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MRS. HEATHER GERSBACHER HAZLETT RPA C NPI 1285700807


NPI Information

NPI: 1285700807
Provider Name: MRS. HEATHER GERSBACHER HAZLETT, RPA C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
25 MONUMENT RD
SUITE 290
YORK, PA
ZIP 17403
Phone: (717) 812-4090
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MRS. Heather Gersbacher Hazlett, RPA C is a medical physician assistant in York, PA with 26 years of experience. MRS. Heather Gersbacher Hazlett, RPA C NPI is 1285700807. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

25 MONUMENT RD
SUITE 290
YORK, PA
ZIP 17403-060
Phone: (717) 812-4090
Fax: (717) 812-4092

The NPI 1285700807 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/27/2006 and was last updated on 7/14/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician AssistantMA053963PENNSYLVANIANo
2363AS0400XPhysician AssistantSurgicalMA053963PENNSYLVANIANo
3363A00000XPhysician Assistant006869NEW YORKNo
4363AS0400XPhysician AssistantSurgical006869NEW YORKNo
5363AM0700XPhysician AssistantMedicalMA053963PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11585197OTHERPENNSYLVANIAGATEWAY-WMG
2S86582MEDICARE UPIN
3DD0714MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
4P00883466MEDICARE PINPENNSYLVANIA
5164586FLTMEDICARE PINPENNSYLVANIA
62130941OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
702199948MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.