DANIEL J CHURCH
Physician Assistant

Address: 20 Capital Dr, Harrisburg, PA 17110-9446

DANIEL J CHURCH (NPI# 1659696714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659696714
Entity Type Individual
Full Name DANIEL J CHURCH
Gender Male
Credential P.A.
Practice Address 20 Capital Dr
Harrisburg
PA 17110-9446
Practice Telephone 7176352370
Practice Fax Number 7172337880
Mailing Address 100 N Academy Ave
Danville
PA 17822-4903
Mailing Telephone 5702716144
Mailing Fax Number 5702716578
Certification Date 2021-04-07
Enumeration Date 2010-04-01
Last Update Date 2021-04-07
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 363A00000X Physician Assistant MA054295 PA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifiers

Identifier State Issuer Type Code
MA054295 PA MEDICAL LICENSE Other

Provider Secondary Practice Locations

Address Telephone Number Fax Number
19 Sprint Dr Ste 2, Carlisle, PA 170157002 7179888135 7172215600
1830 Good Hope Rd, Enola, PA 170251233 7179888135 7172215600

Associated Endpoints

Endpoint Type Endpoint Affiliation Affiliation Address Use Content
Direct Messaging Address dchurch135867@direct.geisinger.edu 20 Capital Dr, Harrisburg, PA 171109446 Direct
Direct Messaging Address dchurch197051@phsdirect.pinnaclehealth.org 1830 Good Hope Rd, Enola, PA 170251233

Physician Overview

PECOS Associate Control (PAC) ID 2769514462
by Medicare Provider Enrollment and Chain/Ownership System (PECOS)
Professional Enrollment ID I20100715000711
Last Name CHURCH
First Name DANIEL
Middle Name J
Organization Legal Name SPIRIT PHYSICIAN SERVICES INC
Location 20 Capital Dr, Harrisburg, PA 17110-9446
Graduation Year 2009
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 8022922202
Number of Group Practice Members 398

Office Location

Street Address 20 CAPITAL DR
City HARRISBURG
State PA
Zip Code 17110-9446

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639566193 Holy Spirit Hospital Clinic/Center - Multi-Specialty 20 Capital Dr, Harrisburg, PA 17110-9446 2015-04-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467721332 Capital Surgery and Laser Center, LLC Clinic/Center - Ambulatory Surgical 10 Capital Dr, Harrisburg, PA 17110-9446 2011-12-22

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1487231379 Momma Nan's Home Care Services In Home Supportive Care 3405 N. 6th St, Suite 201 # 6, Harrisburg, PA 17110 2021-03-26
1457993271 Christopher William Delong Nurse Practitioner - Family 2501 North 3rd St. Fl 2, Harrisburg, PA 17110 2019-10-14
1356799662 Pinnacle Health Medical Services · Pinnaclehealth Surgery Optimization Clinic Internal Medicine 2501 N 3rd St Fl 3, Harrisburg, PA 17110 2016-05-26
1356563993 Lisa Lenz Counselor 2101 N. Front St, Building 1, Suite 300, Harrisburg, PA 17110 2007-05-03
1134514904 Benjamin Daniel Chan Student in an Organized Health Care Education/Training Program Kline Health Center, 2501 N. Third St., 2nd Floor, Landis Building, Harrisburg, PA 17110 2015-03-30
1376704700 Manjon Gynecology PC Obstetrics & Gynecology 2416 Green Strreet, Harrisburg, PA 17110 2008-06-18
1780029454 Khem Kumar Adhikari Family Medicine 3601 North Progress Ave., Harrisburg, PA 17110 2013-05-07
1013317411 Robert Derner Jr. Counselor - Mental Health 2700 Commerce Dr., Harrisburg, PA 17110 2014-09-04
1356897938 Millonee Dialysis LLC · Progress Avenue Dialysis Clinic/Center - End-Stage Renal Disease (ESRD) Treatment 4390 Sturbridge Dr, Harrisburg, PA 17110 2016-09-01
1558845024 Mary Kaitlin Novak Counselor 3605 Vartan Way, Suite 204a, Harrisburg, PA 17110 2018-09-20
Find all in zip 17110

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205390242 Christopher Michael Fetrow Physician Assistant 205 S Front St Fl 4, Harrisburg, PA 17104-1619 2019-01-23
1376051615 Leslie Carol Taylor Physician Assistant 9550 Rocky River Rd Ste 100, Harrisburg, NC 28075 2018-01-22
1376058594 Cara Kraus Physician Assistant 129 Curvin Dr, Harrisburg, PA 17112-2964 2017-12-11
1073050589 Emily Fisher Physician Assistant 820 Sir Thomas Ct, Harrisburg, PA 17109-4839 2017-01-22
1265823785 Jennifer Hershey Physician Assistant 205 S Front St Fl 6, Harrisburg, PA 17104-1619 2015-02-06
1043608409 Sarah Wolfe Physician Assistant 4415 School House Cmns, Harrisburg, NC 28075-7558 2015-01-07
1497150288 Ronald Wayne Jones Physician Assistant 3827 Over Dr, Harrisburg, PA 17109-1230 2014-10-23
1437339702 Stacey Lavon Rotz Physician Assistant 805 Sir Thomas Ct Fl 1, Harrisburg, PA 17109-4839 2007-11-05
1932269701 Leanne H Deneal · Leanne F Hopkins Physician Assistant 28 Veteran's Drive, Harrisburg, IL 62946 2006-12-11
1225050438 Meghan L Edwards Physician Assistant 775 S Arlington Ave, Harrisburg, PA 17109-5002 2006-07-24
Find all providers in HARRISBURG

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City HARRISBURG
Zip Code 17110

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Dataset Information

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.

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