I20120525000362 |
| Last Name | OLAYIWOLA |
| First Name | AMY |
| Middle Name | RADICH |
| Organization Legal Name | SPIRIT PHYSICIAN SERVICES INC |
| Location | 205 Grandview Ave, Suite 210, Camp Hill, PA 17011-1708 |
| Phone Number | 7179724480 |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8022922202 |
| Number of Group Practice Members | 398 |
| Street Address | 51 BUSINESS CAMPUS WAY STE 200 |
| City | DUNCANNON |
| State | PA |
| Zip Code | 17020-9596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710022975 | Mario D. Abad Jr. | Family Medicine | 51 Business Campus Way Ste 200, Duncannon, PA 17020-9596 | 2007-02-21 |
| 1851845671 | Eric James Bailey | Family Medicine | 51 Business Campus Way Ste 200, Duncannon, PA 17020-9596 | 2016-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225032873 | Daniel T Mateer | Family Medicine | 51 Business Campus Way, Suite 200, Duncannon, PA 17020-9596 | 2005-06-10 |
| 1639613748 | Jill Rombach | Physical Therapist | 51 Business Campus Way, Duncannon, PA 17020-9596 | 2016-12-08 |
| 1942744214 | Noelle Keel | Physical Therapy Assistant | 51 Business Campus Way, Duncannon, PA 17020-9596 | 2016-12-06 |
| 1003203563 | Holy Spirit Hospital | Clinic/Center · Multi-Specialty | 51 Business Campus Way, Duncannon, PA 17020-9596 | 2015-04-22 |
| 1326455791 | Cassandra S. Destefano | Physician Assistant | 51 Business Campus Way, Duncannon, PA 17020-9596 | 2014-07-17 |
| 1730107004 | Angela Miller | Physical Therapist | 51 Business Campus Way, Duncannon, PA 17020-9596 | 2006-07-17 |
| 1730145517 | Spirit Physician Services Inc · Holy Spirit Family Medicine Duncannon | Family Medicine | 51 Business Campus Way, Suite 200, Duncannon, PA 17020-9596 | 2006-04-21 |
| 1164415063 | Patrick Bolden | Family Medicine | 51 Business Campus Way, Suite 200, Duncannon, PA 17020-9596 | 2005-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164905501 | Jason Shorey | Physical Therapy Assistant | 102 Chandra Dr., Duncannon, PA 17020 | 2018-09-12 |
| 1093128217 | Christopher Valintakonis | Pharmacist | 5 Friendly Dr., Duncannon, PA 17020 | 2014-06-05 |
| 1992185946 | Rennie Billow | Pharmacist | 5 Friendly Drive, Duncannon, PA 17020 | 2015-06-04 |
| 1316350655 | Rite Aid Pharmacy | Pharmacy · Community/Retail Pharmacy | 5 Friendly Drive, Duncannon, PA 17020 | 2014-06-04 |
| 1831498179 | Thomas Henry Beauduy | Pharmacist | 5 Friendly Drive, Duncannon, PA 17020 | 2011-03-25 |
| 1326206053 | Wong York Sun | Pharmacist | 5 Friendly Drive, Duncannon, PA 17020 | 2008-05-29 |
| 1598769978 | Kathleen A Scioli | Physician Assistant · Medical | 51 Business Campus Way, Ste 200, Duncannon, PA 17020 | 2005-06-13 |
| 1396835419 | Rite Aid of Pennsylvania LLC · Rite Aid Pharmacy 04293 | Durable Medical Equipment & Medical Supplies | 5 Friendly Drive, Duncannon, PA 17020-0157 | 2006-10-13 |
| 1316901820 | Two Rivers Family Healthcare, P.C. | Family Medicine | 4 S Market St, First Floor Right Rear, Duncannon, PA 17020-1225 | 2006-04-12 |
| 1770547820 | Lynn Anne Cornelius | Family Medicine | 4 S Market St, First Floor Right Rear, Duncannon, PA 17020-1225 | 2006-04-14 |
| Find all providers in zip 17020 | ||||
| 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 |
|---|---|---|---|---|
| 1326455791 | Cassandra S. Destefano | 51 Business Campus Way, Duncannon, PA 17020-9596 | 2014-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972194140 | Morgan Renay Beer | 1600 Coraopolis Heights Road Suite G1, Coraopolis, PA 15108 | 2021-02-01 | |
| 1396336608 | Alexandra Green | 225 Mark Dr, Seneca, PA 16346-2713 | 2021-01-29 | |
| 1851982409 | Sean Ryan Kirker | 259 S 21st St Apt 1, Philadelphia, PA 19103-4938 | 2021-01-27 | |
| 1457941569 | Sarah Scotchlas | 410 Throop St, Dunmore, PA 18512-2058 | 2021-01-22 | |
| 1811587074 | Iva Hodaj | 2100 Bowler St, Philadelphia, PA 19115-3309 | 2021-01-21 | |
| 1578152120 | Alan James Abraham | 322 Par Dr, Philadelphia, PA 19115-1026 | 2021-01-18 | |
| 1912596644 | Caitlin Jaeckel | 1500 Locust St Apt 3406, Philadelphia, PA 19102-4323 | 2021-01-17 | |
| 1043809882 | Angela Grace Weeks | 251 Lovell Pl, Erie, PA 16503-2623 | 2021-01-15 | |
| 1083203053 | Hope C Kohlbus | 2760 Chestnut Run Rd, York, PA 17402-8858 | 2021-01-14 | |
| 1154910065 | Katie Porreca | 4457 Cerise St, Pittsburgh, PA 15214-1305 | 2021-01-14 | |
| Find all providers in the same taxonomy | ||||
| City | DUNCANNON |
| Zip Code | 17020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124587175 | Olayiwola Akeem Bolaji | Student in an Organized Health Care Education/Training Program | 506 6th St, Brooklyn, NY 11215-3609 | 2019-03-19 |
| 1639783616 | Olabisi Olayiwola | Registered Nurse | 44 E Cozza Dr, Spokane, WA 99208-6514 | 2020-09-07 |
| 1750649539 | Olayiwola Oladoja | Home Health Aide | 1416 9th St Nw, Washington, DC 20001-3344 | 2012-04-30 |
| 1366725897 | Oyebanji Olayiwola Babalola | Pharmacist | 12 N Abe St, San Angelo, TX 76903-6361 | 2011-09-21 |
| 1164723169 | Olayiwola Ojo | Pharmacist | 14100 Baltimore Ave, Laurel, MD 20707-5007 | 2010-11-06 |
| 1356896724 | Olayiwola Emmanuel Amoran | Internal Medicine | 800 Spruce St, Philadelphia, PA 19107-6130 | 2016-08-16 |
| 1932205739 | Olayiwola B Ayodeji | Internal Medicine · Nephrology | 501 Butler Farm Rd, Ste. I, Hampton, VA 23666-1564 | 2006-09-16 |
| 1023551199 | Olayiwola Oyekanmi | Physical Therapist | 159 E 74th St, 1st Floor, New York, NY 10021-3235 | 2016-11-22 |
| 1558881870 | Oluwatobi Olayiwola | Pediatrics | 1000 4th St Sw, Mason City, IA 50401-2800 | 2017-06-27 |
| 1356930440 | Olayiwola Williams | Home Health Aide | 3508 Rhom Rd, Gwynn Oak, MD 21207-5768 | 2021-01-13 |
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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.